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72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

06.06. - 09.06.2021

Experiences with the Clavien-Dindo classification of surgical complications in neurosurgery

Erfahrungen mit der Clavien-Dindo Klassifikation der chirurgischen Komplikationen in der Neurochirurgie

Meeting Abstract

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  • presenting/speaker David Shalamberidze - Klinikum Hochsauerland, Klinik für Neurochirurgie, Arnsberg, Deutschland
  • Ludwig Benes - Klinikum Hochsauerland, Klinik für Neurochirurgie, Arnsberg, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie. sine loco [digital], 06.-09.06.2021. Düsseldorf: German Medical Science GMS Publishing House; 2021. DocP194

doi: 10.3205/21dgnc475, urn:nbn:de:0183-21dgnc4758

Published: June 4, 2021

© 2021 Shalamberidze et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Objective: The standardized Clavien-Dindo classification of surgical complications is widely applied in various surgical disciplines, and it is declared as an effective instrument for quality management. This study aimed to evaluate the neurosurgical complications according to the Clavien-Dindo classification of surgical complications and represent the experiences with it in neurosurgery.

Methods: We retrospectively analyzed a period of care between June 2017 and December 2019 in our neurosurgical department. The evaluated complications were rated according to the Clavien-Dindo classification of surgical complications. The range of complications was compared with the length of stay and statistically analyzed using two-sided Spearman’s rank correlation coefficients.

Results: The study included overall 1681 operations at 1530 patients. Complications occurred in 17.7 % (n=271) of patients, of which 43,9% (n=119) had some postoperative neurological disturbances. 40.2% of complications were rated as grade 1, 15.1% as grade 2, 4.1% as grade 3a, 27.7% as grade 3b, 4.8% as grade 4a, 4.4% as grade 4b and 3,7% as grade 5. Patients with a higher rank of complications experienced significantly longer lengths of hospital stay. The severity level of postoperative occurred neurological disturbances didn't frequently match with the Clavien-Dindo ranking system.

Conclusion: The Clavien-Dindo classification can easily be used in neurosurgery to document the rates of general, surgical complications, but it is insufficient and can not be validated to describe the severity of postoperative occurred, neurological disturbances, which are so frequent in neurosurgery.

Figure 1 [Fig. 1], Figure 2 [Fig. 2]