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Recording of postoperative complications: quantity and quality
Pierre Maina1, Mads Carstensen, Hanne Tønnesen
1Department of Surgery, Copenhagen County Hospital in Herlev, Denmark.
Objective:
To evaluate a simple working procedure for recording postoperative complications.
Design:
Prospective cohort study.
Setting:
Teaching hospital, Denmark.
Subjects:
218 of 312 patients who were operated on from March to July 1996.
Interventions:
Follow up 30 days after operation by looking up the local register of complications, review of medical records and by structured telephone interview with the patient.
Main Outcome Measures:
Morbidity.
Results:
All the patients were recorded in the local register, showing a complication rate of 21% (n = 49). However the medical record and the telephone interview showed complication rates of 68 (31%) and 76 (33%), respectively.
Conclusion:
It is possible to improve the quantity of the recording by a simplified working procedure, while the quality is still a challenge.
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