手术并发症报告的里程碑:克拉维恩-丁多分类20年和综合并发症指数10年
Fariba Abbassi1,2, Matthias Pfister1,3, Katharina L Lucas4
1Department of Surgery and Transplantation, University of Zurich, Zurich, Switzerland.
Annals of surgery
|August 5, 2024
概括
通过克拉维恩-丁多分类 (CDC) 和综合性并发症指数 (CCI®) 标准化手术并发症报告至关重要. 这项研究为复杂病例的一致应用提供了专家指导,改善了患者的治疗结果.
科学领域:
- 手术成果研究的研究结果.
- 医疗信息学医学信息学
- 基于证据的医学是基于证据的医学.
背景情况:
- 标准化报告对于外科手术程序的评估至关重要.
- 克拉维恩-丁多分类 (CDC) 和综合并发症指数 (CCI®) 建议用于术后发病率.
- 需要基于证据的指导来挑战随机对照试验 (RCT) 中的并发症分级场景.
研究的目的:
- 提供改进的指导,使克拉维恩-丁多分类 (CDC) 和综合复杂性指数 (CCI®) 的一致应用.
- 在并发症分级中解决具有挑战性的临床场景.
- 在随机对照试验 (RCT) 中探索CDC和CCI®的使用.
主要方法:
- 在RCT中对CDC和CCI®使用的系统文献搜索.
- 国际外科医生调查对20种复杂的临床情景进行分级.
- 专家达成共识,制定一致的建议.
主要成果:
- 到2023年7月,超过1300个RCT使用了CDC/CCI®,每年采用率不断增加.
- 只有三分之一的RCT报告了完整的CDC等级.
- 专家建议在CCI®中对重复干预,后续并发症,转诊前并发症和无关并发症进行单独计数;侵入性诊断干预除外.
结论:
- 在RCT中越来越多地使用CDC和CCI®,这凸显了对标准化应用的需求.
- 关于困难情景的共识为一致的CDC和CCI®使用提供了指导.
- 改进的并发症报告提高了质量控制,使患者和利益相关者受益.
相关概念视频
01:21Types of Reports II: Incident or Occurrence Report
809
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
809
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:29Appendicitis-II: Diagnostic Studies and Management
73
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
73
01:27Nursing Clinical Information System
763
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
763
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
160
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
160
01:14SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K