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Cecelia M Hidalgo¹, Eliot J Martin¹, Daniel G Eyassu¹

¹Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota.

JAMA network open

|October 27, 2025

概括

为耳鼻喉科-头手术 (OHNS) 开发并验证了一种新的修改后的Clavien-Dindo分类. 这种工具可靠地区分并发症的严重程度,并有助于评估手术结果.

科学领域:

手术结果研究研究.
医学分类系统医学分类系统
耳鼻喉科 - 头部和部外科 (OHNS)

背景情况:

在OHNS中报告不良事件是不一致的.
现有的Clavien-Dindo分类在OHNS中缺乏验证.
需要一个标准化的系统来评估OHNS中并发症的严重程度和持续时间.

研究的目的:

开发和验证针对OHNS量身定制的修改Clavien-Dindo分类.
创建一个反映OHNS并发症损害的严重程度和持续时间的系统.
提高报告外科手术不良事件的一致性和准确性.

主要方法:

美国的多中心调查研究,涉及OHNS主题专家 (中小企业).
识别和总结OHNS手术并发症的文献综述 (2019年1月至2020年4月).
通过电子调查 (Sep 2023) 开发修改的Clavien-Dindo分类和验证,使用35个临床细节.

主要成果:

106家中小企业中有43家参加 (40.6%的响应率).
在对并发症的分类中中度可靠性 (克里多夫α = 0.74).
经过修改的分类证明了能够区分高等级和低等级的OHNS并发症.

结论:

一个经过修改的OHNS Clavien-Dindo分类成功开发和验证.
该分类提供了细分的分类,并纳入了综合复杂性指数 (CCI).
这种经过验证的工具可以加强对手术结果的评估,并在OHNS中标准化并发症报告.

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