The AFC Score: Validation of a 4-Item Predicting Score of Postoperative Mortality After Colorectal Resection for Cancer or Diverticulitis: Results of a Prospective Multicenter Study in 1049 Patients(1919 Alves A, Panis Y, Mantion G, Slim K, Kwiatkowski F, Vicaut E. The AFC Score: Validation of a 4-Item Predicting Score of Postoperative Mortality After Colorectal Resection for Cancer or Diverticulitis: Results of a Prospective Multicenter Study in 1049 Patients. Ann Surg [Internet]. 2007;246(1):91-6. doi: 10.1097/SLA. 0b013e3180602ff5 https://doi.org/10.1097/SLA. 0b013e31806...
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2007 France |
A multicenter study to assess mortality and morbidity after colorectal surgery. N= 1,049 patients |
The main complications were: dehiscence and wound infection (8%), postoperative hemorrhage (3%), and complications related to the cardiorespiratory tract (7%). Postoperative morbidity was observed in a significant portion (23%) of patients. Post-discharge reoperation due to complications was required in 42 patients (4%). |
Complications after pancreaticoduodenectomy are associated with higher amounts of intra- and postoperative fluid therapy: A single center retrospective cohort study(2020 Kulemann B, Fritz M, Glatz T, Marjanovic G, Sick O, Hopt UT, et al. Complications after pancreaticoduodenectomy are associated with higher amounts of intra-and postoperative fluid therapy: a single center retrospective cohort study. Ann Med Surg. 2017;16:23-9. doi: 10.1016/j.amsu.2017.02.042 https://doi.org/10.1016/j.amsu.2017.02.0...
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2017 Germany |
A descriptive, documentary and retrospective study with patients submitted to duodenopancreatectomy. N: 553 patients |
Infection, fistula, delayed gastric emptying and bleeding were the main complications. The incidence of complications was high (44.7%), with morbidity of 59.5%. Long-term mortality (30 days post-discharge) was 1.1%. Postoperative intervention was required to treat complications in 28.3% of patients, of which 12.1% reoperations. |
Systematic Classification of Morbidity and Mortality After Thoracic Surgery(2121 Seely AJ, Ivanovic J, Threader J, Al-Hussaini A, Al-Shehab D, Ramsay T. Systematic classification of morbidity and mortality after thoracic surgery. Ann Thorac Surg. 2010;90(3):936-42. doi: 10.1016/j.athoracsur.2010.05.014 https://doi.org/10.1016/j.athoracsur.201...
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2010 Canada |
A retrospective study assessing postoperative complications in thoracic surgery. N: 953 patients |
Complication rates were 29.3%. The main ones were Surgical Wound Infection (30.8%), prolonged air escape (18.8%), atrial fibrillation (18.2%), and pneumonia (9.7%). |
Morbidity after Total Gastrectomy: Analysis of 238 Patients(2222 Selby LV, Vertosick EA, Sjoberg DD, Schattner MA, Janjigian YY, Brennan MF. Morbidity after total gastrectomy: analysis of 238 patients. J Am Coll Surg. 2015;220(5):863-71.e2. doi: 10.1016/j.jamcollsurg.2015.01.058 https://doi.org/10.1016/j.jamcollsurg.20...
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2015 United States |
A 90-day prospective follow-up cohort N: 238 students |
The incidence of complications was 30%. The main ones were surgical wound infection (18.5%), esophageal anastomotic leak (14.7%), respiratory system complications (14.3%), cardiac arrhythmia (9.7%), organ-cavity infection (4.2%), and hemorrhage (3.4%). The readmission rate was high (20%). The presence of one or more complications increased the hospitalization time of the subjects. |
Post-Discharge Complications are an Important Predictor of Post-operative Readmissions(2323 Tevis SE, Kohlnhofer BM, Weber SM, Kennedy GD. Post-discharge complications are an important predictor of postoperative readmissions. Am J Surg. 2014;208(4):505-10. doi: 10.1016/j.amjsurg.2014.05.013 https://doi.org/10.1016/j.amjsurg.2014.0...
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2014 United States |
A retrospective study with patient undergoing general surgery. N: 3,556 patients |
The incidence of complications was 31%, the most common being gastrointestinal complications (29.5%), surgical site infection (organ-cavity, superficial, deep and dehiscence) (26.3%), sepsis (3.8%), and urinary tract infection (2.9%). The average time between discharge and post-discharge complication was 10 days. |
Value of General Surgical Risk Models for Predicting Postoperative Liver Failure and Mortality Following Liver Surgery(2424 Haga Y, Ikejiri K, Takeuchi H, Ikenaga M, Wada Y. Value of general surgical risk models for predicting postoperative liver failure and mortality following liver surgery. J Surg Oncol. 2012;106(7):898-904. doi: 10.1002/jso.23160 https://doi.org/10.1002/jso.23160...
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2012 Japan |
A prospective follow-up study of postoperative course of hepatectomy. N: 960 patients |
The incidence of post-discharge complications was 16.6%, the most common being: wound infection (2.5%), pleural effusion (2.9%), abscess (2.5%), pneumonia (1.2%), and hemorrhage (0.7%). |
The Percutaneous Nephrolithotomy Global Study: Classification of Complications(2525 Labate G, Modi P, Timoney A, Cormio L, Zhang X, Louie M, et al. The percutaneous nephrolithotomy global study: classification of complications. J Endourol. 2011;25(8):1275-80. doi: 10.1089/end.2011.0067 https://doi.org/10.1089/end.2011.0067...
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2011 PubMed |
A multicenter study with patients undergoing percutaneous nephrolithotomy. N: 5,724 patients |
The incidence of complications was 20.5%. The main ones were fever (13.7%), hemorrhage (12.5%), urinary leakage (3.4%), and infections (4.6%). |
The Impact of Postoperative Complications on Survivals After Esophagectomy for Esophageal Cancer(2626 Booka E, Takeuchi H, Nishi T, Matsuda S, Kaburagi T, Fukuda K. The impact of postoperative complications on survivals after esophagectomy for esophageal cancer. Medicine. 2015;94(33):e1369. doi: 10.1097/MD. 0000000000001369 https://doi.org/10.1097/MD. 000000000000...
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2015 Japan |
A retrospective cohort with surgical esophagectomy graduates N: 402 patients |
There was a high incidence of surgical complications (40.1%), the main ones being pneumonia (22.5%), surgical wound infection (11.3%), anastomosis (15.8%), and laryngeal nerve paralysis (19.4%). |
Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study(2727 Roche JJ, Wenn RT, Sahota O, Moran CG. Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study. BMJ Open. 2005;331:1374. doi: 10.1136/bmj.38643.663843.55 https://doi.org/10.1136/bmj.38643.663843...
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2005 England |
A prospective observational cohort of older adults undergoing hip fracture surgery. N: 2,448 patients |
498 patients had at least one postoperative complication (20%). The most common were chest infection (9%), heart failure (5%) and other infections (organ-cavity, UTI) (5%). Mortality was 9.6% at 30 days after hospitalization. In patients who developed postoperative chest infection, mortality at 30 days was 43%. |
Association of Postoperative Complications with Hospital Costs and Length of Stay in a Tertiary Care Center(2828 Khan NA, Quan H, Bugar JM, Lemaire JB, Brant R, Ghali WA. Association of postoperative complications with hospital costs and lengthof stay in a tertiary care center. J Gen Intern Med. 2006;21(2):177-80. doi: 10.1111/j.1525-1497.2006.00319.x https://doi.org/10.1111/j.1525-1497.2006...
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2005 Canada |
A retrospective descriptive study in patients undergoing noncardiac surgery. N: 7,457 patients |
About 6.9% of patients had at least one post-discharge complication. Pneumonia (3%), hemorrhage (1.8%), sepsis (1.3%), and cardiac complications (1.3%) were prevalent. |