Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital: An Observational Study
Introduction: The Clavien-Dindo Classification is an easy way to grade any deviation from the post-operative course that is not a normal part of the procedure and does not indicate a failure to achieve the desired cure, regardless of the physician’s age or level of competence. We aimed to conduct a...
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Nepal Medical Association
2024-12-01
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| Series: | Journal of Nepal Medical Association |
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| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8854 |
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| author | Manoj Kumar Jha Kunda Bikram Shah Anup Thapa Sunil Basukala Sumit Kumar Sah |
| author_facet | Manoj Kumar Jha Kunda Bikram Shah Anup Thapa Sunil Basukala Sumit Kumar Sah |
| author_sort | Manoj Kumar Jha |
| collection | DOAJ |
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Introduction: The Clavien-Dindo Classification is an easy way to grade any deviation from the post-operative course that is not a normal part of the procedure and does not indicate a failure to achieve the desired cure, regardless of the physician’s age or level of competence. We aimed to conduct a this study to determine the prevalence of post-operative complications after major abdominal surgery and to grade them using the Clavien-Dindo Classification.
Methods: This was an observational cross-section study conducted after approval from the Institutional Review Committee (Reference Number: 656). A retrospective data of patients admitted to surgical wards for major surgery from January to June 2022 was included in the study. The post-operative complications were divided as per Clavien-Dindo classification from grade I to grade V. Descriptive statistics was used to analyse data.
Results: Out of 78 patients, 45 (57.69%; 95% CI: 52.69%-62.69%) patients had complication after major abdominal surgery. Among them, 17 (37.78%) patients belonged to age group more than 60 years and 24 (53.33%) patients were female. Amongst the morbidities, diabetes mellitus was seen in 7 (15.56%) patients, hypertension in 6 (13.33%), chronic obstructive pulmonary disease in 5 (11.11%) cases and anaemia in 3 (6.67%) cases. There were 19 (42.22%) patient with Clavien-Dindo Classification Grade II and surgical site infection was observed in 26 (57.78%) cases.
Conclusions: The prevalence of post-operative complication after major abdominal surgery in our study was found to be comparatively higher as compared to similar studies done in similar settings.
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| format | Article |
| id | doaj-art-486018d2573c424aac3e9aacee2d5704 |
| institution | Kabale University |
| issn | 0028-2715 1815-672X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj-art-486018d2573c424aac3e9aacee2d57042025-01-03T09:12:35ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2024-12-016328110.31729/jnma.8854Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital: An Observational StudyManoj Kumar Jha0Kunda Bikram Shah1Anup Thapa2Sunil Basukala3Sumit Kumar Sah4Department of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal Department of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, NepalDepartment of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, NepalDepartment of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, NepalNepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal Introduction: The Clavien-Dindo Classification is an easy way to grade any deviation from the post-operative course that is not a normal part of the procedure and does not indicate a failure to achieve the desired cure, regardless of the physician’s age or level of competence. We aimed to conduct a this study to determine the prevalence of post-operative complications after major abdominal surgery and to grade them using the Clavien-Dindo Classification. Methods: This was an observational cross-section study conducted after approval from the Institutional Review Committee (Reference Number: 656). A retrospective data of patients admitted to surgical wards for major surgery from January to June 2022 was included in the study. The post-operative complications were divided as per Clavien-Dindo classification from grade I to grade V. Descriptive statistics was used to analyse data. Results: Out of 78 patients, 45 (57.69%; 95% CI: 52.69%-62.69%) patients had complication after major abdominal surgery. Among them, 17 (37.78%) patients belonged to age group more than 60 years and 24 (53.33%) patients were female. Amongst the morbidities, diabetes mellitus was seen in 7 (15.56%) patients, hypertension in 6 (13.33%), chronic obstructive pulmonary disease in 5 (11.11%) cases and anaemia in 3 (6.67%) cases. There were 19 (42.22%) patient with Clavien-Dindo Classification Grade II and surgical site infection was observed in 26 (57.78%) cases. Conclusions: The prevalence of post-operative complication after major abdominal surgery in our study was found to be comparatively higher as compared to similar studies done in similar settings. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8854Clavien-Dindo classificationmajor abdominal surgeriespost-operative complications |
| spellingShingle | Manoj Kumar Jha Kunda Bikram Shah Anup Thapa Sunil Basukala Sumit Kumar Sah Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital: An Observational Study Journal of Nepal Medical Association Clavien-Dindo classification major abdominal surgeries post-operative complications |
| title | Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital: An Observational Study |
| title_full | Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital: An Observational Study |
| title_fullStr | Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital: An Observational Study |
| title_full_unstemmed | Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital: An Observational Study |
| title_short | Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital: An Observational Study |
| title_sort | postoperative complications among major abdominal surgeries using clavien dindo classification in tertiary hospital an observational study |
| topic | Clavien-Dindo classification major abdominal surgeries post-operative complications |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8854 |
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