Evaluating neonatal surgical outcomes using the Clavien-Dindo classification: A multicentre study of complications and risk ractors in a middle-income country

jpedsurg.org

Neonatal surgery in low- and middle-income countries can be complicated by limited resources, delayed presentations, and variability in neonatal intensive care. This study applied the Clavien-Dindo (CD) classification to evaluate postoperative complications in neonates across three tertiary centres in Malaysia, aiming to (1) establish baseline complication rates and (2) identify risk factors for severe morbidity and mortality in a middle-income context.

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Article · Jul 2025 · 1 min read

In brief

This multicentre Malaysian study uses the Clavien-Dindo classification to systematically assess postoperative complications in neonatal surgery within a middle-income healthcare setting. The research establishes baseline complication rates and identifies key risk factors for severe morbidity and mortality in resource-limited contexts.

Clavien-Dindo classification provides standardized complication grading for neonatal surgery in resource-limited settings.
Malaysian tertiary centres face challenges: delayed presentations, limited NICU resources affecting surgical outcomes.
Study establishes baseline complication rates to benchmark quality improvement in middle-income neonatal surgery programs.
Identifying risk factors for severe morbidity enables targeted interventions in resource-constrained environments.
Standardized outcome reporting allows international comparison of neonatal surgical care across income levels.

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