Application of the Clavien-Dindo classification to a pediatric surgical network
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In brief
In brief
This prospective audit applies the adult Clavien-Dindo complication classification system to pediatric surgical patients across three regional units including trauma centers. The study evaluates whether this widely-used adult framework can effectively categorize and compare surgical complications in children.
Written by the GCMD Library team from the article.
Introduction
A comprehensive validated system to evaluate surgical complications is required in our specialty to facilitate comparison and audit. The Clavien-Dindo (CD) classification of post-surgical complications was originally described in an adult general surgical setting in 1992 and has become widely used. We aimed to apply this to a pediatric surgical setting.
Methods
Data were collected on emergency and elective surgical activity together with complications in a prospective audit over a recent 4-month period in three geographical conjoined regional pediatric surgical units (including two major trauma centres). Briefly the CD classification codes complications according to degree of harm and magnitude of intervention required [I – V (death) with III and IV sub-divided according to whether general anesthesia was needed]. Length of stay and mode of admission were recorded. Data are given as median (range). Non-parametric comparison was used, and a p value of