Table 3 |
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|
Perception of the severity of post-operative complications |
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|
Complication |
Treatment |
Grade |
Median |
Interquartile range |
|
|
||||
|
Hypopotassemia |
oral substitution of potassium |
I |
10 |
5-17.5 |
|
|
||||
|
Oedema |
diuretics |
I |
15 |
10-25 |
|
|
||||
|
Dystelectasis |
breath-physiotherapy |
I |
20 |
10-30 |
|
|
||||
|
Postoperative nausea and vomiting |
antiemetics |
I |
20 |
10-30 |
|
|
||||
|
Wound infection |
wound opened at the bedside, secondary wound healing |
I |
30 |
20-40 |
|
|
||||
|
Local infection |
antibiotics |
II |
35 |
25-50 |
|
|
||||
|
Arrhythmia |
medical treatment (e.g. beta-blockers) |
II |
40 |
30-55 |
|
|
||||
|
Subileus |
gastric tube, procinetics, antiemetics |
II |
45 |
30-60 |
|
|
||||
|
Gastroparesis |
gastric tube, procinetics, antiemetics |
II |
45 |
30-60 |
|
|
||||
|
Upper GI-bleeding due to ulcer |
medical treatment (e.g. PPI), blood substitution |
II |
50 |
35-60 |
|
|
||||
|
Wound infection |
wound closure in local anesthesia |
IIIa |
40 |
30-50 |
|
|
||||
|
Pneumothorax |
thoracic drain in local anesthesia |
IIIa |
50 |
40-60 |
|
|
||||
|
Upper GI-bleeding due to ulcer |
gastroscopy with local treatment of the ulcer bleeding, medical treatment (e.g. PPI), blood substitution |
IIIa |
50 |
40-65 |
|
|
||||
|
Intra-abdominal abscess |
drainage |
IIIa |
57.5 |
40-70 |
|
|
||||
|
Deep venous thrombosis |
lyses |
IIIa |
60 |
50-70 |
|
|
||||
|
Wound infection |
wound closure in full anesthesia |
IIIb |
40 |
30-55 |
|
|
||||
|
Post-operative acute bleeding |
blood substitution, surgical revision |
IIIb |
70 |
60-80 |
|
|
||||
|
Infected bilioma |
surgical revision |
IIIb |
70 |
60-80 |
|
|
||||
|
Anastomotic insufficiency |
surgical revision, re-anastomoses |
IIIb |
70 |
60-80 |
|
|
||||
|
Mechanical ileus |
surgical remove of adhesions |
IIIb |
70 |
55-80 |
|
|
||||
|
Delirium |
medicaments, intubation |
IVa |
80 |
70-90 |
|
|
||||
|
Lung emboli |
anticoagulation, intubation |
IVa |
80 |
70-90 |
|
|
||||
|
Acute liver failure |
medical substitution, ICU support |
IVa |
85 |
75-90 |
|
|
||||
|
Acute renal failure |
hemofiltration, ICU support |
IVa |
85 |
75-90 |
|
|
||||
|
Anastomotic insufficiency |
antibiotics, surgical revision, hemodynamic stabilization on the ICU |
IVa |
90 |
80-97.5 |
|
|
||||
|
Low output syndrome |
hemodynamic stabilization, hemofiltration |
IVb |
90 |
80-100 |
|
|
||||
|
Post-operative acute bleeding |
blood substitution, surgical revision, hemodynamic stabilization, hemofiltration |
IVb |
90 |
80-100 |
|
|
||||
|
Colon ischemia |
antibiotics, colon resection, hemodynamic stabilization, hemofiltration |
IVb |
95 |
90-100 |
|
|
||||
|
ARDS |
intubation, hemodynamic stabilization |
IVb |
95 |
85.6-100 |
|
|
||||
|
Anastomotic insufficiency |
antibiotics surgical revision, hemodynamic stabilization, hemofiltration |
IVb |
95 |
90-100 |
|
|
||||
|
Local infection was defined e.g. as central venous infection; PPI = proton-pump-inhibition treatment; ARDS = Acute respiratory distress syndrome |
||||
|
Slankamenac et al. Patient Safety in Surgery 2011 5:30 doi:10.1186/1754-9493-5-30 |
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