Predictors of surgical complications: A systematic review

Surgery
Annelies VisserDirk T Ubbink

Abstract

Operative complications occur more frequently, often are more preventable, and their consequences can be more severe than other types of complications. Controversy exists regarding how best to identify and predict operative complications. Several studies on predictive factors for operative complications focused on a specific predictor for a specific outcome. To develop a reliable tool to identify patients with operative complications, insight in predictive factors for operative complications is required. We searched all publications addressing predictive factors for the development of operative complications in adult patients admitted to the gastrointestinal, vascular, or general surgery departments. Data were extracted regarding study design, patient characteristics, operative specialty, types of operative procedures, types of complications, possible predictors, and associated complication risk increase (expressed as an odds ratio; OR). The final set of 30 articles yielded a total of 53 predictive factors studied in various settings, operative specialties, and disorders. To focus our analysis we selected the 25 most robust and clinically applicable factors (ie, appearing in 3 or more studies). These factors were then categoriz...Continue Reading

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Citations

Sep 12, 2015·Langenbeck's Archives of Surgery·A VisserD T Ubbink
Feb 26, 2016·Annals of Surgery·Henrik Kehlet, Christoffer C Jørgensen
Mar 14, 2017·IEEE Journal of Biomedical and Health Informatics·Bobak MortazaviSahand Negahban
Nov 15, 2017·Journal of Neurosurgical Anesthesiology·Andrew K RockWilliam C Broaddus
Jan 7, 2020·The British Journal of Surgery·R L MorleyR J Hinchliffe
Feb 9, 2017·Neurosurgery·Bryan A LieberAdib A Abla
Sep 14, 2017·International Anesthesiology Clinics·Peter A NajjarRonald Bleday
Aug 4, 2020·The Journal of Trauma and Acute Care Surgery·Zhenyi JiaHaytham M A Kaafarani
Jun 29, 2017·Innovative Surgical Sciences·Navid TabrizDirk Weyhe
Feb 3, 2021·Anesthesiology·Daniel I McIsaacManoj M Lalu
Jul 11, 2020·Injury·Jennifer T ConeDemetrios Demetriades
Jun 4, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Kwadwo MponponsuoElissa Rennert-May

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