Modified dindo-clavien system for registration of perioperative complications in children undergoing adenotonsillectomy
IntroductionSurgical procedures in children are among the most commonly performed procedures in otolaryngology. Perioperative safety and documentation of complications are becoming increasingly important. This study investigates perioperative complications in a clinical cohort of children with adeno...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.1049942/full |
| _version_ | 1797974667039866880 |
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| author | Philipp Arens Juliane Hardt Juliane Hardt Julie Charlotte Angrick Heidi Olze Annekatrin Coordes |
| author_facet | Philipp Arens Juliane Hardt Juliane Hardt Julie Charlotte Angrick Heidi Olze Annekatrin Coordes |
| author_sort | Philipp Arens |
| collection | DOAJ |
| description | IntroductionSurgical procedures in children are among the most commonly performed procedures in otolaryngology. Perioperative safety and documentation of complications are becoming increasingly important. This study investigates perioperative complications in a clinical cohort of children with adenotonsillar hyperplasia undergoing adenotonsillectomy using the standardized Dindo-Clavien reporting system.Patients and MethodsRetrospective evaluation of 402 children who underwent adenotonsillectomy between 2009 and 2015. Patient parameters including all perioperative complications were investigated.ResultsIn the study, 124 complications were found (106 mild, 16 severe). According to the Dindo-Clavien classification, 93 grade I, 15 grade II, 5 grade III, 11 grade IV and 0 grade V complications were documented. Complications were associated with additional diagnoses (p = 0.001), long-term medication intake (p = 0.003), duration of hospitalization (p < 0.001) and duration of surgery (p < 0.001), undergoing tonsillotomy (p = 0.022) or tonsillectomy (p < 0.001), differences in ASA score (p = 0.005) and differences in OSA-18 score (p = 0.011). Severe complications, classified as grade III and IV, were associated with premature birth (p = 0.026), additional diagnoses (p = 0.017), long-term medication intake (p < 0.001) and differences in ASA score (p =< 0.001).ConclusionThe Dindo-Clavien classification is a standardized reporting system which can also be used for surgical procedures in children with adenotonsillar hyperplasia. The system shows associations with clinical parameters and thus can help to identify subgroups at risk of severe complications. |
| first_indexed | 2024-04-11T04:23:26Z |
| format | Article |
| id | doaj.art-0cbbe86353b146d7a438891e348f3858 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-11T04:23:26Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-0cbbe86353b146d7a438891e348f38582022-12-30T04:48:47ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-12-011010.3389/fped.2022.10499421049942Modified dindo-clavien system for registration of perioperative complications in children undergoing adenotonsillectomyPhilipp Arens0Juliane Hardt1Juliane Hardt2Julie Charlotte Angrick3Heidi Olze4Annekatrin Coordes5Department of Otorhinolaryngology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyInstitute of Biometry and Clinical Epidemiology, Charité - Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and BerlinInstitute of Health, Berlin, GermanyInstitute for Integrative Medicine, Department for Human Medicine, Faculty of Health, Witten/Herdecke University, Herdecke, GermanyDepartment of Otorhinolaryngology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Otorhinolaryngology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Otorhinolaryngology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyIntroductionSurgical procedures in children are among the most commonly performed procedures in otolaryngology. Perioperative safety and documentation of complications are becoming increasingly important. This study investigates perioperative complications in a clinical cohort of children with adenotonsillar hyperplasia undergoing adenotonsillectomy using the standardized Dindo-Clavien reporting system.Patients and MethodsRetrospective evaluation of 402 children who underwent adenotonsillectomy between 2009 and 2015. Patient parameters including all perioperative complications were investigated.ResultsIn the study, 124 complications were found (106 mild, 16 severe). According to the Dindo-Clavien classification, 93 grade I, 15 grade II, 5 grade III, 11 grade IV and 0 grade V complications were documented. Complications were associated with additional diagnoses (p = 0.001), long-term medication intake (p = 0.003), duration of hospitalization (p < 0.001) and duration of surgery (p < 0.001), undergoing tonsillotomy (p = 0.022) or tonsillectomy (p < 0.001), differences in ASA score (p = 0.005) and differences in OSA-18 score (p = 0.011). Severe complications, classified as grade III and IV, were associated with premature birth (p = 0.026), additional diagnoses (p = 0.017), long-term medication intake (p < 0.001) and differences in ASA score (p =< 0.001).ConclusionThe Dindo-Clavien classification is a standardized reporting system which can also be used for surgical procedures in children with adenotonsillar hyperplasia. The system shows associations with clinical parameters and thus can help to identify subgroups at risk of severe complications.https://www.frontiersin.org/articles/10.3389/fped.2022.1049942/fullcomplication reportingpediatricsadenotonsillectomydindo-clavien classificationsleep apnea |
| spellingShingle | Philipp Arens Juliane Hardt Juliane Hardt Julie Charlotte Angrick Heidi Olze Annekatrin Coordes Modified dindo-clavien system for registration of perioperative complications in children undergoing adenotonsillectomy Frontiers in Pediatrics complication reporting pediatrics adenotonsillectomy dindo-clavien classification sleep apnea |
| title | Modified dindo-clavien system for registration of perioperative complications in children undergoing adenotonsillectomy |
| title_full | Modified dindo-clavien system for registration of perioperative complications in children undergoing adenotonsillectomy |
| title_fullStr | Modified dindo-clavien system for registration of perioperative complications in children undergoing adenotonsillectomy |
| title_full_unstemmed | Modified dindo-clavien system for registration of perioperative complications in children undergoing adenotonsillectomy |
| title_short | Modified dindo-clavien system for registration of perioperative complications in children undergoing adenotonsillectomy |
| title_sort | modified dindo clavien system for registration of perioperative complications in children undergoing adenotonsillectomy |
| topic | complication reporting pediatrics adenotonsillectomy dindo-clavien classification sleep apnea |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.1049942/full |
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