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Defining morbidity after pancreaticoduodenectomy: use of a prospective complication grading system.

Publication ,  Journal Article
Grobmyer, SR; Pieracci, FM; Allen, PJ; Brennan, MF; Jaques, DP
Published in: J Am Coll Surg
March 2007

BACKGROUND: Improving surgical quality of care requires accurate reporting of postoperative complications. STUDY DESIGN: Accuracy of a prospective surgical complication grading database was assessed by performing a retrospective review of 204 pancreaticoduodenectomies (PDs) entered into the database from January 1, 2001, to December 31, 2003. This updated database was then used to characterize 30-day morbidity and mortality after PD. RESULTS: On review, 13% of patients had a complication not identified in the prospective complication database, 8% of patients had a complication reclassified, and 4% of patients had a complication removed. At least 1 postoperative complication was experienced by 47% of patients. After PD, 45 different complications occurred. Postoperative mortality at 30 days was 1%, and 30-day readmission rate was 11%. The 30-day reoperation rate was 9%, and 14% of patients required a percutaneous drainage procedure. Pancreatic anastomotic leak (12%), wound infection (11%), and delayed gastric emptying (7%) were the 3 most common postoperative complications, and all were associated with an increased length of stay. CONCLUSIONS: Our prospective surgical complication database accurately characterized outcomes after PD and facilitated information gathering and analysis. The accuracy, efficiency, and reproducibility of a prospective surgical complication database favor its widespread use in postoperative complication reporting.

Duke Scholars

Published In

J Am Coll Surg

DOI

ISSN

1072-7515

Publication Date

March 2007

Volume

204

Issue

3

Start / End Page

356 / 364

Location

United States

Related Subject Headings

  • Surgery
  • Stomach Neoplasms
  • Severity of Illness Index
  • Prospective Studies
  • Postoperative Complications
  • Pancreaticoduodenectomy
  • Pancreatic Neoplasms
  • Morbidity
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Grobmyer, S. R., Pieracci, F. M., Allen, P. J., Brennan, M. F., & Jaques, D. P. (2007). Defining morbidity after pancreaticoduodenectomy: use of a prospective complication grading system. J Am Coll Surg, 204(3), 356–364. https://doi.org/10.1016/j.jamcollsurg.2006.11.017
Grobmyer, Stephen R., Fredric M. Pieracci, Peter J. Allen, Murray F. Brennan, and David P. Jaques. “Defining morbidity after pancreaticoduodenectomy: use of a prospective complication grading system.J Am Coll Surg 204, no. 3 (March 2007): 356–64. https://doi.org/10.1016/j.jamcollsurg.2006.11.017.
Grobmyer SR, Pieracci FM, Allen PJ, Brennan MF, Jaques DP. Defining morbidity after pancreaticoduodenectomy: use of a prospective complication grading system. J Am Coll Surg. 2007 Mar;204(3):356–64.
Grobmyer, Stephen R., et al. “Defining morbidity after pancreaticoduodenectomy: use of a prospective complication grading system.J Am Coll Surg, vol. 204, no. 3, Mar. 2007, pp. 356–64. Pubmed, doi:10.1016/j.jamcollsurg.2006.11.017.
Grobmyer SR, Pieracci FM, Allen PJ, Brennan MF, Jaques DP. Defining morbidity after pancreaticoduodenectomy: use of a prospective complication grading system. J Am Coll Surg. 2007 Mar;204(3):356–364.
Journal cover image

Published In

J Am Coll Surg

DOI

ISSN

1072-7515

Publication Date

March 2007

Volume

204

Issue

3

Start / End Page

356 / 364

Location

United States

Related Subject Headings

  • Surgery
  • Stomach Neoplasms
  • Severity of Illness Index
  • Prospective Studies
  • Postoperative Complications
  • Pancreaticoduodenectomy
  • Pancreatic Neoplasms
  • Morbidity
  • Middle Aged
  • Male