The use of the modified Clavien–Dindo scale for the assessment of postoperative complications in elderly and senile patients with acute peritonitis

M. B. Danilyuk, S. M. Zavgorodny, A. Rylov, M. Kubrak
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Abstract

Objective. To evaluate postoperative complications using the modified Slavien–Dindo scale in elderly and senile patients with acute peritonitis. Materials and methods. The results of treatment of 145 patients with gastric and duodenal ulcer complicated by perforation were analysed. The modified Slavien–Dindo scale (2004, 2009) was used to assess postoperative complications. Results. The analysis of the results of treatment of elderly and senile patients with acute peritonitis showed that a significant proportion of them had postoperative complications – 76 (52.4%): 53 (36.6%) had non–surgical complications, 23 (15.9%) – surgical complications (p = 0.00027). Conclusions. The Slavien–Dindo scale makes it possible to establish the presence of postoperative complications, but does not allow to find out why they occurred and prevent them. Assessment of postoperative complications using the modified Slavien–Dindo scale is possible only for analysis for the purpose of collecting statistical data, but it cannot be used in general clinical practice to analyse the quality of treatment of elderly and senile patients with acute peritonitis.
使用改良克拉维恩-丁多量表评估老年和高龄急性腹膜炎患者的术后并发症
目的使用改良的 Slavien-Dindo 量表评估老年和高龄急性腹膜炎患者的术后并发症。材料和方法。对 145 例胃和十二指肠溃疡并发穿孔患者的治疗结果进行分析。采用改良的斯拉维恩-丁多量表(2004 年,2009 年)评估术后并发症。结果。对老年和高龄急性腹膜炎患者的治疗结果分析表明,其中很大一部分患者出现了术后并发症--76例(52.4%):53人(36.6%)出现非手术并发症,23人(15.9%)出现手术并发症(P = 0.00027)。结论斯拉维恩-丁度量表可以确定术后并发症的存在,但无法找出并发症发生的原因,也无法预防并发症的发生。使用改良的斯拉维恩-丁多量表评估术后并发症只能用于收集统计数据的分析,但不能用于一般临床实践,分析老年和高龄急性腹膜炎患者的治疗质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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