Multidimensional examination as a tool for formation of the complications severity assessment scale in neurosurgery

Postoperative complications are the main reason for dissatisfaction with the surgical result. They cause extending of the patient’s staying in the hospital, increase the economic costs of the treatment, and sometimes they lead to disability and even death of patients. Creation of a unified tool for stratification of postoperative complications is relevant from the perspective of qualitative analysis of the impact of various factors on the outcome and duration of treatment, as well as objectification of the clinic’s functioning efficiency. Traditional scales, such as the Clavien-Dindo classification of postoperative complications, the Accordion system, do not take into consideration the peculiarities of neurosurgical patients and have no applied significance. With multidimensional examination (by Roy’s method), the main signs of severity of negative surgical results were formed and their gradation significance was assessed. The created scale for assessing the severity of complications in neurosurgery can be a good tool for a systematic, objective, reproducible comprehensive analysis in various institutions, doctors, as well as determination of periods of time for objectifying data, identifying predictors of undesirable postoperative phenomena, and developing recommendations for their prevention.

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