Email this article Registration and analysis of complications in the neurosurgical clinic
- Authors: Usachev D.Y.1, Nazarenko A.G.2, Konovalov N.A.1, Tanyashin S.V.1, Sharipov O.I.1, Shults M.A.1, Danilov G.V.1
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Affiliations:
- Burdenko National Medical Research Center for Neurosurgery
- Priorov National Medical Research Center for Traumatology and Orthopedics
- Issue: Vol 30, No 1 (2023)
- Pages: 63-76
- Section: Original study articles
- URL: https://bakhtiniada.ru/0869-8678/article/view/254193
- DOI: https://doi.org/10.17816/vto340878
- ID: 254193
Cite item
Abstract
BACKGROUND: Currently, in medicine, including neurosurgery, systemic risk management to improve treatment quality is one of the most urgent tasks. The key indicators of treatment quality in neurosurgery are the characteristics of its outcomes, structure, and number of complications.
OBJECTIVE: To formulate the most concise and complete definition of “complication” and develop a classification scheme that allows the maximum consideration of complications in patients with neurosurgical problems.
MATERIALS AND METHODS: A neurosurgical complication was defined as any unwanted, unintended deviation from the ideal course of the treatment process for a patient with neurosurgical pathology. The study included patients operated on for neurosurgical pathology at the Center for Neurosurgery (Moscow) from January 2019 to December 2020. To record all complications, an electronic database was created, where information about all neurosurgical complications was entered.
RESULTS. Based on the analysis of annual reports of medical and diagnostic departments, the average incidence of complications was 25–29 per 1000 operations (2.5–2.9%). The study of neurosurgical complications made it possible to determine the general parameters that are of key importance for the registration and analysis of neurosurgical complications and formulate an original classification scheme, and its use makes it possible to consider most of the factors associated with complications and, accordingly, their analysis.
CONCLUSION: In the literature analysis, a series of discussions within the neurosurgical community, and our experience, we proposed a definition of «neurosurgical complication» and an approach to registering complications. With the help of the proposed classification scheme, we could obtain objective data and conduct evidence-based analysis, which makes it possible to evaluate complications using a treatment quality control system by obtaining the most complete amount of data on complications in a neurosurgical clinic.
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##article.viewOnOriginalSite##About the authors
Dmitry Y. Usachev
Burdenko National Medical Research Center for Neurosurgery
Email: DOusachev@nsi.ru
ORCID iD: 0000-0002-9811-9442
SPIN-code: 6618-0420
MD, Dr. Sci. (Med.), Prof., Academician of RAS, neurosurgeon, director
Russian Federation, 16 Tverskaya-Yamskaya Str., 125047 MoscowAnton G. Nazarenko
Priorov National Medical Research Center for Traumatology and Orthopedics
Email: nazarenkoag@cito-priorov.ru
ORCID iD: 0000-0003-1314-2887
SPIN-code: 1402-5186
MD, Dr. Sci. (Med.), professor of RAS, traumatologist-orthopedist
Russian Federation, 10, st. Priorova, 127299 MoscowNikolai A. Konovalov
Burdenko National Medical Research Center for Neurosurgery
Email: NAKonovalov@nsi.ru
ORCID iD: 0000-0003-0824-1848
SPIN-code: 9436-3719
MD, Dr. Sci. (Med.), Prof., corresponding member of RAS, neurosurgeon
Russian Federation, 16 Tverskaya-Yamskaya Str., 125047 MoscowSergey V. Tanyashin
Burdenko National Medical Research Center for Neurosurgery
Email: STanyashin@nsi.ru
ORCID iD: 0000-0001-8351-5074
SPIN-code: 5490-1820
MD, Dr. Sci. (Med.), neurosurgeon
Russian Federation, 16 Tverskaya-Yamskaya Str., 125047 MoscowOleg I. Sharipov
Burdenko National Medical Research Center for Neurosurgery
Email: osharipov@nsi.ru
ORCID iD: 0000-0003-3777-5662
SPIN-code: 3279-0844
MD, Cand. Sci. (Med.), neurosurgeon
Russian Federation, 16 Tverskaya-Yamskaya Str., 125047 MoscowMaria A. Shults
Burdenko National Medical Research Center for Neurosurgery
Email: MShults@nsi.ru
ORCID iD: 0000-0002-1727-5102
SPIN-code: 4250-6871
MD, Cand. Sci. (Med.), neurosurgeon
Russian Federation, 16 Tverskaya-Yamskaya Str., 125047 MoscowGleb V. Danilov
Burdenko National Medical Research Center for Neurosurgery
Author for correspondence.
Email: gdanilov@nsi.ru
ORCID iD: 0000-0003-1442-5993
SPIN-code: 4140-8998
MD, Cand. Sci. (Med.), Academic Secretary
Russian Federation, 16 Tverskaya-Yamskaya Str., 125047 MoscowReferences
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