What is the clinical evidence from this study?

Study design: Observational. Population: Postoperative complications (n=1857). Intervention: Accordion Severity Grading System vs. Unweighted outcomes. Primary outcome: Distinction of severity grades (p=< 0.005).

February 27, 2010Journal of the American College of Surgeons

Quantitative Weighting of Postoperative Complications Based on the Accordion Severity Grading System: Demonstration of Potential Impact Using the American College of Surgeons National Surgical Quality Improvement Program

Q: What are the key findings of this study?

Quantitative severity weighting of postoperative complications using the Accordion System successfully distinguished 6 grades of severity (P<0.005) and revealed hidden morbidity burdens.

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Key result

Quantitative severity weighting of postoperative complications using the Accordion System successfully distinguished 6 grades of severity (P<0.005) and revealed hidden morbidity burdens.

Population

43 surgical experts rating case vignettes and 1,857 patients from 1 year of National Surgical Quality…

Comparison

Quantitative severity weighting of postoperative… vs Unweighted outcomes

Design

Other

Follow-up

1 year

Authors

MPMatthew R. PorembkaSouthwestern Medical Center BHBruce L. HallUniversity of Vermont MHMitzi HirbeBarnes-Jewish Hospital

Discussion

Member takes

Implication

May refine NSQIP morbidity reporting; leaves open whether severity weighting changes practice or outcomes.

Study Design

Type

Observational (n=1,857)

Multicenter

Structured PICO

Population

43 surgical experts rating case vignettes and 1,857 patients (704 complications) from 1 year of National Surgical Quality Improvement Program (NSQIP) outcomes at a large tertiary care center

Intervention

Quantitative severity weighting of postoperative complications based on the adjusted Accordion Severity Grading System

Comparator

Unweighted outcomes

Outcome

Distinction of severity grades and relative burdens of morbidities

Main Result

p-value: p=< 0.005

Quantitative severity weighting of complications using the Accordion System provides uniquely informative representations of relative morbidity burdens compared to unweighted outcomes.

Cite This Study

Porembka et al. (2010) conducted an observational in Postoperative complications (n=1,857). Accordion Severity Grading System vs. Unweighted outcomes was evaluated on Distinction of severity grades (p=< 0.005). Quantitative severity weighting of postoperative complications using the Accordion System successfully distinguished 6 grades of severity (P<0.005) and revealed hidden morbidity burdens.

synapsesocial.com/papers/6a07b4f344ff8ad339f69ccc https://doi.org/10.1016/j.jamcollsurg.2009.12.004

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Quantitative Weighting of Postoperative Complications Based on the Accordion Severity Grading System: Demonstration of Potential Impact Using the American College of Surgeons National Surgical Quality Improvement Program

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Cite This Study

Quantitative Weighting of Postoperative Complications Based on the Accordion Severity Grading System: Demonstration of Potential Impact Using the American College of Surgeons National Surgical Quality Improvement Program

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Cite This Study

Also Consider

Also Consider