Table 3 Clavien classification of perioperative and 90-day morbidity and mortality
From: Radical cystectomy over the age of 75 is safe and increases survival
CLAVIEN grade | N | % | N | % | ||
|---|---|---|---|---|---|---|
No complication | 29 | 35.8 | ||||
Perioperative morbidity (0-10d) | 35 | 43.2 | 90-day morbidityEmphasis> | 30 | 37 | |
1 | 11 | 13.6 | 15 | 18.6 | ||
Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic, and radiological interventions. Allowed therapeutic regimens are: drugs as antiemetics, antipyretics, analgetics, diuretics, electrolytes, and physiotherapy. This grade also includes wound infections opened at the bedside. | Hyperemesis | 1 | 1.2 | Pneumonia | 2 | 2.4 |
Fever | 7 | 8.4 | Psoas abscess | 1 | 1.2 | |
Ileus | 1 | 1.2 | Wound infection | 11 | 13.6 | |
Pneumonia | 1 | 1.2 | Lympocele | 1 | 1.2 | |
Urine leakage | 1 | 1.2 | ||||
2 | 22 | 27.2 | 4 | 4.8 | ||
Requiring pharmacological treatment with drugs other than such allowed for grade I complications. Blood transfusions and total parenteral nutrition are also included. | Blood transfusion | 21 | 25.9 | Wound dehiscense | 1 | 1.2 |
UTI | 1 | 1.2 | UTI | 3 | 3.6 | |
3 | 1 | 1.2 | 6 | 7.2 | ||
Requiring surgical, endoscopic or radiological intervention | ||||||
3a | - | - | 0 | 2 | 2.4 | |
Intervention not under general anesthesia | - | - | 0 | Cardiac arrythmia-pacemaker | 1 | 1.2 |
Obstructive nephropathy | 1 | 1.2 | ||||
3b | 1 | 1.2 | 4 | 4.8 | ||
Intervention under general anesthesia | Rectal injury, re-operation, colostomy | 1 | 1.2 | Evisceration, re-operation | 1 | 1.2 |
Stricture ileus, re-operation | 2 | 2.4 | ||||
Incisional hernia | 1 | 1.2 | ||||
4 | 1 | 1.2 | 2 | 2.4 | ||
Life-threatening complication (including CNS complications) requiring IC/ICU management | Sepsis | 1 | 1.2 | Myocardial Infarction | 1 | 1.2 |
Sepsis | 1 | 1.2 | ||||
5 | - | - | 0 | 3 | 3.7 | |
Death of a patient | Death | 3 | 3.7 | |||
30-day (sepsis, pneumonia) | 2 | 2.4 | ||||
60-day (evisceration, re-operation | 1 | 1.2 | ||||
90-day | 0 | 0 | ||||