{"id":"https://openalex.org/W2491069042","doi":null,"title":"An analysis of surgical complications; a tool to improve surgical outcome.","display_name":"An analysis of surgical complications; a tool to improve surgical outcome.","publication_year":2014,"publication_date":"2014-12-01","ids":{"openalex":"https://openalex.org/W2491069042","mag":"2491069042","pmid":"https://pubmed.ncbi.nlm.nih.gov/26930726"},"language":"en","primary_location":{"id":"pmid:26930726","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26930726","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nepal Medical College journal : NMCJ","raw_type":"Journal Article"},"parent_works":[],"lineage":["https://openalex.org/W2491069042"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5050529875","display_name":"Prakash Paudel","orcid":"https://orcid.org/0000-0002-8830-3908","observed_orcids":["https://orcid.org/0000-0002-8830-3908"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"P Paudel","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021160229","display_name":"Binod Rajbhandari","orcid":"https://orcid.org/0000-0002-4165-8584","observed_orcids":["https://orcid.org/0000-0002-4165-8584"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"B Rajbhandari","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040159482","display_name":"G B N Pradhan","orcid":"https://orcid.org/0000-0003-3183-1555","observed_orcids":["https://orcid.org/0000-0003-3183-1555"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"G B N Pradhan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031298418","display_name":"Sunil Shrestha","orcid":"https://orcid.org/0000-0002-9174-7120","observed_orcids":["https://orcid.org/0000-0002-9174-7120","https://orcid.org/0009-0001-7804-4877","https://orcid.org/0009-0008-1319-1682","https://orcid.org/0009-0008-8657-3497"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S Shrestha","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5032920135","display_name":"Chitra Lal Bhattachan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bhattachan C L","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"16","issue":"2-4","first_page":"115","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.7250999808311462,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.7250999808311462,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.25369998812675476,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.004600000102072954,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/surgical-complications","display_name":"surgical complications","score":0.9929999709129333},{"id":"https://openalex.org/keywords/complication-classification","display_name":"complication classification","score":0.6840000152587891},{"id":"https://openalex.org/keywords/postoperative-mortality","display_name":"postoperative mortality","score":0.8769999742507935},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.6629999876022339},{"id":"https://openalex.org/keywords/surgical-outcomes","display_name":"surgical outcomes","score":0.5170000195503235},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.5789999961853027},{"id":"https://openalex.org/keywords/emergency-surgery","display_name":"emergency surgery","score":0.8130000233650208},{"id":"https://openalex.org/keywords/intensive-care-unit-admission","display_name":"intensive care unit admission","score":0.703000009059906},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.7160000205039978}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9752010107040405},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.5775942802429199},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5318417549133301},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.5048011541366577},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.47982120513916016},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.41250959038734436},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3290318250656128},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009390","descriptor_name":"Nepal","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D012042","descriptor_name":"Registries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013514","descriptor_name":"Surgical Procedures, Operative","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:26930726","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26930726","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nepal Medical College journal : NMCJ","raw_type":"Journal Article"},{"id":"mag:2491069042","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26930726","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W70273200","https://openalex.org/W106847687","https://openalex.org/W1799620269","https://openalex.org/W1981428665","https://openalex.org/W1996836894","https://openalex.org/W2007262189","https://openalex.org/W2008942744","https://openalex.org/W2036561524","https://openalex.org/W2038705819","https://openalex.org/W2065354089","https://openalex.org/W2067393255","https://openalex.org/W2072867503","https://openalex.org/W2073868427","https://openalex.org/W2096998881","https://openalex.org/W2117056479","https://openalex.org/W2131149153","https://openalex.org/W2138784405","https://openalex.org/W2167421884","https://openalex.org/W2202327381","https://openalex.org/W2214246042","https://openalex.org/W2281948170"],"related_works":["https://openalex.org/W3176036426","https://openalex.org/W7095612918","https://openalex.org/W2897856882","https://openalex.org/W2426860002","https://openalex.org/W2884891118","https://openalex.org/W1608927724","https://openalex.org/W4280545471","https://openalex.org/W4402374672","https://openalex.org/W2484953581","https://openalex.org/W4402374619"],"abstract_inverted_index":{"Complications":[0,11],"in":[1,14,20,108,118,147,156,179],"surgery":[2],"are":[3],"an":[4,15],"important":[5],"cause":[6],"of":[7,18,36,51],"morbidity":[8],"and":[9,29,33,46,57,61,93,103,133,163],"mortality.":[10],"may":[12],"result":[13],"increased":[16,30],"length":[17],"stay":[19],"hospital,":[21],"repeat":[22],"surgery,":[23],"additional":[24],"medical":[25,184,188],"treatment,":[26],"legal":[27],"issues":[28],"costs.":[31],"Classification":[32],"regular":[34],"audit":[35],"complications":[37,60,68,119,167,189],"is":[38,54],"a":[39],"useful":[40],"tool":[41],"to":[42,55,121,128,193],"improve":[43],"patient":[44,122],"safety":[45],"surgical":[47,59,111,159,197],"outcome.":[48],"The":[49,67,98,142,174],"purpose":[50],"this":[52],"study":[53],"identify":[56],"classify":[58],"evaluate":[62],"the":[63,148,180],"various":[64,187],"contributing":[65],"factors.":[66],"were":[69,171,202],"categorized":[70],"by":[71],"Clavein":[72],"Dindo":[73],"system":[74],"as":[75],"Grade":[76,79,85,88,91,94],"1:52":[77],"(29.1%),":[78],"II":[80],":45":[81],"(25.1%),Grade":[82],"IIIa:26":[83],"(14.5%),":[84],"IIIB:25":[86],"(14%),":[87],"IVa:5":[89],"(2.8%),":[90],"IVb:0":[92],"V:26":[95],"(14.5%)":[96],".":[97],"complication":[99],"rate":[100,105],"was":[101,106,114,144,176],"5.3%":[102],"mortality":[104,117,143,175],"0.8%":[107],"total":[109],"3336":[110],"procedures.":[112],"There":[113],"significantly":[115,145,177],"higher":[116,146,178],"due":[120],"related":[123],"factors":[124,130,135],"23.4%":[125],"(11/47),":[126],"compared":[127,192],"technical":[129],"4.2%":[131],"(2/48)":[132],"other":[134],"15.4%":[136],"(13/84)":[137],"(p":[138,207],"value":[139,208],"=":[140,209],"0.024).":[141],"patients":[149,181],"who":[150,165,182,195],"required":[151,183,196],"ICU":[152],"care,":[153],"54%":[154],"(20/37),":[155],"class":[157],"B":[158],"procedures":[160,170],"22.4%":[161],"(22/98)":[162],"those":[164,194],"developed":[166],"after":[168],"emergency":[169],"31%":[172],"(14/45).":[173],"intervention":[185,198],"for":[186],"30.1%":[190],"(19/63)":[191],"8.4%":[199],"(5/59)":[200],"or":[201],"managed":[203],"conservatively":[204],"3.5%":[205],"(2/57)":[206],"0.0001).":[210]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-08-23T00:00:00"}
