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. 2023 Jun 27;24:432. doi: 10.1186/s13063-023-07447-1

Table 4.

AGREE Classification for adverse events in GI endoscopy

Grading Definition
No adverse event

 • A telephone contact with the general practitioner, outpatient clinic, or endoscopy service without any intervention or

 • Extended observation of the patient after the procedure, <3 hours, without any intervention

Grade I

Adverse events with any deviation of the standard postprocedural course, without the need for pharmacologic treatment or endoscopic, radiologic, or surgical interventions.

 • Presentation at the emergency ward, without any intervention or

 • Hospital admission (<24 hours), without any intervention or

 • Allowed therapeutic regimens are drugs as antiemetics, antipyretics, analgesics, and electrolytes or

 • Allowed diagnostic tests: radiology and laboratory tests

Grade II

 • Adverse events requiring pharmacologic treatment with drugs other than those allowed for grade I adverse events (ie, antibiotics, antithrombotics, etc) or

 • Blood or blood product transfusions or

 • Hospital admission for more than 24 hours

Grade III Adverse events requiring endoscopic, radiologic, or surgical intervention
 Grade IIIa  Endoscopic or radiologic intervention
 Grade IIIb  Surgical intervention
Grade IV Adverse events requiring intensive care unit/critical care unit admission
 Grade IVa  Single-organ dysfunction (including dialysis)
 Grade IVb  Multiorgan dysfunction
Grade V Death of the patient