Table 2.
Grade | Definition |
---|---|
Grade I | Any deviation from the normal post-operative course without the need for pharmacological treatment or surgical, endoscopic or radiological interventions. Allowed therapeutic regimens are: drugs as antiemetics, antipyretics, analgesics, diuretics and electrolytes, and physiotherapy. This grade also includes wound infections opened at the bedside. |
Grade II | Requiring pharmacological treatment with drugs other than those allowed for grade I complications. Blood transfusions and total parenteral nutrition are also included. |
Grade III | Requiring surgical, endoscopic or radiological intervention. |
Grade IIIa | Intervention not under general anaesthesia |
Grade IIIb | Intervention under general anaesthesia |
Grade IV | Life-threatening complication (including central nervous system complications)* requiring intensive care unit management |
Grade IVa | Single-organ dysfunction (including dialysis) |
Grade IVb | Multi-organ dysfunction |
Grade V | Death |
Suffix ‘d’ | If the patient is suffering from a complication at the time of discharge, the suffix ‘d’ (for ‘disability’) is added to the grade. This label indicates the need for follow-up to fully evaluate the complication. |
*including brain hemorrhage, ischemic stroke, subarachnoidal bleeding, but excluding transient ischemic attacks.