eTable 1. Definition of patient population and stratification variables.
Inclusion criteria | Exclusion criteria | |
Patient population | ||
All inpatient cases with appendectomy as sole intervention for acute appendicitis | PD ICD-10 K35, K36, K37 and OPS 5-470, 5-455.3 | OPS 5-471, 5-479 |
Severity | ||
Uncomplicated appendicitis | PD ICD-10 K35.30, K35.8, K36, K37 | |
Complicated appendicitis | PD ICD-10 K35.2, K35.31, K35.32 | |
Surgical approach | ||
Open | OPS 5-470.0, 5-455.31 | OPS 5-470.2, 5-455.37 |
Laparoscopic | OPS 5-470.1, 5-455.35 | OPS 5-470.0, 5-470.2, 5-455.31, 5-455.37 |
Conversion | OPS 5-470.2, 5-455.37 | |
Other or undefined | OPS 5-470.x, 5-470.y | OPS 5-470.0, 5-470.1, 5-470.2, 5-455.31, 5-455.35, 5-455.37 |
Type of surgery | ||
Appendectomy | OPS 5-470 | OPS 5-455.3 |
Cecal resection | OPS 5-455.3 | |
Indicators of complicated course | ||
Septicemia | SD ICD-10 A40, A41, R57.2, R65 | |
Blood transfusions, ≥ 6 units | OPS 8-800.1, 8-800.c1-cr | |
Postoperative ileus | SD ICD-10 K91.3 | |
Mechanical ventilation > 24 h | Mechanical ventilation for > 24 h (separate data field) | |
Complex intensive care | OPS 8-980, 8-98d, 8-98f (from 2013) |
ICD, International Statistical Classification of Diseases; OPS, German classification for operations and procedures (Operationen- und Prozedurenschlüssel); PD, principal diagnosis; SD, secondary diagnosis