Demographics |
ID |
Progressive number |
ID center |
Number |
ID code |
Alphanumeric (3 characters) |
Age |
In years |
Sex |
Male/Female |
BMI |
BMI in kg/m2
|
Admission date |
Day/month/year |
Operation date |
Day/month/year |
Timing of surgery |
Emergency/urgency |
Clinicopathological data |
Vital parameters |
Systolic blood pressure, heart rate, respiratory rate, oxygen saturation, temperature, urine output, mechanical ventilation or CPAP, FiO2, GCS |
Laboratory analysis |
Arterial blood gas analysis (PaO2, PaCO2 bicarbonate, lactates), chemistry (sodium, potassium, bilirubin, glycemia, CRP), renal function (BUN, creatinine), hemoglobin, WBC, PLT, INR |
Tumor |
Site, TNM classification, Dukes staging system, grading, radicality of surgery, vascular invasion |
Comorbidities |
Associated diseases |
Cardiovascular disease (ECG-report, hypertension, MI < 6 months, heart failure <30 days, chronic heart disease, Previous cardiac surgery or PCI, peripheral vasculopathy), cerebrovascular disease, respiratory disease (chronic lung diseases, respiratory failure), smoke, renal disease (acute/chronic), diabetes, liver disease (acute/chronic), solid tumor (localized/metastatic) leukemia, lymphoma, AIDS, drugs (oral anticoagulants, immunosuppressants or steroids, oral hypoglycemic agents or insulin), peptic ulcer |
Performance status |
Hemiplegia, dementia, weight loss, physical activity, walk time, grip strength, exhaustion |
Surgical intervention |
Organ/body-district categories |
Abdominal wall, appendicitis, biliary tract and pancreas, esophagus, large bowel, small bowel, solid organs, stomach and duodenum, thorax, Others |
Onset symptoms |
Obstruction, acute abdomen (peritonitis—abscess and/or overt perforations), Vascular disorders, Trauma |
Primary operative indication |
Benign/malignant/delayed elective |
Surgical approach |
Open/Laparoscopic/Laparoscopic converted/Laparoscopic assisted |
Primary surgical procedure |
ICD-9-CM code |
Associated procedures |
Numbers |
List of associated procedures |
ICD-9-CM code |
Intraoperative reliefs |
Blood loss (ml), peritoneal contamination (yes/no) |
Operative time |
Minutes |
ICU admission |
Yes/no |
ICU length of stay |
Dayes |
Follow-ups |
Date of discharge |
Day/month/year |
Total length of stay |
Days |
Type of discharge |
Home, short-term rehabilitation facility, caregiver residential facility |
Complications 30-daypostoperatively |
Yes/no |
Complication type |
Free text |
Complication grade (Clavien-Dindo classification) |
None/I/II/III/IV/V |
30-day mortality |
Yes/no |
Score |
|
ASA, CACI, SAPSII, ACS-NSQIP, CORES, SMPM, USEM, EmSFI, 5-mFI |