Table 2 Clavien-Dindo classification grading with corresponding postoperative events available for model development and testing.
Clavien-Dindo grade description: | Examples | Frequency (n) in patients with complicated appendicitis | Frequency (n) in patients with simple appendicitis |
|---|---|---|---|
Grade I: Any deviation from normal postoperative course without the need for surgical, endoscopic, and radiological interventions. Allowed therapeutic regimens include antiemetics, antipyretics, analgesics, diuretics, electrolytes, and physiotherapy. | Fever requiring antipyretic, incisional redness/drainage not requiring antibiotics, vomiting requiring antiemetic, oliguria requiring foley catheter, diarrhea requiring IV hydration | 22 | 9 |
Grade II: Requiring pharmacological treatment with drugs other than such allowed for grade I complications | Ileus requiring nasogastric tube and total parental nutrition (TPN), surgical site infection requiring antibiotics*, intraabdominal abscess treated with IV antibiotics alone*, Clostridium dificile infection* | 14 | 0 |
Grade III: Requiring surgical, endoscopic, or radiological intervention | Interventional radiology percutaneous drainage of intraabdominal abscess*, takeback to operating room for early adhesive small bowel obstruction* | 5 | 1 |
Grade IV: Life-threatening complication requiring ICU management including single or multi-organ dysfunction. | No occurrences | 0 | 0 |
Grade V: Death of the patient | No occurrences | 0 | 0 |