Landriel Ibanez et al reported a classification for neurosurgical complications which is a modification of the Clavien-Dindo classification.
Patient selection: neurosurgical complication
A complication was any deviation from the normal postoperative course.
Complications are separated into medical and surgical complications:
(1) medical: not directly related to surgery or surgical technique (infection, DVT, etc)
(2) surgical: directly related to surgery or surgical technique
Parameters for grading a complication:
(1) life-threatening
(2) invasive intervention required (surgical, endoscopic, radiologic)
(3) additional findings
|
Life-threatening
|
Invasive Intervention
|
Additional Findings
|
Grade
|
|
No
|
No
|
no drug therapy
|
Ia
|
|
No
|
No
|
requires drug therapy
|
Ib
|
|
No
|
Yes
|
not under general anesthesia
|
IIa
|
|
No
|
Yes
|
under general anesthesia
|
IIb
|
|
Yes
|
NA
|
single organ dysfunction
|
IIIa
|
|
Yes
|
NA
|
multi-organ dysfunction
|
IIIb
|
|
Yes
|
NA
|
death
|
IV
|
