Abstract:
OBJECTIVE:The Thoracic Morbidity and Mortality (TM&M) classification system is a method for univocally coding the postoperative adverse events by their complexity of management. The aim of the present study was to compare the distribution of the severity of complications according to the TM&M system versus the distribution according to the classification proposed by European Society of Thoracic Surgeons (ESTS) Database in a population of patients submitted to lung resection in our unit. METHODS:457 patients with any type of complications (326 lobectomy, 60 pneumonectomy, 71 wedge/segmentectomy) out of 1,518 patients submitted to pulmonary resections (January 2000-April 2011) were analyzed. Each complication was graded from I to V (TM&M system), reflecting an increasing severity of management. We verified the distribution of the different grades of complications and analyzed their frequency among those defined as "major cardio-pulmonary complications" by the ESTS Database. RESULTS:According to the TM&M system, 0.6% of complications were regarded as grade I, 66.3% as grade II, 9.5% as grade IIIa, 4.4% as grade IIIb, 6.8% as grade IVa, 3.3% as grade IVb and 9.1% as grade V. According to the ESTS definitions, 290 complications were regarded as "major". Sixty two percent of them were reclassified as minor complications (grade I or II) by the TM&M classification system. CONCLUSIONS:The application of the TM&M grading system questions the traditional classification of complications following lung resection. This grading system may be used as an additional endpoint for outcome analyses.
journal_name
J Thorac Disjournal_title
Journal of thoracic diseaseauthors
Salati M,Refai M,Pompili C,Xiumè F,Sabbatini A,Brunelli Adoi
10.3978/j.issn.2072-1439.2013.05.03subject
Has Abstractpub_date
2013-06-01 00:00:00pages
217-22issue
3eissn
2072-1439issn
2077-6624pii
jtd-05-03-217journal_volume
5pub_type
杂志文章abstract:Background:Pleural fluid pH and glucose levels are both recommended in the workup of pleural effusions. Whether their levels correlate and predict each other or contribute independent knowledge is unclear. We aimed to investigate the pH/glucose relationship, assess their concordance and ascertain whether performing bot...
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journal_title:Journal of thoracic disease
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doi:10.3978/j.issn.2072-1439.2013.06.05
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journal_title:Journal of thoracic disease
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journal_title:Journal of thoracic disease
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journal_title:Journal of thoracic disease
pub_type: 杂志文章
doi:10.21037/jtd.2018.11.121
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journal_title:Journal of thoracic disease
pub_type: 杂志文章
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journal_title:Journal of thoracic disease
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2014-10-01 00:00:00
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journal_title:Journal of thoracic disease
pub_type: 杂志文章
doi:10.21037/jtd.2016.02.51
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journal_title:Journal of thoracic disease
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更新日期:2017-03-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of thoracic disease
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Journal of thoracic disease
pub_type: 杂志文章
doi:10.3978/j.issn.2072-1439.2013.05.22
更新日期:2013-06-01 00:00:00
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pub_type: 杂志文章,评审
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abstract::[This corrects the article DOI: 10.21037/jtd.2017.10.107.]. ...
journal_title:Journal of thoracic disease
pub_type: 杂志文章,已发布勘误
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更新日期:2018-12-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Journal of thoracic disease
pub_type: 社论
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更新日期:2017-05-01 00:00:00