The comprehensive complication index as a tool for reporting the burden of complications after mini-percutaneous nephrolithotomy: is it time to leave the Clavien-Dindo classification behind?

ABSTRACT:

Purpose

To validate the comprehensive complication index (CCI) for mini-percutaneous nephrolithotomy (mPCNL).

Methods

Data from 287 patients who underwent mPCNL were analyzed. Complications after mPCNL were classified using both the CCI and the Clavien-Dindo classification (CDC). Descriptive statistics and linear/logistic regression analyses detailed the association between clinical predictors and mPCNL outcomes.

Results

After mPCNL, 83 (28.9%) patients had complications, of which 12 (4.2%) patients with multiple complications had a higher CCI score compared to the traditional CDC system accounting only for the highest grade. The CCI enabled a more accurate prediction of length of stay (LOS) than CDC (CCI: r = 0.32; p < 0.01 vs. CDC: r = 0.26; p = 0.01). Patients with

SUBMITTER: Boeri L 

PROVIDER: S-EPMC9236985 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature