Larsa Gawria

The number of comorbidities as an important cofactor to ASA class in predicting postoperative outcome: An international multicentre cohort study

Christian A. Grob, Luzius W. Angehrn, Mark Kaufmann, Dieter Hahnloser et autres

BACKGROUND: Multimorbidity is a growing burden in our ageing society and is associated with perioperative morbidity and mortality. Despite several modifications to the ASA physical status classification, multimorbidity as such is still not considered. Thus, the aim of this study was to …

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Reproducibility and predictive value of three grading systems for intraoperative adverse events in a cohort of abdominal surgery

Larsa Gawria, Pepijn Krielen, Martijn W.J. Stommel, Harry van Goor et autres

INTRODUCTION: Intraoperative adverse events (iAEs) are increasingly recognized for their impact on patient outcomes. The Kaafarani classification and Surgical Apgar Score (SAS) were developed to assess the intraoperative course; however, both have their drawbacks. ClassIntra was validated for iAEs of any origin. …

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Appraisal of Intraoperative Adverse Events to Improve Postoperative Care

Larsa Gawria, Ahmed Jaber, Richard P. G. ten Broek, Gianmaria Bernasconi et autres

Background: Intraoperative adverse events (iAEs) are associated with adverse postoperative outcomes and cause a significant healthcare burden. However, a critical appraisal of iAEs is lacking. Considering the details of iAEs could benefit postoperative care. We comprehensively analyzed iAEs in a large series …

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Response to Letter to Editor

Larsa Gawria, Harry van Goor, Salome Dell‐Kuster

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Classification of intraoperative adverse events in visceral surgery

Larsa Gawria, Rachel Rosenthal, Harry van Goor, Salome Dell‐Kuster et autres

BACKGROUND: Intraoperative adverse events (iAEs) are frequent in visceral surgery, but severity and related postoperative outcome are poorly investigated. A novel classification of intraoperative adverse events, ClassIntra, includes surgical and anesthesiologic intraoperative adverse events using 5 severity grades and showed a high …

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Inter-Rater Agreement of the Classification of Intraoperative Adverse Events (ClassIntra) in Abdominal Surgery

Pepijn Krielen, Larsa Gawria, Martijn W.J. Stommel, Salome Dell‐Kuster et autres

OBJECTIVE AND SUMMARY OF BACKGROUND DATA: Adverse events in surgical patients can occur preoperatively, intraoperatively, and postoperatively. Universally accepted classification systems are not yet available for intraoperative adverse events (iAEs). ClassIntra has recently been developed and validated as a tool for grading …

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Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study

Salome Dell‐Kuster, Nuno V. Gomes, Larsa Gawria, Soheila Aghlmandi et autres

OBJECTIVE: To prospectively assess the construct and criterion validity of ClassIntra version 1.0, a newly developed classification for assessing intraoperative adverse events. DESIGN: International, multicentre cohort study. SETTING: 18 secondary and tertiary centres from 12 countries in Europe, Oceania, and North America. …

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Clinical adhesion score (CLAS): development of a novel clinical score for adhesion-related complications in abdominal and pelvic surgery

Elisabeth J. Lier, Barend A. W. van den Beukel, Larsa Gawria, Philip Jan van der Wees et autres

BACKGROUND: Adhesions are a major cause of long-term postsurgical complications in abdominal and pelvic surgery. Existing adhesion scores primarily measure morphological characteristics of adhesions that do not necessarily correlate with morbidity. The aim of this study was to develop a clinical adhesion …

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