Persistent abdominal pain > 72 h | 1 | Pain treated by morphine or derivatives > 72 h |
---|---|---|
Persistent fever > 72 h | 1 | Rectal temperature > 38.5°C at least twice |
Persistently raised signs of infection > 72 h | 1 | Persistently elevated CRP or leukocytosis |
Wound-healing disorder | 2 | Any problem leading to re-opening of the wound with subsequent open wound treatment |
Thrombosis | 3 | New onset of leg or pelvic thrombosis |
Bleeding | 3 | Need for more than two bags of packed red cells during or after surgery |
Cholangitis | 3 | New increase in AP, GGT (>2× ULN), bilirubin (>1× ULN) plus leukocytosis (> 12 × 103/μl) or increase in CRP (> 5× ULN) |
Icterus | 3 | New increase in bilirubin, AP and GGT (>2× ULN) |
Bile leakage | 3 | Persistent leakage shown by CT, MRI or ERCP |
Abscess | 3 | Shown by CT, MRI or ultrasound |
Pneumonia | 3 | Shown by X-ray plus drop in arterial pO2 plus clinical signs of pneumonia plus leukocytosis plus increased CRP |
Embolic lung disease | 4 | Increased PA pressure (echocardiogram), TNT/TNI, D-dimers |
Peritonitis | 4 | New occurrence of peritonitis |
Pancreatitis | 4 | Increased pancreatic enzymes (> 3× ULN) plus new increase in CRP (> 5× ULN) plus positive clinical signs |
Renal failure | 4 | Drop in urine production below 500 mL/day plus increased creatinine and urea (> 2× ULN) |
Relaparotomy | 5 | Need for follow-up surgery |
Cerebral ischemia or bleeding | 5 | New neurological symptoms with corresponding to changes in cerebral CT |
Myocardial infarction | 5 | Changes in TNT/TNI with or without changes in the ECG meeting the criteria of STEMI of NSTEMI |
Septic shock | 5 | Leukocytosis (> 12 × 103/μl) or leukopenia (< 4 × 103/μl) plus temperature < 36.5°C or > 38.5°C plus clinical signs |
Death | 63 | (Sum of all complications + 1) |