Important indicator

Complications of surgical and therapeutic interventions in ICD-10 does not have a single compact section: some of them proposed to encode filed relating to the relevant body systems (eg, Section 1 - Diseases of the circulatory system are subheadings "functional impairment after cardiac surgery," in section

To a point to disruption of the functioning colostomy, "etc.), others proposed to encode a section of T (injured), where the rubric T80-T88 are generally termed" complications of surgical and medical interventions, not elsewhere classified. " In this case, there are four main classes:

To develop standards of diagnosis and treatment of contaminated surgery, this classification is clearly insufficient, but may be accepted as a basis for clarifying the following levels of a hierarchical tree of 3-5 decimal point.

Classification of medical procedures is a fundamental basis for planning health care, compulsory health insurance funds, the calculation of tariffs for medical services, standards of diagnosis and treatment. Currently, there are at least 4 sources containing the classifiers of health services:

International Classification of Procedures in Medicine (WHO, Geneva, 1978). List of surgical procedures (1989 - see above).

The Moscow city register of medical services to children and adult population (the last revision in 1998), used by all medical institutions in Moscow, working in the MLA. Perhaps such lists exist in other regions.

Industrial Classification "Ordinary medical care" developed by the Laboratory of Standardization of MMA. IM Sechenov.

Classifiers medical services provided with respect to the profile of their institutions are also organizations, leading automated information system of accounting of treated patients.
It is expedient to carry out the synthesis of the above classifications of services, based on the principles and column classifications.

With regard to disease stage and outcome (outcomes), it is still, apparently, in most areas of medicine there is no generally accepted international classifications. As an example the situation with the study of outcomes in surgery. Number of studies on the surgical procedures in recent years has grown exponentially. The first question that arises is: what to measure? Most often, this measure of improvement (deterioration), since the surgery aims to reduce violations of the structure or function.

Death - an important indicator, but infrequent, so it is not enough. It is useful to use the fact that the WHO called the "consequences of disease: failure - loss of anatomical or physiological structures and functions, violation of disability - loss of ability to engage in normal activity and disability. In the WHO there are measures violations disability or disability.

Measure of failure, of course, important. However, her one is not enough. Are also needed and patient brand viagra measures such as quality of life.

Our experience in the field of compulsory health insurance, as well as the construction of medical expert systems has shown that "the expert knows more than aware of, but the data contained more than the expert knows." Therefore, to develop standards for diagnosis and treatment must be the accumulation of real data on the incidence of hospitalization and the structure of services in different regions and hospitals of different levels with a subsequent statistical study using the methods of multivariate data analysis.

With this purpose in Surgery Institute. AV Vishnevsky, we developed and implemented since 1995, "Automated registration services, combined with the universal system of data analysis STATISTICA. Accumulated archive of over 15,000 admissions to the institute, including all of the patients treated over the years in the department of wounds and wound infections.

baroreflex activity
choice for correction
complications
inhibitory effects
myocardial infarction