PMID- 29807176
OWN - NLM
STAT- MEDLINE
DCOM- 20181015
LR  - 20181015
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 116
DP  - 2018 Aug
TI  - Interobserver Reliability of Spinal Adverse Events Severity System - Neuro 
      (SAVES-N): A Prospective Adverse Event Reporting System for Neurosurgical Cases.
PG  - e882-e888
LID - S1878-8750(18)31074-X [pii]
LID - 10.1016/j.wneu.2018.05.121 [doi]
AB  - BACKGROUND: The reporting of adverse events (AEs) in neurosurgery uses 
      inconsistent definitions and subjective grading systems. A standardized system 
      for recording and describing AEs would allow valid comparisons to be drawn 
      between different institutions, using different technologies, at different times. 
      The Spinal Adverse Events Severity System - Neuro (SAVES-N) system is a 
      modification of the well-validated SAVES-V2 system that encompasses complications 
      from both cranial and spinal surgery. The objective of this study was to assess 
      the interobserver reliability of SAVES-N in spinal and cranial neurosurgery. 
      METHODS: Ten vignettes, including cranial and spinal neurosurgical cases, were 
      assessed by groups of consultant neurosurgeons (n = 5) and neurosurgical 
      registrars (n = 5) using the SAVES-N system. Interobserver reliability for the 
      presence of AEs, the type of AE, and the SAVES severity grade of the AE were 
      calculated using Gwet's AC2 and Fleiss' kappa and were interpreted using the 
      thresholds described by Landis and Koch. RESULTS: Neurosurgeons had 
      almost-perfect agreement (Gwet AC2 = 0.93), whereas registrars had substantial 
      agreement (Gwet's AC2 = 0.74) in determining the presence or absence of AEs. Both 
      neurosurgeons (Fleiss' kappa = 0.78) and registrars (Fleiss' kappa = 0.70) 
      demonstrated substantial agreement within their groups as to the type of AE. 
      Similarly, neurosurgeons (Gwet's AC2 = 0.94) and registrars (Gwet's AC2 = 0.81) 
      both graded the severity of the AE with almost perfect agreement. CONCLUSIONS: 
      The results of this study demonstrate that the scope of the well-validated 
      SAVES-V2 system may be broadened to cranial neurosurgical cases by SAVES-N with 
      substantial to almost-perfect interobserver reliability.
CI  - Copyright (c) 2018 Elsevier Inc. All rights reserved.
FAU - Castle-Kirszbaum, Mendel D
AU  - Castle-Kirszbaum MD
AD  - Department of Medicine, Nursing and Health Sciences, Monash University, 
      Melbourne, Australia. Electronic address: mendel.dck@gmail.com.
FAU - Danks, Andrew
AU  - Danks A
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia; 
      Department of Surgery, Monash University, Melbourne, Australia.
FAU - Xenos, Chris
AU  - Xenos C
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia.
FAU - Lai, Leon
AU  - Lai L
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia; 
      Department of Surgery, Monash University, Melbourne, Australia.
FAU - Timms, Craig
AU  - Timms C
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia.
FAU - Drnda, Armin
AU  - Drnda A
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia.
FAU - Homapour, Babak
AU  - Homapour B
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia.
FAU - Lim, Kai-Zheong
AU  - Lim KZ
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia.
FAU - Jhoomun, Tanya
AU  - Jhoomun T
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia.
FAU - Dhillon, Rana
AU  - Dhillon R
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia.
FAU - Asaid, Mina
AU  - Asaid M
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia.
FAU - Goldschlager, Tony
AU  - Goldschlager T
AD  - Department of Neurosurgery, Monash Medical Centre, Melbourne, Australia; 
      Department of Surgery, Monash University, Melbourne, Australia.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20180526
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Neurosurgical Procedures/*adverse effects
MH  - Observer Variation
MH  - Postoperative Complications/*classification/etiology
MH  - Prospective Studies
MH  - Risk Management/*classification
MH  - Spinal Diseases/*diagnostic imaging/*surgery
OTO - NOTNLM
OT  - Adverse event
OT  - Audit
OT  - Complication
OT  - Neurosurgery
OT  - Reliability
EDAT- 2018/05/29 06:00
MHDA- 2018/10/16 06:00
CRDT- 2018/05/29 06:00
PHST- 2018/04/04 00:00 [received]
PHST- 2018/05/17 00:00 [revised]
PHST- 2018/05/18 00:00 [accepted]
PHST- 2018/05/29 06:00 [pubmed]
PHST- 2018/10/16 06:00 [medline]
PHST- 2018/05/29 06:00 [entrez]
AID - S1878-8750(18)31074-X [pii]
AID - 10.1016/j.wneu.2018.05.121 [doi]
PST - ppublish
SO  - World Neurosurg. 2018 Aug;116:e882-e888. doi: 10.1016/j.wneu.2018.05.121. Epub 
      2018 May 26.