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Original Article
Online Published: 20 Sep 2026
 


Perceptions of surgical complication severity among patients: a comparison with the accordion severity grading system in Makkah Region, Saudi Arabia

Nawaf S. Bardwan, Ahad M. Alotaibi, Jory M. Altayyar, Anas S. Munshi, Asma A. Hamzah, Raghad S. Alqurashi, Jana T. Halawani, Rani A. Alsairafi.


Abstract
Objective:
This study aimed to measure participants’ view regarding the severity of post-operative surgical complications and to assess if factors like their age, sex, or past surgical experiences shape those opinions.
Methods:
A cross-sectional study was conducted using an adapted, validated online questionnaire on adults (aged 18 or older) in the Makkah Region of Saudi Arabia who had a surgical history. After excluding non-consenting participants and participants without a surgical history. A total of 455 adults participated and rated 21 hypothetical complications from the Accordion Severity Grading System. These scenarios were scored on a scale from 0 (no problem at all) to 100 (equivalent to death).
Results:
In current study, females made up 57.8% of the participants, and about a third (34.9%) were aged between 18 and 29 years. Just over half of the participants (52.7%) had undergone a surgical procedure in the previous year, of whom 36.5% experienced postoperative complications. Participants’ surgical history was strongly associated with their assessment of complication severity. It was also found that age and sex changed how people viewed these issues. There was also a noticeable split between men and women, for instance, 41% of males felt spontaneous wound healing was not an issue at all, compared to just 25% of females.
Conclusion:
The data indicated that factors such as age, gender, and previous surgical experience influence patients’ perception of complication severity. This variance highlighted a clear gap in health literacy, which can easily cause patients to either overestimate or minimize their medical situations.

Key words: Post-operative complications, Accordion severity grading system, health literacy, Clavien-Dindo classification, surgical, Saudi Arabia


 
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How to Cite this Article
Pubmed Style

Bardwan NS, Alotaibi AM, Altayyar JM, Munshi AS, Hamzah AA, Alqurashi RS, Halawani JT, Alsairafi RA. Perceptions of surgical complication severity among patients: a comparison with the accordion severity grading system in Makkah Region, Saudi Arabia. IJMDC. Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1786968719

Web Style

Bardwan NS, Alotaibi AM, Altayyar JM, Munshi AS, Hamzah AA, Alqurashi RS, Halawani JT, Alsairafi RA. Perceptions of surgical complication severity among patients: a comparison with the accordion severity grading system in Makkah Region, Saudi Arabia. https://www.ijmdc.com/?mno=331646 [Access: September 21, 2026]. doi:10.24911/IJMDC.51-1786968719

AMA (American Medical Association) Style

Bardwan NS, Alotaibi AM, Altayyar JM, Munshi AS, Hamzah AA, Alqurashi RS, Halawani JT, Alsairafi RA. Perceptions of surgical complication severity among patients: a comparison with the accordion severity grading system in Makkah Region, Saudi Arabia. IJMDC. Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1786968719


Vancouver/ICMJE Style

Bardwan NS, Alotaibi AM, Altayyar JM, Munshi AS, Hamzah AA, Alqurashi RS, Halawani JT, Alsairafi RA. Perceptions of surgical complication severity among patients: a comparison with the accordion severity grading system in Makkah Region, Saudi Arabia. IJMDC, [cited September 21, 2026]; Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1786968719


Harvard Style

Bardwan, N. S., Alotaibi, . A. M., Altayyar, . J. M., Munshi, . A. S., Hamzah, . A. A., Alqurashi, . R. S., Halawani, . J. T. & Alsairafi, . R. A. (2026) Perceptions of surgical complication severity among patients: a comparison with the accordion severity grading system in Makkah Region, Saudi Arabia. IJMDC, Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1786968719


Turabian Style

Bardwan, Nawaf S., Ahad M. Alotaibi, Jory M. Altayyar, Anas S. Munshi, Asma A. Hamzah, Raghad S. Alqurashi, Jana T. Halawani, and Rani A. Alsairafi. 2026. Perceptions of surgical complication severity among patients: a comparison with the accordion severity grading system in Makkah Region, Saudi Arabia. International Journal of Medicine in Developing Countries, Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1786968719


Chicago Style

Bardwan, Nawaf S., Ahad M. Alotaibi, Jory M. Altayyar, Anas S. Munshi, Asma A. Hamzah, Raghad S. Alqurashi, Jana T. Halawani, and Rani A. Alsairafi. "Perceptions of surgical complication severity among patients: a comparison with the accordion severity grading system in Makkah Region, Saudi Arabia." International Journal of Medicine in Developing Countries Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1786968719


MLA (The Modern Language Association) Style

Bardwan, Nawaf S., Ahad M. Alotaibi, Jory M. Altayyar, Anas S. Munshi, Asma A. Hamzah, Raghad S. Alqurashi, Jana T. Halawani, and Rani A. Alsairafi. "Perceptions of surgical complication severity among patients: a comparison with the accordion severity grading system in Makkah Region, Saudi Arabia." International Journal of Medicine in Developing Countries Online First: 20 Sep, 2026. Web. 21 Sep 2026 doi:10.24911/IJMDC.51-1786968719


APA (American Psychological Association) Style

Bardwan, N. S., Alotaibi, . A. M., Altayyar, . J. M., Munshi, . A. S., Hamzah, . A. A., Alqurashi, . R. S., Halawani, . J. T. & Alsairafi, . R. A. (2026) Perceptions of surgical complication severity among patients: a comparison with the accordion severity grading system in Makkah Region, Saudi Arabia. International Journal of Medicine in Developing Countries, Online First: 20 Sep, 2026. doi:10.24911/IJMDC.51-1786968719




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