Preoperative Urinary Tract Infection Increases Postoperative Morbidity in Spine Patients
| Autor: | James S Yoon, Joseph T. King |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study medicine.medical_treatment Urinary system Comorbidity Rate ratio Patient Readmission Article Sepsis Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Preoperative Care Humans Surgical Wound Infection Medicine Orthopedics and Sports Medicine Young adult Aged Retrospective Studies 030222 orthopedics business.industry Laminectomy Retrospective cohort study Middle Aged medicine.disease Surgery Cross-Sectional Studies Spinal Fusion Urinary Tract Infections Female Neurology (clinical) Morbidity business 030217 neurology & neurosurgery |
| Zdroj: | Spine (Phila Pa 1976) |
| ISSN: | 1528-1159 0362-2436 |
| DOI: | 10.1097/brs.0000000000003382 |
| Popis: | STUDY DESIGN Retrospective review. OBJECTIVE Compare postoperative infection rates and 30-day outcomes in spine surgery patients with and without a preoperative urinary tract infection (UTI). SUMMARY OF BACKGROUND DATA There is mixed evidence regarding safety and risks when operating on spine patients with a preoperative UTI. METHODS Using data from the American College of Surgeons National Surgical Quality Improvement Program, we identified all adult patients undergoing spine surgery between 2012 and 2017 with a preoperative UTI. Patients with other preoperative infections were excluded. Our primary outcome was any postoperative infection (pneumonia, sepsis, surgical site infection, and organ space infection). Our secondary outcomes included surgical site infections, non-infectious complications, return to operating room, and 30-day readmission and mortality. We used univariate, then multivariate Poisson regression models adjusted for demographics, comorbidities, laboratory values, and case details to investigate the association between preoperative UTI status and postoperative outcomes. RESULTS A total of 270,371 patients who underwent spine surgery were analyzed. The most common procedure was laminectomy (41.9%), followed by spinal fusion (31.7%) and laminectomy/fusion (25.6%). Three hundred fourty one patients had a preoperative UTI (0.14%). Patients with a preoperative UTI were more likely to be older, female, inpatients, emergency cases, with a higher American Society of Anesthesiologists score, and a longer operating time (for all, P |
| Databáze: | OpenAIRE |
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