Complications, reoperations, readmissions, and length of hospital stay in 34 639 surgical cases of lumbar disc herniation
| Autor: | John-Anker Zwart, Jon Helgeland, Tore Solberg, Lars Grøvle, Olaf Randall Fjeld, Margreth Grotle, Milada Cvancarova Småstuen |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Complications Databases Factual VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Orthopedic surgery: 784 Discectomies medicine.medical_treatment Surgeries Sciatica Postoperative Complications Orthopedics and Sports Medicine Aged 80 and over Lumbar Vertebrae VDP::Medical disciplines: 700::Clinical medical disciplines: 750 Norway Incidence VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750 Middle Aged Treatment Outcome Lumbar disc herniation Lumbar disc herniations Female medicine.symptom Reoperations Intervertebral Disc Displacement Diskectomy Adult Reoperation medicine.medical_specialty Discectomy Adolescent VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Ortopedisk kirurgi: 784 Patient Readmission Young Adult Lumbar disc surgery medicine Humans Adverse effect Aged Retrospective Studies business.industry Length of Stay Surgery Spinal Fusion Adverse events business Hospital stay Follow-Up Studies |
| Zdroj: | The Bone & Joint Journal |
| ISSN: | 2049-4394 |
| Popis: | Aims The aims of this study were to determine the rates of surgical complications, reoperations, and readmissions following herniated lumbar disc surgery, and to investigate the impact of sociodemographic factors and comorbidity on the rate of such unfavourable events. Patients and Methods This was a longitudinal observation study. Data from herniated lumbar disc operations were retrieved from a large medical database using a combination of procedure and diagnosis codes from all public hospitals in Norway from 1999 to 2013. The impact of age, gender, geographical affiliation, education, civil status, income, and comorbidity on unfavourable events were analyzed by logistic regression. Results Of 34 639 operations, 2.7% (95% confidence interval (CI) 2.6 to 2.9) had a surgical complication, 2.1% (95% CI 2.0 to 2.3) had repeat surgery within 90 days, 2.4% (95% CI 2.2 to 2.5) had a non-surgical readmission within 90 days, and 6.7% (95% CI 6.4 to 6.9) experienced at least one of these unfavourable events. Unfavourable events were found to be associated with advanced age and comorbidity. Conclusion The results suggest that surgical complications are less frequent than previously suggested. There are limited associations between sociodemographic patient characteristics and unfavourable events. Cite this article: Bone Joint J 2019;101-B:470–477. |
| Databáze: | OpenAIRE |
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