Analysis of the risk factors for the development of post-operative spinal epidural haematoma
| Autor: | J. P. Kostuik, David B. Cohen, Khaled M. Kebaish, J. Donigan, J. N. Awad |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Postoperative Hemorrhage Hemoglobins Hematoma Risk Factors Medicine Humans Orthopedics and Sports Medicine International Normalized Ratio Risk factor Rachis Aged Retrospective Studies Aged 80 and over Rh-Hr Blood-Group System business.industry Vascular disease Incidence (epidemiology) Anti-Inflammatory Agents Non-Steroidal Age Factors Retrospective cohort study Middle Aged medicine.disease Hematoma Epidural Spinal Spine Surgery Anesthesia Orthopedic surgery Female business Complication |
| Zdroj: | The Journal of bone and joint surgery. British volume. 87(9) |
| ISSN: | 0301-620X |
| Popis: | In order to identify the risk factors and the incidence of post-operative spinal epidural haematoma, we analysed the records of 14 932 patients undergoing spinal surgery between 1984 and 2002. Of these, 32 (0.2%) required re-operation within one week of the initial procedure and had an International Classification of Diseases (ICD)-9 code for haematoma complicating a procedure (998.12). As controls, we selected those who had undergone a procedure of equal complexity by the same surgeon but who had not developed this complication. Risks identified before operation were older than 60 years of age, the use of pre-operative non-steroidal anti-inflammatories and Rh-positive blood type. Those during the procedure were involvement of more than five operative levels, a haemoglobin < 10 g/dL, and blood loss > 1 L, and after operation an international normalised ratio > 2.0 within the first 48 hours. All these were identified as significant (p < 0.03). Well-controlled anticoagulation and the use of drains were not associated with an increased risk of post-operative spinal epidural haematoma. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|