Impact of the Number of Levels on Adverse Events and Length of Stay Following Posterior Lumbar Fusion Procedures
| Autor: | Junho Ahn, Benjamin Khechen, Kern Singh, Daniel D. Bohl, Dil V. Patel, Kaitlyn L. Cardinal, Benjamin C. Mayo, Jordan A Guntin, Brittany E. Haws, Philip K. Louie |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Blood transfusion Databases Factual Post hoc Anemia medicine.medical_treatment Blood Loss Surgical Lumbar vertebrae 03 medical and health sciences Postoperative Complications 0302 clinical medicine Lumbar Humans Medicine Orthopedics and Sports Medicine Registries Adverse effect 030222 orthopedics Lumbar Vertebrae business.industry Length of Stay Middle Aged medicine.disease Quality Improvement United States Spinal Fusion medicine.anatomical_structure Anesthesia Relative risk Baseline characteristics Female Surgery Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Spine Surgery: A Spine Publication. 32:120-124 |
| ISSN: | 2380-0186 |
| DOI: | 10.1097/bsd.0000000000000739 |
| Popis: | STUDY DESIGN Retrospective SUMMARY OF BACKGROUND DATA:: Little is known regarding the impact of the number of operative levels on the risk for adverse events following spinal procedures. OBJECTIVE The objective of this study was to test for associations between the number of operative levels and occurrence of adverse events following posterior lumbar fusion (PLF). METHODS Patients undergoing 1-, 2-, or 3-level PLFs were identified in the American College of Surgeons National Surgical Quality Improvement Program database. The number of operative levels was tested for association with occurrence of adverse events in the 30-days following the procedure using multivariate regression. Post hoc pairwise comparisons were made between 1- and 2-level and between 2- and 3-level procedures. Analyses were adjusted for differences in baseline characteristics. RESULTS In total, 8162 underwent 1-level, 3,527 underwent 2-level, and 718 underwent 3-level procedures. Patients undergoing 2-level procedures had a higher rate of anemia requiring blood transfusion than 1-level procedures (23.4% vs. 8.6%; adjusted relative risk [RR]=2.5; P |
| Databáze: | OpenAIRE |
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