The effect of patient age on discharge destination and complications after lumbar spinal fusion
| Autor: | Michele Santacatterina, Eric H. Elowitz, Nathan Kallus, Brenton Pennicooke, Jennifer Lee |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Blood transfusion Adolescent Lumbar spine fusion medicine.medical_treatment Young Adult Postoperative Complications Patient age Physiology (medical) Medicine Humans Aged Retrospective Studies Aged 80 and over Lumbar Vertebrae business.industry Lumbosacral Region Retrospective cohort study General Medicine Perioperative Middle Aged Patient Discharge Surgery Acs nsqip Spinal Fusion Neurology Neurology (clinical) business Lumbar spinal fusion Inpatient rehabilitation |
| Zdroj: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 91 |
| ISSN: | 1532-2653 |
| Popis: | Age is an important patient characteristic that has been correlated with specific outcomes after lumbar spine surgery. We performed a retrospective cohort study to model the effect of age on discharge destination and complications after a 1-level or multi-level lumbar spine fusion surgery. The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was used to identify patients who underwent lumbar spinal fusion surgery from 2013 through 2017. Perioperative outcomes were compared across ages 18 to 90 using multivariable nonlinear logistic regressioncontrolling for preoperative characteristics. A total of 61,315 patients were analyzed, with patients over 70 having a higher risk of being discharged to an inpatient rehabilitation center and receiving an intraoperative or postoperative blood transfusion. However, the rates of the other complications and outcomes analyzed in this study were not significantly different as patients age. In conclusion, advanced-age affects the discharge destination after a one- or multi-level fusion and intraoperative/postoperative blood transfusion after a one-level fusion. However, age alone does not significantly affect the risk of the other complications and outcomes assessed in this study. This study will help guide preoperative discussion with advanced-aged patients who are considering a 1-level or multi-level lumbar spine fusion surgery. |
| Databáze: | OpenAIRE |
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