Higher 2-Year Cumulative Incidence of Mental Health Disorders Following Irrigation and Debridement in Primary Lumbar Fusion

Autor: Matthew J. Walker, Philip M. Parel, Alisa Malyavko, Amy Zhao, Theodore Quan, Caillin Marquardt, Addisu Mesfin, Tushar C. Patel
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Spine Surgery and Related Research, Vol 8, Iss 1, Pp 66-72 (2024)
Druh dokumentu: article
ISSN: 2432-261X
DOI: 10.22603/ssrr.2023-0138
Popis: Introduction: Spinal fusion is an operation that is employed to treat spinal diseases. Surgical site infection (SSI) after lumbar fusion (LF) is a postoperative complication. SSI is treated with irrigation and debridement (I&D), which requires readmittance following discharge or prolonged hospital stays, which are deleterious to patients' mental health. The long-term relationship between treating SSI with I&D and patients' mental health is still understudied. Methods: Using the Mariner dataset from the PearlDiver Patient Records Database using Current Procedural Terminology and International Classification of Diseases procedure codes, retrospective cohort analysis was carried out. This study involved 445,480 patients who underwent LF with at least 2-year follow-up and were followed up for 2 years. Of the patients, 2,762 underwent I&D. Using univariate analysis employing Pearson Chi-square and Student t-test, where appropriate (), patient demographics between cohorts were gathered. 2-year cumulative incidence (CI) between LF and I&D cohorts was calculated using Kaplan-Meier analysis (). Cox proportional hazards were employed to observe significant differences in CI rates (). Results: For patients who received I&D, 2-year CI depression (HR: 1.72; 95% CI: 1.49-1.99; P
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