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Timing of Complications Occurring Within 30 Days After Adult Spinal Deformity Surgery.

Publication ,  Journal Article
De la Garza Ramos, R; Goodwin, CR; Passias, PG; Neuman, BJ; Kebaish, KM; Lafage, V; Schwab, F; Sciubba, DM
Published in: Spine Deform
March 2017

STUDY DESIGN: Cross-sectional study of a national surgical database. OBJECTIVE: To investigate the timing of complications after adult spinal deformity (ASD) surgery. SUMMARY OF BACKGROUND DATA: There is limited data on the range of days when complications after ASD surgery occur. METHODS: The American College of Surgeons National Surgical Quality Improvement database was reviewed for the years 2007-2013. Inclusion criteria were adult patients (over 21 years of age) who underwent spinal fusion for ASD. Ten unique complications occurring within 30 postoperative days were examined and the median day to diagnosis was recorded. RESULTS: A total of 1,250 patients met inclusion criteria with an overall complication rate of 13.5%. The median day of diagnosis (and interquartile range) for each complication was as follows: myocardial infarction (3.5, 1-5), pulmonary embolism (4, 2-16), reintubation (4.5, 1-11), pneumonia (6, 3-9), urinary tract infection (11, 5-15), sepsis (12, 6-18.5), deep vein thrombosis (12, 6-19), deep surgical site infection (SSI; 18.5, 13-23), superficial SSI (19, 13-24), and organ space SSI (21, 17-25). The three complications that were most commonly diagnosed before hospital discharge included pneumonia, reintubation, and myocardial infarction (diagnosed before discharge on more than 70% of cases). On the other hand, superficial, deep, and organ space infection were diagnosed in less than 40% of cases before patients left the hospital. On univariate analysis, predictors of complication occurrence included older age (p = .014), instrumentation of 7-12 levels (p = .034), and instrumentation of 13 or more levels (p = .035). CONCLUSION: Understanding the timing of specific complications after adult spinal deformity surgery is important for both patients and clinicians. Efforts in prevention of such conditions should continue, as well as heightened awareness during the periods of highest risk.

Duke Scholars

Published In

Spine Deform

DOI

EISSN

2212-1358

Publication Date

March 2017

Volume

5

Issue

2

Start / End Page

145 / 150

Location

England

Related Subject Headings

  • Time Factors
  • Spinal Fusion
  • Scoliosis
  • Risk Factors
  • Reoperation
  • Postoperative Period
  • Postoperative Complications
  • Pneumonia
  • Patient Discharge
  • Myocardial Infarction
 

Citation

APA
Chicago
ICMJE
MLA
NLM
De la Garza Ramos, R., Goodwin, C. R., Passias, P. G., Neuman, B. J., Kebaish, K. M., Lafage, V., … Sciubba, D. M. (2017). Timing of Complications Occurring Within 30 Days After Adult Spinal Deformity Surgery. Spine Deform, 5(2), 145–150. https://doi.org/10.1016/j.jspd.2016.10.009
De la Garza Ramos, Rafael, C Rory Goodwin, Peter G. Passias, Brian J. Neuman, Khaled M. Kebaish, Virginie Lafage, Frank Schwab, and Daniel M. Sciubba. “Timing of Complications Occurring Within 30 Days After Adult Spinal Deformity Surgery.Spine Deform 5, no. 2 (March 2017): 145–50. https://doi.org/10.1016/j.jspd.2016.10.009.
De la Garza Ramos R, Goodwin CR, Passias PG, Neuman BJ, Kebaish KM, Lafage V, et al. Timing of Complications Occurring Within 30 Days After Adult Spinal Deformity Surgery. Spine Deform. 2017 Mar;5(2):145–50.
De la Garza Ramos, Rafael, et al. “Timing of Complications Occurring Within 30 Days After Adult Spinal Deformity Surgery.Spine Deform, vol. 5, no. 2, Mar. 2017, pp. 145–50. Pubmed, doi:10.1016/j.jspd.2016.10.009.
De la Garza Ramos R, Goodwin CR, Passias PG, Neuman BJ, Kebaish KM, Lafage V, Schwab F, Sciubba DM. Timing of Complications Occurring Within 30 Days After Adult Spinal Deformity Surgery. Spine Deform. 2017 Mar;5(2):145–150.
Journal cover image

Published In

Spine Deform

DOI

EISSN

2212-1358

Publication Date

March 2017

Volume

5

Issue

2

Start / End Page

145 / 150

Location

England

Related Subject Headings

  • Time Factors
  • Spinal Fusion
  • Scoliosis
  • Risk Factors
  • Reoperation
  • Postoperative Period
  • Postoperative Complications
  • Pneumonia
  • Patient Discharge
  • Myocardial Infarction