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Preoperative functional status as a predictor of short-term outcome in adult spinal deformity surgery.

Publication ,  Journal Article
De la Garza Ramos, R; Goodwin, CR; Elder, BD; Boah, AO; Miller, EK; Jain, A; Klineberg, EO; Ames, CP; Neuman, BJ; Kebaish, KM; Lafage, V ...
Published in: J Clin Neurosci
May 2017

Adult spinal deformity (ASD) may cause severe disability and difficulty with daily activities. The purpose of this study was to investigate the impact of preoperative functional status on 30-day major complication occurrence in ASD surgery. A review of the prospectively-collected American College of Surgeons National Surgical Quality Improvement database was performed for the years 2007-2013. Inclusion criteria were adult patients (over 21years of age) who underwent spinal fusion for ASD. Functional status was defined as "independent" or "dependent" (requiring assistance from another person) for activities of daily living such as bathing, dressing, feeding, toileting, or mobility. The association between functional status and complications (overall and major) was investigated via multivariate analysis. Results are presented as odds ratios (OR) with 95% confidence intervals (CI). A total of 1247 patients met inclusion criteria (94.4% independent and 5.6% dependent patients). The overall 30-day complication rate was 16.0% (15.6% for independent patients and 22.9% for dependent patients, p=0.10); major complications occurred in 9.2% of independent patients and 17.1% for dependent patients (p=0.02). After controlling for patient age, smoking status, preoperative hematocrit, revision status, use of osteotomy, number of levels fused, and operative time, being dependent on another person for activities of daily living was found to be a significant predictor of major complication development (OR 2.09; 95% CI, 1.04-4.20; p=0.03). Depending on others for activities of daily living before undergoing ASD surgery may predict the development of major perioperative complications, increasing the risk by 2-fold compared to independent patients.

Duke Scholars

Published In

J Clin Neurosci

DOI

EISSN

1532-2653

Publication Date

May 2017

Volume

39

Start / End Page

118 / 123

Location

Scotland

Related Subject Headings

  • Spinal Curvatures
  • Postoperative Complications
  • Outcome Assessment, Health Care
  • Orthopedic Procedures
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Humans
  • Female
  • Aged
 

Citation

APA
Chicago
ICMJE
MLA
NLM
De la Garza Ramos, R., Goodwin, C. R., Elder, B. D., Boah, A. O., Miller, E. K., Jain, A., … Sciubba, D. M. (2017). Preoperative functional status as a predictor of short-term outcome in adult spinal deformity surgery. J Clin Neurosci, 39, 118–123. https://doi.org/10.1016/j.jocn.2016.12.039
De la Garza Ramos, Rafael, C Rory Goodwin, Benjamin D. Elder, Akwasi O. Boah, Emily K. Miller, Amit Jain, Eric O. Klineberg, et al. “Preoperative functional status as a predictor of short-term outcome in adult spinal deformity surgery.J Clin Neurosci 39 (May 2017): 118–23. https://doi.org/10.1016/j.jocn.2016.12.039.
De la Garza Ramos R, Goodwin CR, Elder BD, Boah AO, Miller EK, Jain A, et al. Preoperative functional status as a predictor of short-term outcome in adult spinal deformity surgery. J Clin Neurosci. 2017 May;39:118–23.
De la Garza Ramos, Rafael, et al. “Preoperative functional status as a predictor of short-term outcome in adult spinal deformity surgery.J Clin Neurosci, vol. 39, May 2017, pp. 118–23. Pubmed, doi:10.1016/j.jocn.2016.12.039.
De la Garza Ramos R, Goodwin CR, Elder BD, Boah AO, Miller EK, Jain A, Klineberg EO, Ames CP, Neuman BJ, Kebaish KM, Lafage V, Schwab F, Bess S, Sciubba DM. Preoperative functional status as a predictor of short-term outcome in adult spinal deformity surgery. J Clin Neurosci. 2017 May;39:118–123.
Journal cover image

Published In

J Clin Neurosci

DOI

EISSN

1532-2653

Publication Date

May 2017

Volume

39

Start / End Page

118 / 123

Location

Scotland

Related Subject Headings

  • Spinal Curvatures
  • Postoperative Complications
  • Outcome Assessment, Health Care
  • Orthopedic Procedures
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Humans
  • Female
  • Aged