Unplanned Readmission Following Early Postoperative Complications After Fusion Surgery in Adult Spine Deformity: A Multicentric Study
Journal
Global Spine Journal
ISSN
2192-5682
2192-5690
Date Issued
2021
Author(s)
Gaston Camino-Willhuber
Alfredo Guiroy
Mariano Servidio
Nelson Astur
Fernando Nin-Vilaró
Fernando Alvarado-Gomez
Murilo Daher
Bruno Saciloto
Allan Ono
Olavo Letaif
Baron Zarate-Kalfopulos
Emiliano Vialle
Marcelo Valacco
Type
Resource Types::text::journal::journal article
URL Institutional Repository
Abstract
<jats:sec><jats:title>Study Design:</jats:title><jats:p> Multicentric retrospective study, Level of evidence III. </jats:p></jats:sec><jats:sec><jats:title>Objective:</jats:title><jats:p> The objective of this multicentric study was to analyze the prevalence and risk factors of early postoperative complications in adult spinal deformity patients treated with fusion. Additionally, we studied the impact of complications on unplanned readmission and hospital length of stay. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Eight spine centers from 6 countries in Latin America were involved in this study. Patients with adult spinal deformity treated with fusion surgery from 2017 to 2019 were included. Baseline and surgical characteristics such as age, sex, comorbidities, smoking, number of levels fused, number of surgical approaches were analyzed. Postoperative complications at 30 days were recorded according to Clavien-Dindo and Glassman classifications. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> 172 patients (120 females/52 males, mean age 59.4 ± 17.6) were included in our study. 78 patients suffered complications (45%) at 30 days, 43% of these complications were considered major. Unplanned readmission was observed in 35 patients (20,3%). Risk factors for complications were: Smoking, previous comorbidities, number of levels fused, two or more surgical approaches and excessive bleeding. Hospital length of stay in patients without and with complications was of 7.8 ± 13.7 and 17 ± 31.1 days, respectively ( P 0.0001). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> The prevalence of early postoperative complications in adult spinal deformity patients treated with fusion was of 45% in our study with 20% of unplanned readmissions at 30 days. Presence of complications significantly increased hospital length of stay. </jats:p></jats:sec>
Subjects
adult spinal deformity
;
postoperative complications
;
readmission
;
hospital length of stay
;
clavien-dindo classification
;
albumin
;
hemoglobin
;
adult
;
article
;
asthma
;
bleeding
;
body mass
;
chronic obstructive lung disease
;
clavien dindo classification
;
clinical assessment
;
cobb angle
;
comorbidity
;
controlled study
;
coronary artery disease
;
decompression surgery
;
deep vein thrombosis
;
diabetes mellitus
;
disease classification
;
dural tear
;
female
;
glassman classification
;
heart infarction
;
hematocrit
;
hematoma
;
hospital readmission
;
hospitalization
;
human
;
hypertension
;
implant complication
;
implant mispositioning
;
length of stay
;
major clinical study
;
male
;
multicenter study
;
obesity
;
outcome assessment
;
pelvic tilt
;
postoperative complication
;
postoperative pain
;
prevalence
;
retrospective study
;
risk factor
;
sagittal vertical axis
;
smoking
;
spine fusion
;
spine malformation
;
thoracic kyphosis angle
;
wound dehiscence
;
wound infection