دورية أكاديمية
Predictors of airway, respiratory, and pulmonary complications following elective anterior cervical discectomy and fusion.
| العنوان: | Predictors of airway, respiratory, and pulmonary complications following elective anterior cervical discectomy and fusion. |
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| المؤلفون: | Hardman M; Department of Neurologic Surgery, Rochester, MN, USA; Mayo Clinic Alix School of Medicine, Rochester, MN, USA., Bhandarkar AR; Department of Neurologic Surgery, Rochester, MN, USA; Mayo Clinic Alix School of Medicine, Rochester, MN, USA., Jarrah RM; Department of Neurologic Surgery, Rochester, MN, USA., Bydon M; Department of Neurologic Surgery, Rochester, MN, USA. |
| المصدر: | Clinical neurology and neurosurgery [Clin Neurol Neurosurg] 2022 Jun; Vol. 217, pp. 107245. Date of Electronic Publication: 2022 Apr 14. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 7502039 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-6968 (Electronic) Linking ISSN: 03038467 NLM ISO Abbreviation: Clin Neurol Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Amsterdam : Elsevier Original Publication: Assen, Van Gorcum. |
| مواضيع طبية MeSH: | Spinal Fusion*/adverse effects , Spinal Fusion*/methods, Cervical Vertebrae/surgery ; Diskectomy/adverse effects ; Diskectomy/methods ; Elective Surgical Procedures/adverse effects ; Humans ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Retrospective Studies |
| مستخلص: | Introduction: Anterior cervical discectomy and fusion (ACDF) is a commonly performed procedure on the cervical spine. While the procedure is generally well tolerated, respiratory and pulmonary complications (RPC) are an unlikely yet possible complication following ACDF. Few previous studies have specifically identified risk factors associated with RPC following ACDF. As the incidence of an RPC is rare at a single institution, a large national database is required for meaningful analysis. Objective: The goal of this study is to characterize the predictors for RPC following an ACDF by utilizing a large national database. Methods: The National Inpatient Sample (NIS) was queried from 2016 to 2018 for all patients who had received elective ACDF for degenerative cervical spine disease. We categorized several complications as airway complications including various abscess, angioedema, laryngeal edema, vocal cord paralysis, dysphonia, various etiologies of pneumonia, and acute respiratory distress syndrome. A Firth's logistic regression model was used to identify predictors of RPC. Results: We identified a final cohort of 52,575 admissions in which an ACDF was performed of which 1454 admissions had an RPC. Older patients were 1.03 times more likely to have an RPC (OR = 1.03, 95%CI: 1.02-1.04). African American patients compared to Caucasian patients were 1.44 times more likely to have an RPC (OR = 1.44, 95%CI: 1.23-1.68). Obese patients were found to be 1.64 to have an RPC (OR = 1.64, 95%CI: 1.45-1.85). Diabetic patients are 2.07 times more likely to have an RPC (OR = 2.07, 95%CI: 1.76-2.44). Hypertensive patients are 1.91 times more likely to have an RPC (OR = 1.91, 95%CI: 1.59-2.27). Urban based hospitals were 1.11 and 1.46 times more likely to have an RPC (OR = 1.11, 95%CI: 0.79-1.59; OR = 1.46, 95%CI: 1.06-2.08; teaching and non-teaching respectively). Patients who underwent multilevel procedure were 1.32 times more likely to experience a follow-on RPC (OR = 1.32, 95%CI: 1.17-1.49) DISCUSSION: Our study identified modifiable predictors of RPC after elective ACDF (e.g. obesity, diabetes) which can be used to guide preoperative patient optimization. (Copyright © 2022 Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Airway complications; Anterior cervical discectomy and fusion |
| تواريخ الأحداث: | Date Created: 20220503 Date Completed: 20220519 Latest Revision: 20220614 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.clineuro.2022.107245 |
| PMID: | 35504192 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1872-6968 |
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| DOI: | 10.1016/j.clineuro.2022.107245 |