...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Neurosurgical focus >Risk factors associated with short-term complications and mortality after pediatric spinal arthrodesis
【24h】

Risk factors associated with short-term complications and mortality after pediatric spinal arthrodesis

机译：小儿脊柱关节固定术后短期并发症和死亡率相关的危险因素

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE Spinal arthrodesis is routinely performed in the pediatric population. However, there is limited information on the short-term outcomes of pediatric patients who have undergone spine fusion. Thus, the authors conducted a retrospective review of the Pediatric National Surgical Quality Improvement Program (NSQIP) database to determine the short-term mortality, complication, reoperation, and readmission rates of pediatric patients who underwent spinal arthrodesis for all indications. METHODS The Pediatric NSQIP database was queried for all patients who underwent spinal arthrodesis between 2012 and 2014. Patient demographics, comorbidities, body mass index, American Society of Anesthesiologists classification, and operative time were abstracted. Short-term mortality, reoperation, and readmission rates and complications were also noted. Univariate and multivariate analyses were performed to delineate patient risk factors that influence short-term mortality, complications, reoperation, and readmission rates. RESULTS A total of 4420 pediatric patients who underwent spinal fusion were identified. Common indications for surgical intervention included acquired/idiopathic scoliosis or kyphoscoliosis (71.2%) and genetic/syndromic scoliosis (10.7%). The mean patient age was 13.7 ± 2.9 years, and 70% of patients were female. The overall 30-day mortality was 0.14%. Multivariate analysis showed that female sex and pulmonary comorbidities significantly increased the odds of reoperation, with odds ratios of 1.43 and 1.78, respectively. CONCLUSIONS In the NSQIP database for pediatric patients undergoing spinal arthrodesis for all causes, there was a 3.6% unplanned reoperation rate, a 3.96% unplanned readmission rate, and a 9.0% complication rate. This analysis provides data for risk stratification of pediatric patients undergoing spinal arthrodesis, allowing for optimized care.
机译：目的脊柱关节固定术通常在小儿人群中进行。但是，关于接受脊柱融合术的小儿患者近期预后的信息有限。因此，作者对儿童国家外科手术质量改善计划（NSQIP）数据库进行了回顾性审查，以确定所有因脊椎关节固定术而适应症的小儿患者的短期死亡率，并发症，再次手术和再入院率。方法：查询2012年至2014年间所有接受脊柱关节置换术的患者的儿科NSQIP数据库。提取患者的人口统计学资料，合并症，体重指数，美国麻醉医师学会分类和手术时间。还指出了短期死亡率，再次手术，再入院率和并发症。进行单因素和多因素分析以描述影响短期死亡率，并发症，再次手术和再入院率的患者危险因素。结果总共确定了4420名接受脊柱融合术的小儿患者。手术干预的常见指征包括后天性/特发性脊柱侧凸或脊柱后凸（71.2％）和遗传/综合征性脊柱侧弯（10.7％）。患者平均年龄为13.7±2.9岁，其中70％为女性。 30天总死亡率为0.14％。多因素分析表明，女性和肺部合并症显着增加了再次手术的几率，比值比分别为1.43和1.78。结论在NSQIP数据库中，因各种原因而接受脊柱关节固定术的小儿患者，计划外再次手术率为3.6％，计划外再次入院率为3.96％，并发症发生率为9.0％。该分析提供了对进行脊柱关节固定术的小儿患者进行风险分层的数据，从而可以优化护理。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号