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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Influence of perioperative complication severity on 1- and 2-year outcomes of low back surgery
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Influence of perioperative complication severity on 1- and 2-year outcomes of low back surgery

机译：围手术期并发症严重程度对腰背手术1年和2年结局的影响

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Several factors potentially influence outcomes of surgery, including perioperative complications. Complications may take many forms and the Clavien–Dindo (CD) classification is designed to categorize them by degree of severity. The aim of this study was to evaluate the influence of perioperative complications by severity categorization on the 1-and 2-year pain and disability outcomes for patients who received low back surgery. Data used for the study involved a purposive sample (N = 477; 8.1%) from a spine outcomes registry of 5876 patients who received spine surgery and encountered complications. All complications were categorized using the CD classification and were collapsed according to distribution frequencies, i.e., Grade I–II and Grade III–V. Adjusted and unadjusted regression analyses were used to determine the association between CD classification and 1- and 2-year outcomes. The majority of surgical complications were Grade III−V (N = 358; 75.1%), with two incidences in which death occurred. For the unadjusted models, there were no significant associations between CD classification categorizations for 1-year outcomes; however, 2-year outcomes were significantly worse (P 0.05) for those with Grade III–V categorization. When adjusted and controlled for baseline characteristics, CD classification did not influence 1-or 2-year pain and disability outcomes. When control variables are considered, the severity of perioperative surgical complications does not appear to influence 1- or 2-year pain and disability outcomes. Level 4.
机译：包括围手术期并发症在内的多种因素都可能影响手术的结果。并发症可能有多种形式，Clavien-Dindo（CD）分类旨在根据严重程度对它们进行分类。这项研究的目的是通过严重程度评估围手术期并发症对腰背手术患者1年和2年疼痛和残疾结局的影响。该研究使用的数据涉及一个有目的样本（N = 477; 8.1％），该样本来自5876名接受脊柱外科手术并遇到并发症的患者的脊柱结局。所有并发症均采用CD分类法进行分类，并根据分布频率（即I–II级和III–V级）进行分类。调整和未调整的回归分析用于确定CD分类与1年和2年结局之间的关联。大部分手术并发症为III-V级（N = 358; 75.1％），其中两次发生死亡。对于未经调整的模型，对于1年结局的CD分类类别之间没有显着相关性。但是，对于III–V级患者，2年结局明显较差（P <0.05）。在针对基线特征进行调整和控制后，CD分类不会影响1年或2年的疼痛和残疾结果。当考虑控制变量时，围手术期并发症的严重程度似乎不会影响1年或2年的疼痛和残疾结果。 4级

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