More lumbar Sx complications at teaching hospitals

More lumbar sx complications at teaching hospitals

(HealthDay)—Patients undergoing lumbar spine surgery at teaching hospitals incur longer hospitalizations and have more postoperative complications compared to those treated at nonteaching hospitals, according to a study published in the March 1 issue of Spine.

Sreeharsha V. Nandyala, from Rush University Medical Center in Chicago, and colleagues characterized perioperative complications of 658,616 lumbar spine procedures performed at teaching hospitals (55.9 percent) and nonteaching hospitals. Data were queried from the Nationwide Inpatient Sample (2002 to 2011) for patients undergoing an anterior , posterior lumbar interbody fusion, anterior/posterior lumbar fusion, or lumbar decompression for the treatment of lumbar degenerative pathology.

The researchers found that patients treated at a were older and had a greater comorbidity burden than the nonteaching group (Charlson Comorbidity Index, 2.90 versus 2.55; P < 0.001). There were significantly more multilevel fusion cases (P < 0.001) at teaching hospitals, and the patients treated there incurred a greater mean length of stay (3.7 versus 3.0 days; P < 0.001). There was also a significantly greater incidence of postoperative pulmonary embolism, deep vein thrombosis, infection, and neurological complications among patients treated at teaching hospitals versus the nonteaching cohort (P < 0.001). Mean total hospital costs and mortality did not significantly differ between the cohorts.

"Despite these differences, the teaching status was not a significant predictor of in-hospital mortality after a ," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Good results with surgery for gynecomastia in bodybuilders

3 hours ago

With attention to some unique patient characteristics, breast reduction surgery achieves good aesthetic outcomes in bodybuilders with gynecomastia—enlargement of the male breast, according to a report in the February issue ...

Web surfing to weigh up bariatric surgery options

Jan 27, 2015

Obese people considering weight-reducing bariatric surgery are only topped by pregnant women when it comes to how often they turn to the Internet for health advice. While most use it to read up on relevant procedures and ...

Device for guided surgery of deviations in long bones

Jan 27, 2015

CEU-UCH Cardenal Herrera University patented a device for surgeries to correct deviations in long bones. The research team used the 3D simulation of an affected bone to determine the mathematical formula ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.