Major complications predicted by age, back surgery type

September 20, 2013
Major complications predicted by age, back surgery type
American Society of Anesthesiologists class, age, and type of back surgery are independent risk factors for major medical complications, according to research published in the Sept. 1 issue of Spine.

(HealthDay)—American Society of Anesthesiologists (ASA) class, age, and type of back surgery are independent risk factors for major medical complications, according to research published in the Sept. 1 issue of Spine.

Richard A. Deyo, M.D., from the Oregon Health and Science University in Portland, and colleagues utilized the Veterans Affairs National Surgical Quality Improvement Program database to identify 12,154 patients who underwent surgery for a primary diagnosis of lumbar stenosis between 1998 and 2009. Major medical complications were defined using a composite which included , stroke, pulmonary embolism, pneumonia, systemic sepsis, coma, and cardiac arrest.

The researchers found that major medical complications occurred in 2.1 percent of patients, wound complications in 3.2 percent, and 90-day mortality in 0.6 percent. There was a strong association with age and major medical complications, but not wound complications. Complications were also strongly predicted by ASA class as well as by insulin use, long-term corticosteroid use, and preoperative functional status. However, ASA class and age were the strongest predictors of major medical complications (odds ratio for ASA class 4 versus class 1 or 2, 2.97). Fusion procedures remained associated with higher medical complication rates than decompressions alone, when adjusting for comorbidity, age, and functional status (odds ratio, 2.85).

"These factors may help in selecting patients and planning procedures, improving patient safety," the authors write.

Explore further: Can you predict complications with back surgery? Preoperative factors increase risk

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

Related Stories

Can you predict complications with back surgery? Preoperative factors increase risk

September 3, 2013
For older adults undergoing surgery for spinal stenosis, some simple indicators of poor preoperative health predict a high risk of major medical complications, reports a study in the September 1 issue of Spine.

Incidence of cardiac events in lumbar spine surgery ID'd

July 23, 2013
(HealthDay)—The overall incidence of cardiac complications is 6.7 per 1,000 lumbar spine surgical procedures, and complications are more frequent with lumbar fusion versus decompression, according to a study published in ...

Poorer outcomes after non-cardiac surgery in DM

September 11, 2013
(HealthDay)—For patients undergoing non-cardiac surgery, diabetes is associated with adverse perioperative complications and mortality, according to a study published online Aug. 29 in Diabetes Care.

Examination of hospital readmissions after plastic surgery aims to cut costs, enhance patient care

August 29, 2013
For patients undergoing plastic and reconstructive surgery procedures, obesity, anemia and postoperative complications—especially surgical and wound complications—are independent risk factors for hospital readmission, ...

General anesthesia ups knee replacement complications

February 15, 2013
(HealthDay)—For patients undergoing total knee arthroplasty, use of general anesthesia is associated with a significant increase in complications compared with spinal anesthesia, according to a study published in the Feb. ...

Risk factors ID'd for scoliosis surgery complications

April 30, 2013
(HealthDay)—Increases in the upper thoracic scoliotic curve, thoracic kyphosis, and number of rod-lengthening procedures are risk factors for postoperative complications associated with growing-rod (GR) surgery for early-onset ...

Recommended for you

World's first child hand transplant a 'success'

July 19, 2017
The first child in the world to undergo a double hand transplant is now able to write, feed and dress himself, doctors said Tuesday, declaring the ground-breaking operation a success after 18 months.

Knee surgery—have we been doing it wrong?

July 18, 2017
A team of University at Buffalo medical doctors have published a study that challenges a surgical practice used for decades during arthroscopic knee surgery.

New tools help surgeons find liver tumors, not nick blood vessels

July 17, 2017
The liver is a particularly squishy, slippery organ, prone to shifting both deadly tumors and life-preserving blood vessels by inches between the time they're discovered on a CT scan and when the patient is lying on an operating ...

Researchers discover indicator of lung transplant rejection

July 13, 2017
Research by scientists at Dignity Health St. Joseph's Hospital and Medical Center's Norton Thoracic Institute was published in the July 12, 2017 issue of Science Translational Medicine titled "Zbtb7a induction in alveolar ...

New device could make closing surgical incisions a cinch

July 7, 2017
Like many surgeons, Dr. Jason Spector is often faced with the challenge of securely closing the abdominal wall without injuring the intestines. If the process goes awry, there can be serious consequences for patients, including ...

Success with first 20 patients undergoing minimally invasive pancreatic transplant surgery

June 29, 2017
Surgeons at Johns Hopkins Medicine report that their first series of a minimally invasive procedure to treat chronic pancreas disease, known as severe pancreatitis, resulted in shorter hospital stays, less need for opioids ...

0 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.