Cannabis use disorder tied to spine surgery complications

Cannabis use disorder tied to spine surgery complications

(HealthDay)—Cannabis abuse appears to be associated with worse spine surgery outcomes, according to a study published online March 23 in Spine.

Ryan G. Chiu, from the University of Illinois at Chicago, and colleagues used data from the 2012 to 2015 Nationwide Inpatient Sample to identify patients undergoing common elective spine surgery procedures. Concurrent diagnosis of was investigated, and comparisons were made with respect to various perioperative and , all-cause mortality, discharge disposition, length of stay, and hospitalization costs.

The researchers identified 423,978 , of whom 2,393 (0.56 percent) had cannabis use disorder. For surgical patients with concurrent cannabis use disorder, inpatient mortality was similar to that of patients without cannabis use disorder, but higher rates were seen for perioperative thromboembolism (odds ratio, 2.2), respiratory complications (odds ratio, 2.0), neurologic complications such as stroke and anoxic brain injury (odds ratio, 2.9), septicemia/sepsis (odds ratio, 1.5), and nonroutine discharge. Patients with concurrent cannabis use disorder also had significantly increased lengths of stay and higher hospitalization charges when controlling for comorbid tobacco use and other baseline characteristics.

"Physicians should ensure that a thorough preoperative drug use history is taken, and that affected be adequately informed of associated risks," the authors write.

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Journal information: Spine

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Citation: Cannabis use disorder tied to spine surgery complications (2021, April 28) retrieved 11 December 2023 from
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