Incidence of venous thromboembolism after spine surgery

Takahashi, Hiroshi; Yokoyama, Yuichiro; Iida, Yusuke; Terashima, Fumiaki; Hasegawa, Katsuhiko; Saito, Takashi; Suguro, Toru; Wada, Akihito

doi:10.1007/s00776-011-0188-2

Cited by 56 publications

(69 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2,15,16,18,19 Patients who have undergone spine surgery may be prone to UTIs due to periods of immobilization and the need for indwelling bladder catheters in the postoperative period. Although several studies have investigated the effectiveness of UTI prevention methods in the general surgical population, there are few studies specific to patients who underwent spine surgery.…”

Section: Discussionmentioning

confidence: 99%

Identification of complications that have a significant effect on length of stay after spine surgery and predictive value of 90-day readmission rate

Yadla¹,

Ghobrial²,

Campbell³

et al. 2015

SPI

View full text Add to dashboard Cite

OBJECT Complications after spine surgery have an impact on overall outcome and health care expenditures. The increased cost of complications is due in part to associated prolonged hospital stays. The authors propose that certain complications have a greater impact on length of stay (LOS) than others and that those complications should be the focus of future targeted prevention efforts. They conducted a retrospective analysis of a prospectively maintained database to identify complications with the greatest impact on LOS as well as the predictive value of these complications with respect to 90-day readmission rates. METHODS Data on 249 patients undergoing spine surgery at Thomas Jefferson University from May to December 2008 were collected by a study auditor. Any complications occurring within 30 days of surgery were recorded as was overall LOS for each patient. Stepwise regression analysis was performed to determine whether specific complications had a statistically significant effect on LOS. For correlation, all readmissions within 90 days were recorded and organized by complication for comparison with those complications affecting LOS. RESULTS The mean LOS for patients without postoperative complications was 6.9 days. Patients who developed pulmonary complications had an associated increase in LOS of 11.1 days (p < 0.005). The development of a urinary tract infection (UTI) was associated with an increase in LOS of 3.4 days (p = 0.002). A new neurological deficit was associated with an increase in LOS of 8.2 days (p = 0.004). Complications requiring return to the operating room (OR) showed a trend toward an increase in LOS of 4.7 days (p = 0.09), as did deep wound infections (3.3 days, p = 0.08). The most common reason for readmission was for wound drainage (n = 21; surgical drainage was required in 10 [4.01%] of these 21 cases). The most common diagnoses for readmission, in decreasing order of incidence, were categorized as hardware malpositioning (n = 4), fever (n = 4), pulmonary (n = 2), UTI (n = 2), and neurological deficit (n = 1). Complications affecting LOS were not found to be predictive of readmission (p = 0.029). CONCLUSIONS Postoperative complications in patients who have undergone spine surgery are not uncommon and are associated with prolonged hospital stays. In the current cohort, the occurrence of pulmonary complications, UTI, and new neurological deficit had the greatest effect on overall LOS. Further study is required to determine the causative factors affecting readmission. These specific complications may be high-yield targets for cost reduction and/or prevention efforts.

show abstract

Section: Discussionmentioning

confidence: 99%

Identification of complications that have a significant effect on length of stay after spine surgery and predictive value of 90-day readmission rate

Yadla¹,

Ghobrial²,

Campbell³

et al. 2015

SPI

View full text Add to dashboard Cite

show abstract

“…27 Several studies have investigated the risk of VTE in patients undergoing elective spine surgery. 28,29 Takahashi et al reported the incidence of symptomatic PE and VTE with and without mechanical prophylaxis. 28 In this detailed work, 1975 patients who underwent surgery from January 1990 to February 2011 were included.…”

Section: Standard Compression Stockings or Thigh-length Thromboembolimentioning

confidence: 98%

“…28,29 Takahashi et al reported the incidence of symptomatic PE and VTE with and without mechanical prophylaxis. 28 In this detailed work, 1975 patients who underwent surgery from January 1990 to February 2011 were included. Surgical approaches included spinal decompression and/ or fusion with or without instrumentation.…”

Section: Standard Compression Stockings or Thigh-length Thromboembolimentioning

confidence: 98%

Thromboembolic events and spinal surgery

Papadimitriou

Amin

Kretzer

et al. 2012

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

“…4 The reported incidence of VTE in elective spinal surgery varies. For DVT, the incidence has been reported to range from 0% 5 to 26.5% 6 , while for PE it varies from 0% 5 to 18% 7 . Factors contributing to the variation include differences in prophylactic regimes, the nature of the surgery included and post-operative VTE surveillance methods.…”

Section: Introductionmentioning

confidence: 99%