Tobacco Use Is Associated With Increased 90-Day Readmission Among Patients Undergoing Surgery for Degenerative Spine Disease

Connor, Michelle; Briggs, Robert G.; Bonney, Phillip A.; Lamorie‐Foote, Krista; Shkirkova, Kristina; Min, Elliot; Ding, Li; Mack, William J.; Attenello, Frank J.; Liu, John C.

doi:10.1177/2192568220964032

Cited by 5 publications

(8 citation statements)

References 40 publications

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“…Smoking history is known to be associated with postoperative complications, such as surgical site infection, which can affect the incidence of readmission secondarily. 18 19 Patients are also recommended to stop smoking as it can have adverse effects on wound healing and surgical site infections. In our study, current smoking was not significantly associated with the incidence of unplanned readmission after ACDF (OR, 1.07; 95% CI, 0.94–1.23; p =0.3).…”

Section: Discussionmentioning

confidence: 99%

Risk Factors of Unplanned Readmission after Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis

et al. 2022

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Purpose With an increasing number of anterior cervical discectomy and fusion (ACDF) being conducted for degenerative cervical disc disease, there is a rising interest in the related quality of management and healthcare costs. Unplanned readmission after ACDF affects both the quality of management and medical expenses. This meta-analysis was performed to evaluate the risk factors of unplanned readmission after ACDF to improve the quality of management and prevent increase in healthcare costs. Materials and Methods We searched the databases of PubMed, EMBASE, Web of Science, and Cochrane Library to identify eligible studies using the searching terms, “readmission” and “ACDF.” A total of 10 studies were included. Results Among the demographic risk factors, older age [weighted mean difference (WMD), 3.93; 95% confidence interval (CI), 2.30–5.56; p <0.001], male [odds ratio (OR), 1.23; 95% CI, 1.10–1.36; p <0.001], and private insurance (OR, 0.34; 95% CI, 0.17–0.69; p <0.001) were significantly associated with unplanned readmission. Among patient characteristics, hypertension (HTN) (OR, 2.14; 95% CI, 1.41–3.25; p <0.001), diabetes mellitus (DM) (OR, 1.59; 95% CI, 1.20–2.11; p =0.001), coronary artery disease (CAD) (OR, 2.87; 95% CI, 2.13–3.86; p <0.001), American Society of Anesthesiologists (ASA) physical status grade >2 (OR, 2.13; 95% CI, 1.68–2.72; p <0.001), and anxiety and depression (OR, 1.39; 95% CI, 1.29–1.51; p <0.001) were significantly associated with unplanned readmission. Among the perioperative factors, pulmonary complications (OR, 22.52; 95% CI, 7.21–70.41; p <0.001) was significantly associated with unplanned readmission. Conclusion Male, older age, HTN, DM, CAD, ASA grade >2, anxiety and depression, pulmonary complications were significantly associated with an increased occurrence of unplanned readmission after ACDF.

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Section: Discussionmentioning

confidence: 99%

Risk Factors of Unplanned Readmission after Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis

et al. 2022

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“…39 40 41 42 Current smoking is associated with higher rates of intensive care admission, hospital stay, and readmission. 38 41 43 44 Finally, multiple studies have shown an association between current smoking and postoperative mortality. 44 45 46 One large study using American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) data propensity matched over 80,000 current and nonsmokers.…”

Section: Risks Of Smoking In the Perioperative Periodmentioning

confidence: 99%

“…38 41 43 44 Finally, multiple studies have shown an association between current smoking and postoperative mortality. 44 45 46 One large study using American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) data propensity matched over 80,000 current and nonsmokers. Patients who currently smoked had a 1.38 times increased odds of 30-day mortality compared with nonsmokers (95% CI: 1.11–1.72).…”

Section: Risks Of Smoking In the Perioperative Periodmentioning

confidence: 99%

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Smoking Cessation for Preoperative Optimization

Lussiez

2023

Clin Colon Rectal Surg

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Cigarette smoking is associated with pulmonary and cardiovascular disease and confers increased postoperative morbidity and mortality. Smoking cessation in the weeks before surgery can mitigate these risks, and surgeons should screen patients for smoking before a scheduled operation so that appropriate smoking cessation education and resources can be given. Interventions that combine nicotine replacement therapy, pharmacotherapy, and counseling are effective to achieve durable smoking cessation. When trying to stop smoking in the preoperative period, surgical patients experience much higher than average cessation rates compared with the general population, indicating that the time around surgery is ripe for motivating and sustaining behavior change. This chapter summarizes the impact of smoking on postoperative outcomes in abdominal and colorectal surgery, the benefits of smoking cessation, and the impact of interventions aimed to reduce smoking before surgery.

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“…Cluster 3 was associated with risk factors and prevention of IASIS. The main concerns of IASIS in cluster 3 appeared to focus on obesity, body mass index, urinary tract infection, diabetes, albumin, malnutrition, smoking, and rheumatoid arthritis (54)(55)(56)(57)(58)(59)(60)(61). Vancomycin powder is the most relevant research topic in IASIS prevention, and the efficacy of local vancomycin powder in decreasing the infection rate after spine surgery has become a research hotspot involving considerable controversy (62,63).…”

Section: Research Direction and Trendsmentioning

confidence: 99%

Global research characteristics and trends of infection after spinal implant surgery: a bibliometric analysis

Li¹,

Wu²,

Sun³

et al. 2023

Ann Transl Med

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Background: With the growing awareness of postoperative infection, increasing focus has been placed on infection after spinal implant surgery (IASIS). This study aimed to explore the development and trends of research regarding IASIS using bibliometric analysis. Methods: Scientific articles on IASIS research published between February 1, 2000, and December 31, 2020 were retrieved from the Web of Science database. Results: A total of 820 publications were included in the bibliometric analysis, with studies originating from 46 countries and 6 languages. Researchers from the United States published the highest number of articles and collaborated closely with researchers in Canada, Germany, and Japan. The author with the most publications was Alexander R. Vaccaro. The journal with the most articles and citations was Spine. Most of the research was performed on risk factors and the incidence of IASIS. Co-occurrence analysis revealed that the most recent research trend was likely related to the management of IASIS and the international consensus meeting. Three clusters of research were identified through a thematic map: diagnosis and treatment of IASIS, scoliosis-related infection, and risk factors and prevention of IASIS. Conclusions: Research on IASIS increasingly grew between 2000 and 2020. Spinal surgeons and institutes from the United States had the highest number of publications and academic impact in this field. Diagnosisrelated problems and multidisciplinary work on IASIS require further attention in the future. Current trends in IASIS are likely associated with IASIS management and the international consensus meeting.

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Tobacco Use Is Associated With Increased 90-Day Readmission Among Patients Undergoing Surgery for Degenerative Spine Disease

Cited by 5 publications

References 40 publications

Risk Factors of Unplanned Readmission after Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis

Risk Factors of Unplanned Readmission after Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis

Smoking Cessation for Preoperative Optimization

Global research characteristics and trends of infection after spinal implant surgery: a bibliometric analysis

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