Urinary Tract Infection Following Posterior Lumbar Fusion Procedures

Bohl, Daniel D.; Ahn, Junyoung; Tabaraee, Ehsan; Ahn, Junho; Jain, Anubha; Grauer, Jonathan N.; Singh, Kern

doi:10.1097/brs.0000000000001003

Cited by 30 publications

(3 citation statements)

References 7 publications

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“…Patients undergoing PLF are known to have a complication rate as high as 12% and are commonly associated with blood transfusion, urinary tract infections (UTI), thromboembolic events, and extended length of stay [5][6][7][8][9][10]. Despite the increased attention toward quality outcomes in surgery, the risk factors and reasons for readmission after elective lumbar arthrodesis remains poorly understood.…”

Section: Introductionmentioning

confidence: 99%

Incidence and Risk Factors for 30-Day Unplanned Readmissions After Elective Posterior Lumbar Fusion

Lee

Kothari

Phan

et al. 2018

Spine

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Section: Introductionmentioning

confidence: 99%

Incidence and Risk Factors for 30-Day Unplanned Readmissions After Elective Posterior Lumbar Fusion

Lee

Kothari

Phan

et al. 2018

Spine

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“…Hypoalbuminemia has been identified as a preoperative risk factor for perioperative complications following cervical and lumbar spine surgery, total hip and knee arthroplasty, hip fracture surgery, and hand surgery. [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] The present study is the first to suggest that hypoalbuminemia is also independently associated with an increased risk for occurrence of complications following UKA. Specifically, there was an increased risk for occurrence of any complication within 30 postoperative days, even after adjustment for a Adjusted for each of the baseline characteristics listed in ►Table 1. potential confounders.…”

Section: Discussionmentioning

confidence: 85%

“…surgery and total joint arthroplasty (TJA) in particular. [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Associated adverse events include surgical site infection (SSI), periprosthetic joint infection (PJI), pneumonia, urinary tract infection, prolonged LOS, and readmission. However, the relationship between hypoalbuminemia and adverse events in patients undergoing UKA has not been investigated.…”

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confidence: 99%

Hypoalbuminemia Predicts Adverse Events following Unicompartmental Knee Arthroplasty

et al. 2021

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Hypoalbuminemia is a potentially modifiable risk factor associated with adverse events following total knee arthroplasty. The present study aimed to evaluate whether hypoalbuminemia similarly predisposes to adverse events following unicompartmental knee arthroplasty (UKA). Patients who underwent UKA during 2006–2018 were identified through the American College of Surgeons National Surgical Quality Improvement Program. Only patients with preoperative serum albumin concentration were included. Outcomes were compared between patients with and without hypoalbuminemia (serum albumin concentration < 3.5 g/dL). All associations were adjusted for demographic, comorbidity, and laboratory differences between populations. A total of 11,342 patients were identified, of whom 6,049 (53.3%) had preoperative serum albumin laboratory values available for analysis. After adjustment for potential confounders, patients with hypoalbuminemia had a greater than 2-fold increased probability for occurrence of any complication (7.02% vs. 2.23%, p = 0.009) and a 4-fold increased probability of receiving a blood transfusion (1.81% vs. 0.25%, p = 0.045). Among procedures performed as inpatients, mean postoperative length of stay (LOS) was longer in patients with hypoalbuminemia (2.2 vs. 1.8 days; p = 0.031). Hypoalbuminemia is independently associated with complications and increased LOS following UKA and a marker for patients at higher risk of postoperative complications. Patients should be screened for hypoalbuminemia and nutritional deficiencies addressed prior to UKA.

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