Prolonged operative time significantly impacts on the incidence of complications in spinal surgery

被引:1
作者
Monetta, Annalisa [1 ]
Griffoni, Cristiana [1 ]
Falzetti, Luigi [1 ]
Evangelisti, Gisberto [1 ]
Noli, Luigi Emanuele [1 ,2 ]
Tedesco, Giuseppe [1 ]
Cavallari, Carlotta [1 ]
Bandiera, Stefano [1 ]
Terzi, Silvia [1 ]
Ghermandi, Riccardo [1 ]
Girolami, Marco [1 ]
Pipola, Valerio [1 ]
Gasbarrini, Alessandro [1 ,3 ]
Brodano, Giovanni Barbanti [1 ]
机构
[1] IRCCS Ist Ortoped Rizzoli, Dept Spine Surg, Bologna, Italy
[2] ISNB Ist Sci Neurol Bologna, Via Altura 3, I-40139 Bologna, Italy
[3] Alma Mater Studiorum Univ Bologna, Dept Biomed & Neuromotor Sci, Bologna, Italy
来源
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH | 2024年 / 19卷 / 01期
关键词
Spinal surgery; Adverse events; Complications; Operative time; INDEPENDENT RISK-FACTOR; POSTOPERATIVE COMPLICATIONS; LUMBAR FUSION; DURATION;
D O I
10.1186/s13018-024-05066-3
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background In spinal surgery adverse events (AE) and surgical complications (SC) significantly affect patient's outcome and quality of life. The duration of surgery has been investigated in different surgical field as risk factor for complications. The aim of this study is to analyze the correlation between operative time and adverse events in spinal surgery. Methods We retrospectively analyzed data collected prospectively in a cohort of 336 patients surgically treated for spinal diseases of oncological and degenerative origin in a single center, between January 2017 to January 2018. Demographics and clinical data were collected. Adverse events were classified using Spinal Adverse Events Severity System version 2 (SAVES-V2) capture system. Focusing on degenerative patients, bivariate analysis and univariate logistic regression were used to determine the association between operative time and complications. Results A total of 105/336 patients experienced an AE related to surgery, respectively 38% in the oncological group and 28% in the degenerative group. The average age at surgery was 60.3 years (SD 17.1) and the mean operative time was 164.8 +/- 138 min. A total of 206 adverse events (30 intraoperative, 135 early postoperative and 41 late postoperative AEs) were recorded. Early post-operative complications accounted for the most recorded AEs (55.5% in the oncological group and 73.2% in the degenerative group). Univariate logistic regression analyses confirmed that operative time correlated with increased risk of intra-operative (p-value = 0.0008), early post-operative (p-value < 0.001) and late post-operative (p-value < 0.001) adverse events. Conclusions This study highlights the strong correlation between the occurrence of adverse events in spinal surgery and prolonged operative time and suggests that efforts should be made to minimize the duration of surgical procedures while prioritizing patient's safety, without compromising the technical achievement of the procedure.
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页数:10
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