Risk Factors Associated with 30-Day Mortality After Open Reduction and Internal Fixation of Vertebral Fractures

被引:1
作者
Ye, Ivan B. [1 ]
Girdler, Steven J. [1 ]
Cheung, Zoe B. [1 ]
White, Samuel J. [1 ]
Ranson, William A. [1 ]
Cho, Samuel Kang-Wook [1 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Orthopaed Surg, New York, NY 10029 USA
关键词
Complication; Fixation; Mortality; NSQIP; Open reduction internal fixation; ORIF; Spinal fracture; Vertebral fracture; COMPLICATIONS; EPIDEMIOLOGY; DEFORMITY; OUTCOMES; PROGRAM; INJURY; TRENDS;
D O I
10.1016/j.wneu.2019.01.247
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
OBJECTIVE: Few studies have examined the outcomes of open reduction and internal fixation of vertebral fractures. The purpose of this study was to determine patient-related and surgery-related risk factors associated with 30-day postoperative mortality after open reduction and internal fixation (ORIF) of cervical, thoracic, and lumbar vertebral fractures. METHODS: This was a retrospective cohort study of data from the 2010-2014 ACS-NSQIP database. Adult patients who underwent ORIF of vertebral fractures in the cervical, thoracic, or lumbar spine were included. Patients were divided into 2 groups on the basis of the occurrence of 30-day postoperative mortality. A univariate analysis was performed to compare baseline patient characteristics, comorbidities, operative variables, and 30-day postoperative complications between the mortality and non-mortality groups. A subsequent multivariate regression analysis adjusting for patient and operative factors was then performed to identify independent risk factors for 30-day mortality. RESULTS: A total of 900 patients who underwent vertebral ORIF were included. The overall 30-day postoperative mortality rate was 1.56%. The mortality group had a higher incidence of pneumonia, pulmonary complications, cardiac complications, blood transfusion, sepsis, and prolonged hospitalization. Multivariate regression analysis identified pulmonary comorbidity and diabetes as independent predictors of 30-day mortality following ORIF of vertebral fractures. CONCLUSIONS: Pulmonary comorbidity and diabetes were found to be independent risk factors for 30-day mortality after ORIF of vertebral fractures. Recognizing these risk factors is important in preoperative risk stratification, perioperative care, and patient counseling.
引用
收藏
页码:E1069 / E1073
页数:5
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