Inpatient Outcomes in Dialysis Dependent Patients Undergoing Elective Cervical Spine Surgery for Degenerative Cervical Conditions

被引:1
作者
Mitchell, Sean M. [1 ]
White, Anthony M. [1 ]
Campbell, David H. [1 ]
Chung, Andrew [2 ]
Chutkan, Norman [1 ]
机构
[1] Univ Arizona, Phoenix, AZ USA
[2] Mayo Clin, Scottsdale, AZ USA
关键词
anterior cervical discectomy and fusion (ACDF); cervical; decompression; degenerative; degenerative disc disease; disc; discectomy; fixation; fusion; neck pain; LUMBAR SPINE; ADMINISTRATIVE DATABASE; CLINICAL-OUTCOMES; FUSION SURGERY; UNITED-STATES; MORBIDITY; MORTALITY; DISEASE; COMPLICATIONS; IMPACT;
D O I
10.1177/2192568219883257
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design: Retrospective cohort study. Objective: To evaluate inpatient outcomes in dialysis dependent patients undergoing elective cervical spine surgery. Methods: A total of 1605 dialysis dependent patients undergoing elective primary or revision cervical spine surgery for degenerative conditions were identified from the National Inpatient sample from 2002 to 2012 and compared to 1 450 642 nondialysis-dependent patients undergoing the same procedures. The National Inpatient Sample is a de-identified database; thus, no institutional review board approval was needed. Results: Dialysis dependence was associated with higher inpatient mortality rates (7.5% vs 1.9%; P < .001) as well as both major (17.3% vs 0.6%; P < .001) and minor (36.8% vs 10.5%; P < .001) complication rates as compared with nondialysis-dependent patients. Dialysis-dependent patients had substantially increased mean lengths of stay (9.8 days compared with 2.0 days; P < .001) and total hospital charges ($141 790 compared with $46 562; P < .001). Conclusion: Dialysis-dependence is associated with drastically increased complication rates, risk of mortality, and represent a significant financial and psychosocial burden to patients undergoing elective cervical spine surgery. Both surgeons and patients should be aware of these risks while planning elective surgeries.
引用
收藏
页码:856 / 862
页数:7
相关论文
共 44 条
  • [1] [Anonymous], 1998, INT CLASS DIS
  • [2] Baba Hideo, 2011, Acta Medica Nagasakiensia, V56, P5
  • [3] A predictive model of complications after spine surgery: the National Surgical Quality Improvement Program (NSQIP) 2005-2010
    Bekelis, Kimon
    Desai, Atman
    Bakhoum, Samuel F.
    Missios, Symeon
    [J]. SPINE JOURNAL, 2014, 14 (07) : 1247 - 1255
  • [4] A NEW METHOD OF CLASSIFYING PROGNOSTIC CO-MORBIDITY IN LONGITUDINAL-STUDIES - DEVELOPMENT AND VALIDATION
    CHARLSON, ME
    POMPEI, P
    ALES, KL
    MACKENZIE, CR
    [J]. JOURNAL OF CHRONIC DISEASES, 1987, 40 (05): : 373 - 383
  • [5] Clinical Outcomes of Spinal Surgery in Patients Treated With Hemodialysis
    Chikawa, Takashi
    Sakai, Toshinori
    Bhatia, Nitin N.
    Miyagi, Ryo
    Sairyo, Koichi
    Goda, Yuichiro
    Nakamura, Masaru
    Nakano, Shunji
    Shimakawa, Takeaki
    Minato, Akira
    [J]. JOURNAL OF SPINAL DISORDERS & TECHNIQUES, 2013, 26 (06): : 321 - 324
  • [6] Mortality and Morbidity in Dialysis-Dependent Patients Undergoing Spinal Surgery Analysis of a National Administrative Database in Japan
    Chikuda, Hirotaka
    Yasunaga, Hideo
    Horiguchi, Hiromasa
    Takeshita, Katsushi
    Kawaguchi, Hiroshi
    Matsuda, Shinya
    Nakamura, Kozo
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2012, 94A (05) : 433 - 438
  • [7] Inpatient Outcomes in Dialysis-dependent Patients Undergoing Elective Lumbar Surgery for Degenerative Lumbar Disease
    Chung, Andrew S.
    Campbell, David H.
    Hustedt, Joshua W.
    Olmscheid, Neil
    Chutkan, Norman
    [J]. SPINE, 2017, 42 (19) : 1494 - 1501
  • [8] Coen G, 2005, J NEPHROL, V18, P117
  • [9] Postoperative Morbidity and Mortality After Elective Anterior Cervical Fusion in Patients with Chronic and End-Stage Renal Disease
    De la Garza Ramos, Rafael
    Jain, Amit
    Nakhla, Jonathan
    Nasser, Rani
    Puvanesarajah, Varun
    Hassanzadeh, Hamid
    Yassari, Reza
    Sciubba, Daniel M.
    [J]. WORLD NEUROSURGERY, 2016, 95 : 480 - 485
  • [10] Administrative Database Concerns Accuracy of International Classification of Diseases, Ninth Revision Coding Is Poor for Preoperative Anemia in Patients Undergoing Spinal Fusion
    Golinvaux, Nicholas S.
    Bohl, Daniel D.
    Basques, Bryce A.
    Grauer, Jonathan N.
    [J]. SPINE, 2014, 39 (24) : 2019 - 2023