Unplanned Readmission Following Early Postoperative Complications After Fusion Surgery in Adult Spine Deformity: A Multicentric Study

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dc.contributor.authorCamino, Gastón
dc.contributor.authorGuiroy, Alfredo
dc.contributor.authorServidio, Mariano
dc.contributor.authorAstur, Nelson
dc.contributor.authorNin, Fernando
dc.contributor.authorÁlvarado, Fernando
dc.contributor.authorDaher, Murilo
dc.contributor.authorSaciloto, Bruno
dc.contributor.authorOno, Allan
dc.contributor.authorLetaif, Olavo
dc.contributor.authorZarate, Baron
dc.contributor.authorYurac, Ratko
dc.contributor.authorVialle, Emiliano
dc.contributor.authorValacco, Marcelo
dc.date.accessioned2022-04-04T15:44:47Z
dc.date.available2022-04-04T15:44:47Z
dc.date.issued2021
dc.description.abstractStudy design: Multicentric retrospective study, Level of evidence III. Objective: The objective of this multicentric study was to analyze the prevalence and risk factors of early postoperative complications in adult spinal deformity patients treated with fusion. Additionally, we studied the impact of complications on unplanned readmission and hospital length of stay. Methods: Eight spine centers from 6 countries in Latin America were involved in this study. Patients with adult spinal deformity treated with fusion surgery from 2017 to 2019 were included. Baseline and surgical characteristics such as age, sex, comorbidities, smoking, number of levels fused, number of surgical approaches were analyzed. Postoperative complications at 30 days were recorded according to Clavien-Dindo and Glassman classifications. Results: 172 patients (120 females/52 males, mean age 59.4 ± 17.6) were included in our study. 78 patients suffered complications (45%) at 30 days, 43% of these complications were considered major. Unplanned readmission was observed in 35 patients (20,3%). Risk factors for complications were: Smoking, previous comorbidities, number of levels fused, two or more surgical approaches and excessive bleeding. Hospital length of stay in patients without and with complications was of 7.8 ± 13.7 and 17 ± 31.1 days, respectively (P 0.0001). Conclusion: The prevalence of early postoperative complications in adult spinal deformity patients treated with fusion was of 45% in our study with 20% of unplanned readmissions at 30 days. Presence of complications significantly increased hospital length of stay.es
dc.description.versionVersión publicadaes
dc.identifier.citationCamino-Willhuber G, Guiroy A, Servidio M, Astur N, Nin-Vilaró F, Alvarado-Gomez F, Daher M, Saciloto B, Ono A, Letaif O, Zarate-Kalfopulos B, Yurac R, Vialle E, Valacco M. Unplanned Readmission Following Early Postoperative Complications After Fusion Surgery in Adult Spine Deformity: A Multicentric Study. Global Spine J. 2021 Jan 28:2192568221991101. doi:10.1177/2192568221991101es
dc.identifier.urihttps://doi.org/10.1177/2192568221991101es
dc.identifier.urihttp://hdl.handle.net/11447/5916
dc.language.isoenes
dc.subjectAdult spinal deformityes
dc.subjectClavien-dindo classificationes
dc.subjectHospital length of stayes
dc.subjectPostoperative complicationses
dc.subjectReadmissiones
dc.titleUnplanned Readmission Following Early Postoperative Complications After Fusion Surgery in Adult Spine Deformity: A Multicentric Studyes
dc.typeArticlees
dcterms.sourceGlobal spine journales

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