@article{JSS4073,
author = {Rafael De la Garza-Ramos and Jonathan Nakhla and Yaroslav Gelfand and Murray Echt and Aleka N. Scoco and Merritt D. Kinon and Reza Yassari},
title = {Predicting critical care unit-level complications after long-segment fusion procedures for adult spinal deformity},
journal = {Journal of Spine Surgery},
volume = {4},
number = {1},
year = {2018},
keywords = {},
abstract = {Background: To identify predictive factors for critical care unit-level complications (CCU complication) after long-segment fusion procedures for adult spinal deformity (ASD).
Methods: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database [2010–2014] was reviewed. Only adult patients who underwent fusion of 7 or more spinal levels for ASD were included. CCU complications included intraoperative arrest/infarction, ventilation >48 hours, pulmonary embolism, renal failure requiring dialysis, cardiac arrest, myocardial infarction, unplanned intubation, septic shock, stroke, coma, or new neurological deficit. A stepwise multivariate regression was used to identify independent predictors of CCU complications.
Results: Among 826 patients, the rate of CCU complications was 6.4%. On multivariate regression analysis, dependent functional status (P=0.004), combined approach (P=0.023), age (P=0.044), diabetes (P=0.048), and surgery for over 8 hours (P=0.080) were significantly associated with complication development. A simple scoring system was developed to predict complications with 0 points for patients aged },
issn = {2414-4630}, url = {https://jss.amegroups.org/article/view/4073}
}