%0 Journal Article
%T Predicting critical care unit-level complications after long-segment fusion procedures for adult spinal deformity
%A De la Garza-Ramos, Rafael
%A Nakhla, Jonathan
%A Gelfand, Yaroslav
%A Echt, Murray
%A Scoco, Aleka N.
%A Kinon, Merritt D.
%A Yassari, Reza
%J Journal of Spine Surgery
%D 2018
%B 2018
%9 
%! Predicting critical care unit-level complications after long-segment fusion procedures for adult spinal deformity
%K 
%X 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 
%U https://jss.amegroups.org/article/view/4073
%V 4
%N 1
%P 55-61
%@ 2414-4630