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Thirty-day complication and readmission rates associated with resection of metastatic spinal tumors: a single institutional experience

   
@article{JSS4174,
	author = {Aladine A. Elsamadicy and Owoicho Adogwa and David T. Lubkin and Amanda R. Sergesketter and Sohrab Vatsia and Eric W. Sankey and Joseph Cheng and Carlos A. Bagley and Isaac O. Karikari},
	title = {Thirty-day complication and readmission rates associated with resection of metastatic spinal tumors: a single institutional experience},
	journal = {Journal of Spine Surgery},
	volume = {4},
	number = {2},
	year = {2018},
	keywords = {},
	abstract = {Background: This study aims to assess 30-day complication and unplanned readmission rates associated with resection of metastatic spinal tumors.
Methods: Medical records were reviewed for 135 adults who underwent elective resection of a spinal cord tumor. Patient demographics, comorbidities, and tumor characteristics were collected. Tumor pathology was analyzed and diagnosed by a pathologist. The primary outcomes were intra- and 30-day post-operative complication and readmission rates.
Results: Of the 135 spinal tumor resections, 30 (22.2%) cases were metastatic. The most common tumor pathology was bone (13.3%) and the most common locations were thoracic (45.2%), and cervical (32.7%). Most patients had an open surgery (96.7%), with a mean laminectomy/laminoplasty level of 1.9±1.5 and mean operative time of 328.4±658.0 min. There was a 3.3% incidence rate of intraoperative durotomies, with no spinal cord or nerve root injuries. Post-operatively, 44.8% of patients were transferred to the intensive care unit (ICU). The most common post-operative complications were weakness (20.0%), new sensory deficits (16.7%), and hypotension (13.3%). The mean length of stay was 8.8±7.6 days, with the majority of patients discharged home (96.7%). The 30-day readmission rate was 9.7%, with the most common 30-day complications being uncontrolled pain (16.7%), sensory-motor deficits (13.3%), and fever (10.0%).
Conclusions: Our study suggests that weakness, sensory deficits, and uncontrolled pain are the most common complications after resection of spinal metastases, with a relatively high associated 30-day readmission rate. Further studies are necessary to corroborate our findings and identify strategies to reduce complication and readmission rates after resection of spinal metastases.},
	issn = {2414-4630},	url = {https://jss.amegroups.org/article/view/4174}
}