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The Effect of Perioperative Adverse Events on Long-Term Patient-Reported Outcomes After Lumbar Spine Surgery

Authors :
Neil Manson
Michael Johnson
Sean Christie
Hamilton Hall
Nicolas Dea
R Andrew Glennie
Tamir Ailon
Oliver G.S. Ayling
Kenneth Thomas
Phillipe Phan
John Street
W Bradly Jacobs
Andrew Nataraj
Y. Raja Rampersaud
Albert Yee
Edward Abraham
Parham Rasoulinejad
Greg McIntosh
Alex Soroceanu
Charles G. Fisher
Jerome Paquet
Source :
Neurosurgery. 88:420-427
Publication Year :
2020
Publisher :
Ovid Technologies (Wolters Kluwer Health), 2020.

Abstract

BACKGROUND Perioperative adverse events (AEs) lead to patient disappointment and greater costs. There is a paucity of data on how AEs affect long-term outcomes. OBJECTIVE To examine perioperative AEs and their impact on outcome after lumbar spine surgery. METHODS A total of 3556 consecutive patients undergoing surgery for lumbar degenerative disorders enrolled in the Canadian Spine Outcomes and Research Network were analyzed. AEs were defined using the validated Spine AdVerse Events Severity system. Outcomes at 3, 12, and 24 mo postoperatively included the Owestry Disability Index (ODI), 12-Item Short-Form Health Survey (SF-12) Physical (PCS) and Mental (MCS) Component Summary scales, visual analog scale (VAS) leg and back, EuroQol-5D (EQ5D), and satisfaction. RESULTS AEs occurred in 767 (21.6%) patients, and 85 (2.4%) patients suffered major AEs. Patients with major AEs had worse ODI scores and did not reach minimum clinically important differences at 2 yr (no AE: 25.7 ± 19.2, major: 36.4 ± 19.1, P

Details

ISSN :
15244040 and 0148396X
Volume :
88
Database :
OpenAIRE
Journal :
Neurosurgery
Accession number :
edsair.doi.dedup.....2a0f9ebd8079657f64a23ead3f416167
Full Text :
https://doi.org/10.1093/neuros/nyaa427