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The Effect of Perioperative Adverse Events on Long-Term Patient-Reported Outcomes After Lumbar Spine Surgery
- 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
- Subjects :
- Adult
Male
Canada
medicine.medical_specialty
Visual analogue scale
Neurosurgical Procedures
Disability Evaluation
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Lumbar
Lumbar spine surgery
Humans
Medicine
Patient Reported Outcome Measures
Adverse effect
Lead (electronics)
Aged
030222 orthopedics
Lumbar Vertebrae
Multivariable linear regression
business.industry
Perioperative
Middle Aged
Treatment Outcome
Physical therapy
Health survey
Female
Spinal Diseases
Surgery
Neurology (clinical)
business
030217 neurology & neurosurgery
Subjects
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