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Analysis of Postoperative Complications in Spinal Surgery, Hospital Length of Stay, and Unplanned Readmission: Application of Dindo-Clavien Classification to Spine Surgery
| Content Provider | SAGE Publishing |
|---|---|
| Author | Willhuber, Gaston Camino Elizondo, Cristina Slullitel, Pablo |
| Copyright Year | 2018 |
| Abstract | Study Design:Retrospective study. Level of evidence III.Objective:Postoperative complications in spine surgery are associated with increased morbidity, hospital length of stay, and health care costs. Registry of complications in orthopedics and the spine surgery is heterogeneous.Methods:Between July 2016 and June 2017, 274 spinal surgeries were performed, the presence of postoperative complications was analyzed at 90 days (according to the classification of Dindo-Clavien, grades I-V), hospital length of stay, surgical complexity (low, medium, and high), unplanned readmission, and risk factors were evaluated.Results:A total of 79 patients suffered a complication (28.8%), of them 21 (26.7%) were grade I, 24 (30.3%) were grade II, 4 (5.7%) were grade IIIA, and 29 (37.3%) were grade IIIB. There were no IV and V grade cases. The most frequent complication was excessive pain followed by deep wound infection and anemia. Surgical complexity and surgical time were significantly associated with the risk of developing a complication. The average number of hospital length of stay in patients without and with complications were 2.7 and 10.6, respectively, and the unplanned readmission rate was 11%.Conclusions:Registry of postoperative complications allows the correct standardization and risk factors required to establish measures to decrease them, the application of Dindo-Clavien classification was useful for the purpose of our study. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/2192568218792053?download=true |
| Starting Page | 279 |
| Ending Page | 286 |
| Page Count | 8 |
| ISSN | 21925682 |
| Issue Number | 3 |
| Volume Number | 9 |
| Journal | Global Spine Journal (GSJ) |
| e-ISSN | 21925690 |
| DOI | 10.1177/2192568218792053 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2018-07-26 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2018 |
| Subject Keyword | postoperative complication unplanned readmission Dindo-Clavien classification hospital length of stay |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Neurology (clinical) Surgery |
