Diabetes as an Independent Predictor for Extended Length of Hospital Stay and Increased Adverse Post-Operative Events in Patients Treated Surgically for Cervical Spondylotic Myelopathy
Diabetes as an Independent Predictor for Extended Length of Hospital Stay and Increased Adverse Post-Operative Events in Patients Treated Surgically for Cervical Spondylotic Myelopathy
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DOI：
10.14444/4010
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发表时间：
2017-01-01
影响因子：
1.6
通讯作者：
Passias, Peter G.
中科院分区：
文献类型：
--
作者：
Worley, Nancy;Buza, John;Passias, Peter G.
背景糖尿病作为围手术期结局的独立驱动因素，其严重程度是否影响手术适应证在研究中存在争议。本研究的目的是评估糖尿病作为脊髓型颈椎病（CSM）patients.MethodsA术后预后的预测因素进行回顾性分析，手术治疗的CSM（ICD-9 721.1）从2010年至2012年在前瞻性收集的美国外科医师学会国家手术质量改进计划（NSQIP）数据库的患者。结果的衡量标准是住院时间和并发症的存在。糖尿病患者进行分层的基础上，他们的糖尿病是否是胰岛素或非胰岛素-dependent.ResultsA共5,904手术CSM患者，1101（19%）有糖尿病。722例（65%）为非胰岛素依赖型糖尿病，381例（35%）为胰岛素依赖型糖尿病。糖尿病是延长LOS的独立预测因子（OR：1.878[2.262-1.559]，p
BackgroundDiabetes as an independent driver of peri-operative outcomes, and whether its severity impacts indications is conflicted in the research. The purpose of this study is to evaluate diabetes as a predictor for postoperative outcomes in cervical spondylotic myelopathy (CSM) patients.MethodsA retrospective review was performed of patients treated surgically for CSM (ICD-9 721.1) from 2010-2012 in the prospectively-collected American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database. Outcome measures were length of stay, and the presence of complications. Diabetic patients were stratified based on whether or not their diabetes was insulin-or non-insulin-dependent.ResultsA total of 5,904 surgical CSM patients were included, 1101 (19%) had diabetes. 722 (65%) were non-insulindependent diabetics, and 381 (35%) were insulin-dependent diabetics. Diabetes was found to be an independent predictor of extended LOS (OR: 1.878[2.262-1.559], p