The Incidence and Mortality of Thromboembolic Events in Cervical Spine Surgery
The Incidence and Mortality of Thromboembolic Events in Cervical Spine Surgery
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DOI：
10.1097/brs.0b013e3182897839
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发表时间：
2013-04-20
期刊：
影响因子：
3
通讯作者：
Singh, Kern
中科院分区：
文献类型：
--
作者：
Oglesby, Matthew;Fineberg, Steven J.;Singh, Kern
研究设计。回顾性数据库分析。目的。对全国人口数据库进行分析，以确定颈椎手术后与静脉血栓栓塞 (VTE) 相关的发病率、危险因素和死亡率。背景数据摘要。肺栓塞（PE）和深静脉血栓（DVT）是骨科手术后可能发生的潜在并发症。颈椎手术后这些并发症的发生率尚不明确。方法。数据来自 2002 年至 2009 年全国住院患者样本数据库。确定了为了诊断颈椎脊髓病和/或神经根病而接受前路颈椎融合、后路颈椎融合和后路颈椎减压（即椎板椎间孔切开术、椎板切除术、椎板成形术）的患者。计算PE和DVT的发生率。使用改良的查尔森合并症指数计算合并症。在 3 个手术亚组中评估了与这些并发症相关的死亡率。进行统计分析以评估组间的显着差异。使用逻辑回归来确定 VTE 的独立预测因素。 P 值为
Study Design. Retrospective database analysis.Objective. A nationwide population-based database was analyzed to identify the incidence, risk factors, and mortalities associated with venous thromboembolism (VTE) after cervical spine surgery.Summary of Background Data. Pulmonary embolism (PE) and deep vein thrombosis (DVT) are potential complications that may occur after orthopedic procedures. Incidences of these complications are not well characterized after cervical spine surgery.Methods. Data from the Nationwide Inpatient Sample database were obtained from 2002 to 2009. Patients undergoing anterior cervical fusion, posterior cervical fusion, and posterior cervical decompression (i.e., laminoforaminotomy, laminectomy, laminoplasty) for the diagnosis of cervical myelopathy and/or radiculopathy were identified. Incidences of PE and DVT were calculated. Comorbidities were calculated using the modified Charlson Comorbidity Index. Mortality associated with these complications was assessed in the 3 surgical subgroups. Statistical analysis was performed to assess significant differences between groups. Logistic regression was used to identify independent predictors of VTE. A P value of