Diabetes is predictive of longer hospital stay and increased rate of complications in spinal surgery in the UK
Diabetes is predictive of longer hospital stay and increased rate of complications in spinal surgery in the UK
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DOI：
10.1308/003588413x13511609958299
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发表时间：
2013-05-01
影响因子：
1.4
通讯作者：
Wilson-MacDonald, J.
中科院分区：
文献类型：
--
作者：
Sharma, A.;Muir, R.;Wilson-MacDonald, J.
导言糖尿病是英国脊柱手术患者常见的并存疾病，但英国尚未发表关于住院时间和并发症的研究。这项研究的目的是确定接受脊柱手术的糖尿病患者的并发症和住院时间。方法回顾收集了2004年至2010年在同一中心接受脊柱手术的111名糖尿病患者(以及97名年龄和性别匹配的对照患者，使用计算机记录)的数据。收集的资料包括手术时间、出血量、手术细节、Clavien并发症及住院时间。结果两组患者在手术时间、出血量、器械、植骨及翻修手术等方面差异无统计学意义。糖尿病患者的总体并发症发生率高于对照组(28.8%比15.5%)。糖尿病患者的平均住院时间显著长于对照组(4.6天比3.2天，P
INTRODUCTION Diabetes is a common co-morbidity of patients undergoing spinal surgery in the UK but there are no published studies from the UK, particularly with respect to length of hospital stay and complications. The aims of this study were to identify complications and length of hospital stay in patients with diabetes undergoing spinal surgery.METHODS Data were collected retrospectively for 111 consecutive patients with diabetes (and 97 age and sex matched control patients, identified using computer records) who underwent spinal surgery between 2004 and 2010 in a single centre. The data collected included operative time, blood loss, details of surgery, Clavien complications and length of hospital stay.RESULTS No significant differences were found by group in operative time, blood loss, instrumentation, use of graft or revision surgery. Overall complication rates were higher in the patients with diabetes than in the controls (28.8% vs 15.5%). The mean hospital stay was significantly longer for patients with diabetes than for control patients (4.6 vs 3.2 days, p