التفاصيل البيبلوغرافية
| العنوان: |
The Impact of Prematurity at Birth on Short-Term Postoperative Outcomes Following Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis |
| المؤلفون: |
Neil V. Shah, Marine Coste, Adam J. Wolfert, Samuel Gedailovich, Brian Ford, David J. Kim, Nathan S. Kim, Chibuokem P. Ikwuazom, Neil Patel, Amanda M. Dave, Peter G. Passias, Frank J. Schwab, Virginie Lafage, Carl B. Paulino, Bassel G. Diebo |
| المصدر: |
Journal of Clinical Medicine; Volume 12; Issue 3; Pages: 1210 |
| بيانات النشر: |
Multidisciplinary Digital Publishing Institute |
| سنة النشر: |
2023 |
| المجموعة: |
MDPI Open Access Publishing |
| مصطلحات موضوعية: |
adolescent idiopathic scoliosis, prematurity, posterior spinal fusion, complications, short-term outcomes |
| الوصف: |
Prematurity is associated with surgical complications. This study sought to determine the risk of prematurity on 30-day complications, reoperations, and readmissions following ≥7-level PSF for AIS which has not been established. Utilizing the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP)-Pediatric dataset, all AIS patients undergoing ≥7-level PSF from 2012–2016 were identified. Cases were 1:1 propensity score-matched to controls by age, sex, and number of spinal levels fused. Prematurity sub-classifications were also evaluated: extremely (<28 weeks), very (28–31 weeks), and moderate-to-late (32–36 weeks) premature. Univariate analysis with post hoc Bonferroni compared demographics, hospital parameters, and 30-day outcomes. Multivariate logistic regression identified independent predictors of adverse 30-day outcomes. 5531 patients (term = 5099; moderate-to-late premature = 250; very premature = 101; extremely premature = 81) were included. Premature patients had higher baseline rates of multiple individual comorbidities, longer mean length of stay, and higher 30-day readmissions and infections than the term cohort. Thirty-day readmissions increased with increasing prematurity. Very premature birth predicted UTIs, superficial SSI/wound dehiscence, and any infection, and moderate-to-late premature birth predicted renal insufficiency, deep space infections, and any infection. Prematurity of AIS patients differentially impacted rates of 30-day adverse outcomes following ≥7-level PSF. These results can guide preoperative optimization and postoperative expectations. |
| نوع الوثيقة: |
text |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| Relation: |
Orthopedics; https://dx.doi.org/10.3390/jcm12031210 |
| DOI: |
10.3390/jcm12031210 |
| الاتاحة: |
https://doi.org/10.3390/jcm12031210 |
| Rights: |
https://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: |
edsbas.4530C279 |
| قاعدة البيانات: |
BASE |