Academic Journal
Early outcomes following elective laminoplasty: A comparison of surgical specialties using the National surgical Quality Improvement Program (NSQIP) database
| العنوان: | Early outcomes following elective laminoplasty: A comparison of surgical specialties using the National surgical Quality Improvement Program (NSQIP) database |
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| المؤلفون: | Vansh S. Jain, Confidence Kpegeol, Simon G. Ammanuel, Paul S. Page, Darnell T. Josiah |
| المصدر: | Interdisciplinary Neurosurgery, Vol 31, Iss , Pp 101700- (2023) |
| بيانات النشر: | Elsevier, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Surgery LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | Laminoplasty, Safety, Adverse events, NSQIP, Surgery, RD1-811, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Study design: Retrospective cohort study. Objective: The objective of this study was to compare early outcomes in patients following cervical laminoplasty based upon surgeons’ specialty and compare preoperative comorbidities and operative characteristics. Summary of background data: Cervical laminoplasty is a common procedure in patients presenting with cervical myelopathy secondary to spinal stenosis. Given this, it is routinely performed by both neurosurgeons and orthopedic spine surgeons. Surgeons’ training in different specialties could play a role in patients’ related outcomes when performing the same procedure. Methods: A retrospective review was conducted using the National Surgical Quality Improvement Program (NSQIP) database of all patients undergoing elective cervical laminoplasty identified by CPT code 63,050 and 63051. Preoperative demographics and comorbidities were evaluated. Following this, operative characteristics and complication rates were compared. Propensity score matching was used to adjust confound variables for the rate of complications. Results: A total of 2708 cases were analyzed from the NSQIP database that met the inclusion criteria. Of these, there were 1143 cases in the orthopedic surgery cohort and 1565 cases in the neurosurgery cohort. Neurosurgery patients have a higher rate of preoperative dyspnea, hypertension, ASA class of 3 or more, and lower rates of clean wound class. Orthopedic surgery patients were more likely to have a longer operation time, while neurosurgery patients demonstrated a longer length of stay. Following propensity matching for comorbidities, neurological surgery patients were more likely to have unplanned readmissions, wound dehiscence, and pulmonary emboli (p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2214-7519 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2214751922002146; https://doaj.org/toc/2214-7519 |
| DOI: | 10.1016/j.inat.2022.101700 |
| URL الوصول: | https://doaj.org/article/2f8e423bc4de47bfa67ecdf84522e9f9 |
| رقم الانضمام: | edsdoj.2f8e423bc4de47bfa67ecdf84522e9f9 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22147519 |
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| DOI: | 10.1016/j.inat.2022.101700 |