A retrospective cohort study of short-term outcomes after elective cervical discectomy in California hospitals.
To compare the frequency of elective cervical discectomy across population strata, to determine the frequency of adverse outcomes in the early postoperative period, and to identify risk factors for such outcomes. of Background Data.
Previous cervical discectomy series have been too small to analyze risk factors for early complications, and have originated from centers that may not adequately represent the population.
Computerized hospital discharge abstracts were obtained from the California Office of Statewide Health Planning and Development.
Inclusion and exclusion criteria were applied to identify 10,416 routine discectomies at 257 hospitals in 1890-1991.
Several categories of postoperative complications were identified, along with inpatient deaths, early reoperations, and nursing home transfers.
Logistic regression was used to estimate the independent effects of patient characteristics on short-term outcomes.
After adjustment for age and gender, blacks were 51% and Hispanics were 24% as likely as whites to undergo elective cervical discectomy.
Overall, 6.7% patients had one or more reported postoperative complications : 1.8% had noninfectious surgical complications, 1,8% had infectious complications, 4.0% had other medical complications, and 0.35% had unplanned reoperations before discharge. (...)
Mots-clés Pascal : Laminectomie, Rachis cervical, Homme, Epidémiologie, Ethnie, Fréquence, Complication, Postopératoire, Facteur risque, Court terme, Morbidité, Mortalité, Chirurgie orthopédique, Discectomie
Mots-clés Pascal anglais : Laminectomy, Cervical spine, Human, Epidemiology, Ethnic group, Frequency, Complication, Postoperative, Risk factor, Short term, Morbidity, Mortality, Orthopedic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0018351
Code Inist : 002B25I. Création : 17/04/1998.