OBJECTIVE: Venous thromboembolism (VTE), which includes deep venous thrombosis and pulmonary embolism, is a serious and potentially fatal surgical complication. The goal of our study was to examine preoperative characteristics, incidence, and outcomes of patients with VTE after elective thoracic/thoracolumbar level spine fusion. METHODS: We identified 430,081 patients from the Nationwide Inpatient Sample database who underwent spinal fusion between 2002 and 2008. Patients undergoing thoracic/thoracolumbar level fusion (n = 8617) were found to have the greatest concurrent rate of VTE. We then performed multivariate analyses on this cohort to identify predictors of and outcomes after VTE in patients undergoing thoracic/thoracolumbar level fusion. RESULTS: The overall VTE rate in spinal fusion surgery was 0.40% (cervical = 0.22%, thoracic/thoracolumbar = 1.90%, lumbar/lumbosacral = 0.49%, re-fusions = 0.64%, and fusions not otherwise specified = 0.84%). On multivariate logistic regression analysis of patients undergoing spinal fusion at the thoracic/thoracolumbar level, increasing age, Medicare insurance coverage (vs. private insurance), urban teaching hospital (vs. urban nonteaching hospital), combined anterior/posterior surgical approach (vs. posterior-only approach), and the presence of congestive heart failure or weight loss (Elixhauser comorbidity groups) were each independently associated with an increased odds ratio of VTE complication. VTE after thoracic/thoracolumbar surgery was significantly associated with longer hospital stays (16.6 vs. 6.74 days), increased total hospital costs ($260,208 vs. $115,474), and increased mortality (4.33% vs. 0.33%). CONCLUSIONS: Multivariate logistic regression analysis reveals age, insurance status, hospital type, combined anterior/posterior surgical approach, and the presence of congestive heart failure or weight loss to be independently associated with an increased odds ratio of VTE complication. This complication is associated with increased hospital costs, length of stay, and overall mortality.
OBJECTIVE:Venous thromboembolism (VTE), which includes deep venous thrombosis and pulmonary embolism, is a serious and potentially fatal surgical complication. The goal of our study was to examine preoperative characteristics, incidence, and outcomes of patients with VTE after elective thoracic/thoracolumbar level spine fusion. METHODS: We identified 430,081 patients from the Nationwide Inpatient Sample database who underwent spinal fusion between 2002 and 2008. Patients undergoing thoracic/thoracolumbar level fusion (n = 8617) were found to have the greatest concurrent rate of VTE. We then performed multivariate analyses on this cohort to identify predictors of and outcomes after VTE in patients undergoing thoracic/thoracolumbar level fusion. RESULTS: The overall VTE rate in spinal fusion surgery was 0.40% (cervical = 0.22%, thoracic/thoracolumbar = 1.90%, lumbar/lumbosacral = 0.49%, re-fusions = 0.64%, and fusions not otherwise specified = 0.84%). On multivariate logistic regression analysis of patients undergoing spinal fusion at the thoracic/thoracolumbar level, increasing age, Medicare insurance coverage (vs. private insurance), urban teaching hospital (vs. urban nonteaching hospital), combined anterior/posterior surgical approach (vs. posterior-only approach), and the presence of congestive heart failure or weight loss (Elixhauser comorbidity groups) were each independently associated with an increased odds ratio of VTE complication. VTE after thoracic/thoracolumbar surgery was significantly associated with longer hospital stays (16.6 vs. 6.74 days), increased total hospital costs ($260,208 vs. $115,474), and increased mortality (4.33% vs. 0.33%). CONCLUSIONS: Multivariate logistic regression analysis reveals age, insurance status, hospital type, combined anterior/posterior surgical approach, and the presence of congestive heart failure or weight loss to be independently associated with an increased odds ratio of VTE complication. This complication is associated with increased hospital costs, length of stay, and overall mortality.
Authors: Bryce A Basques; Michael C Fu; Rafael A Buerba; Daniel D Bohl; Nicholas S Golinvaux; Jonathan N Grauer Journal: Spine (Phila Pa 1976) Date: 2014-03-15 Impact factor: 3.468
Authors: Bryce A Basques; Daniel D Bohl; Nicholas S Golinvaux; Jordan A Gruskay; Jonathan N Grauer Journal: Spine (Phila Pa 1976) Date: 2014-05-20 Impact factor: 3.468
Authors: Bryce A Basques; Arya G Varthi; Nicholas S Golinvaux; Daniel D Bohl; Jonathan N Grauer Journal: Spine (Phila Pa 1976) Date: 2014-05-01 Impact factor: 3.468
Authors: Rachel S Bronheim; Jun S Kim; John Di Capua; Nathan J Lee; Parth Kothari; Sulaiman Somani; Kevin Phan; Samuel K Cho Journal: Global Spine J Date: 2017-04-11
Authors: Han Jo Kim; Sravisht Iyer; Basel G Diebo; Michael P Kelly; Daniel Sciubba; Frank Schwab; Virginie Lafage; Gregory M Mundis; Christopher I Shaffrey; Justin S Smith; Robert Hart; Douglas Burton; Shay Bess; Eric O Klineberg Journal: Global Spine J Date: 2017-09-12
Authors: Chester J Donnally; Ajit M Vakharia; Jonathan I Sheu; Rushabh M Vakharia; Dhanur Damodar; Kartik Shenoy; Joseph P Gjolaj Journal: Global Spine J Date: 2019-02-26
Authors: Syed Faraz Kazim; Alis J Dicpinigaitis; Christian A Bowers; Smit Shah; William T Couldwell; Rachel Thommen; Daniel J Alvarez-Crespo; Matthew Conlon; Omar H Tarawneh; John Vellek; Kyrill L Cole; Jose F Dominguez; Rohini N Mckee; Christian B Ricks; Peter C Shin; Chad D Cole; Meic H Schmidt Journal: Neurospine Date: 2022-02-02