Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital

Morbidity and mortality of complex spine surgery: a prospective cohort study in 679 patients validating the Spine AdVerse Event Severity (SAVES) system in a European population

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Lumbar spinal stenosis: comparison of surgical practice variation and clinical outcome in three national spine registries

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Outcomes following discectomy for lumbar disc herniation in patients with substantial back pain

    Publikation: Bidrag til tidsskriftKonferenceabstrakt i tidsskriftForskningpeer review

  3. Outcomes of decompression without fusion in patients with lumbar spinal stenosis with back pain

    Publikation: Bidrag til tidsskriftKonferenceabstrakt i tidsskriftForskningpeer review

  1. Impact of New Motor Deficit on HRQOL after Adult Spinal Deformity Surgery: Subanalysis from Scoli Risk 1 Prospective Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Distraction-to-stall Versus Targeted Distraction in Magnetically Controlled Growing Rods

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND CONTEXT: Most literature on complications in spine surgery has been retrospective or based on national databases with few variables. The Spine AdVerse Events Severity (SAVES) system has been found reliable and valid in two Canadian centers, providing precise information regarding all adverse events (AEs).

PURPOSE: This study aimed to determine the mortality and examine the incidence of morbidity in patients undergoing complex spinal surgery, including pediatric patients, and to validate the SAVES system in a European population.

STUDY DESIGN: A prospective, consecutive cohort study was conducted using the SAVES version 2010 in the period from January 1, 2013 until December 31, 2013. A retrospective analysis was performed on all patients operated from November 1, 2011 until October 31, 2012 for comparison.

PATIENT SAMPLE: Patients undergoing spinal surgery at a tertiary referral center comprised the patient sample.

OUTCOME MEASURES: Morbidity and mortality were determined according to the newest version of the SAVES system and compared with the Canadian cohort. Other outcomes were length of stay, readmission, unplanned second surgery during index admission, as well as wound infections requiring revision.

METHODS: All patients undergoing spinal surgery at an academic tertiary referral center in the study period were prospectively included. The newest version of SAVES system was used, and a research coordinator collected all intraoperative and perioperative data prospectively. Once a week all patients were reviewed for additional events, validation of the data, and clarification of any questions. Patients were grouped according to the type of admission (elective of emergency) and age, and subgrouped according to a major diagnostic group. The survival status was registered on January 31, 2014 to obtain 30-day survival.

RESULTS: A total of 679 consecutive cases were included with 100% data completion. The in-hospital mortality was 1.3% and the 30-day mortality was 2.7%; all occurring after emergency procedures. The number of intraoperative AEs was 162 (overall incidence 20%), and the number of postoperative AEs was 1,415 (overall incidence 77%). Of the patients, 2.2% had postoperative infections requiring surgical revision.

CONCLUSIONS: A prospective registration improves AE recognition, and our data confirm the generalizability of the SAVES system to pediatric and non-Canadian populations.

TidsskriftThe spine journal : official journal of the North American Spine Society
Udgave nummer2
Sider (fra-til)146-53
StatusUdgivet - 2016

ID: 46238187