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Preoperative Risk Factors Affecting Outcome in Surgically Treated Pyogenic Spondylodiscitis
STUDY DESIGN: Retrospective study OBJECTIVE: The primary aim of this study was to investigate the predictors of severe complications in patients following surgery for pyogenic spondylodiscitis (PS) using a surgeon-maintained database. The secondary aim was to investigate the predictors of early reco...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538350/ https://www.ncbi.nlm.nih.gov/pubmed/35195456 http://dx.doi.org/10.1177/21925682221077918 |
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author | Ukon, Yuichiro Takenaka, Shota Makino, Takahiro Kashii, Masafumi Iwasaki, Motoki Sakai, Yusuke Inoue, Takuya Ishiguro, Hiroyuki Kaito, Takashi |
author_facet | Ukon, Yuichiro Takenaka, Shota Makino, Takahiro Kashii, Masafumi Iwasaki, Motoki Sakai, Yusuke Inoue, Takuya Ishiguro, Hiroyuki Kaito, Takashi |
author_sort | Ukon, Yuichiro |
collection | PubMed |
description | STUDY DESIGN: Retrospective study OBJECTIVE: The primary aim of this study was to investigate the predictors of severe complications in patients following surgery for pyogenic spondylodiscitis (PS) using a surgeon-maintained database. The secondary aim was to investigate the predictors of early recovery. METHODS: We introduced a surgeon-maintained database of prospectively collected multicenter data that mainly focused on perioperative complications in 2012. Our surgeon-maintained database allows the retrospective collection of detailed data. We analyzed 143 patients who underwent surgery for PS from the 19,056 patients in the prospective surgeon-maintained database at 27 affiliated institutions between 2013 and 2017. Data relating to preoperative patient factors, infection factors, surgical factors, and pre- and postoperative blood tests was retrospectively collected. We performed multivariate regression analysis to evaluate the predictors of postoperative severe complications and early recovery in patients with PS. RESULTS: High updated Charlson comorbidity index (uCCI), chronic pulmonary disease, diabetes, Gram-negative bacteria, pyogenic osteoarthritis, high preoperative white blood cell count, and low preoperative platelet count were significantly associated with severe complications in patients undergoing surgery for PS. A high uCCI was the sole independent negative predictor on early recovery. CONCLUSION: Careful perioperative management is necessary if surgery is performed on patients who are at a high risk of life-threatening events. |
format | Online Article Text |
id | pubmed-10538350 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-105383502023-09-29 Preoperative Risk Factors Affecting Outcome in Surgically Treated Pyogenic Spondylodiscitis Ukon, Yuichiro Takenaka, Shota Makino, Takahiro Kashii, Masafumi Iwasaki, Motoki Sakai, Yusuke Inoue, Takuya Ishiguro, Hiroyuki Kaito, Takashi Global Spine J Original Articles STUDY DESIGN: Retrospective study OBJECTIVE: The primary aim of this study was to investigate the predictors of severe complications in patients following surgery for pyogenic spondylodiscitis (PS) using a surgeon-maintained database. The secondary aim was to investigate the predictors of early recovery. METHODS: We introduced a surgeon-maintained database of prospectively collected multicenter data that mainly focused on perioperative complications in 2012. Our surgeon-maintained database allows the retrospective collection of detailed data. We analyzed 143 patients who underwent surgery for PS from the 19,056 patients in the prospective surgeon-maintained database at 27 affiliated institutions between 2013 and 2017. Data relating to preoperative patient factors, infection factors, surgical factors, and pre- and postoperative blood tests was retrospectively collected. We performed multivariate regression analysis to evaluate the predictors of postoperative severe complications and early recovery in patients with PS. RESULTS: High updated Charlson comorbidity index (uCCI), chronic pulmonary disease, diabetes, Gram-negative bacteria, pyogenic osteoarthritis, high preoperative white blood cell count, and low preoperative platelet count were significantly associated with severe complications in patients undergoing surgery for PS. A high uCCI was the sole independent negative predictor on early recovery. CONCLUSION: Careful perioperative management is necessary if surgery is performed on patients who are at a high risk of life-threatening events. SAGE Publications 2022-02-23 2023-10 /pmc/articles/PMC10538350/ /pubmed/35195456 http://dx.doi.org/10.1177/21925682221077918 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Ukon, Yuichiro Takenaka, Shota Makino, Takahiro Kashii, Masafumi Iwasaki, Motoki Sakai, Yusuke Inoue, Takuya Ishiguro, Hiroyuki Kaito, Takashi Preoperative Risk Factors Affecting Outcome in Surgically Treated Pyogenic Spondylodiscitis |
title | Preoperative Risk Factors Affecting Outcome in Surgically Treated Pyogenic Spondylodiscitis |
title_full | Preoperative Risk Factors Affecting Outcome in Surgically Treated Pyogenic Spondylodiscitis |
title_fullStr | Preoperative Risk Factors Affecting Outcome in Surgically Treated Pyogenic Spondylodiscitis |
title_full_unstemmed | Preoperative Risk Factors Affecting Outcome in Surgically Treated Pyogenic Spondylodiscitis |
title_short | Preoperative Risk Factors Affecting Outcome in Surgically Treated Pyogenic Spondylodiscitis |
title_sort | preoperative risk factors affecting outcome in surgically treated pyogenic spondylodiscitis |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538350/ https://www.ncbi.nlm.nih.gov/pubmed/35195456 http://dx.doi.org/10.1177/21925682221077918 |
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