Factors Affecting Length of Stay and Complications After Elective Anterior Cervical Discectomy and Fusion

• DOI: 10.1097/bsd.0000000000000080
• Publication Date: 2014-02-13T11:18:19Z
• Authors: Jordan A. Gruskay; Michael Fu; Bryce A. Basques; Daniel D. Bohl; Rafael A. Buerba; Matthew L. Webb; Jonathan N. Grauer
• Keywords: Current Procedural Terminology

Retrospective review of the prospective American College Surgeons National Surgical Quality Improvement Project (ACS NSQIP) database with 30-day follow-up 2164 patients undergoing elective anterior cervical discectomy and fusion (ACDF).To determine factors independently associated increased length stay (LOS) complications after ACDF to facilitate preoperative planning setting realistic expectations for providers.The effect individual on LOS has been evaluated in small-scale studies. Large analysis multivariate these variables not reported.The ACS NSQIP from 2005 2010 was queried procedures. Preoperative perioperative were collected. Multivariate regression determined significant predictors (P<0.05) extended complications.Average 2.0±4.0 days (mean±SD) a range 0-103 days. By analysis, age 65 years above, functional status, transfer facility, anemia, diabetes predictive LOS. Major complications, minor surgery time The elongating determined, ranged 0.5 5.0 Seventy-one (3.3%) had total 92 major including return operating room (40), venous thrombotic events (13), respiratory (21), cardiac (6), mortality (5), sepsis (4), organ space infection (3). ASA score ≥3, time, male sex be (odds ratios ranging between 1.756 2.609). No association found levels fused or complications.Extended is age, diabetes, as well development postoperative complications. One 33 develops complication postoperatively, which are an 5