Abstract
Thursday, September 27, 2018 1:05 PM–2:05 PM Understanding Anxiety and Depression when Performing Spine Surgery: 119. Impact of psychiatric comorbidities on short-term outcomes following intervention for lumbar degenerative disc disease
The spine journal, Vol.18(8), pp.S58-S59
08/2018
DOI: 10.1016/j.spinee.2018.06.385
Abstract
Limited literature exists on the prevalence and impact of psychiatric comorbidities on outcomes in patients undergoing surgery for with lumbar degenerative disc disease (LDDD).
To investigate the impact of psychiatric diseases on short-term outcomes in patients undergoing fusion surgery for LDDD.
Retrospective, observational cohort study.
A total of 126,044 adult patients (>18 years) registered in the Nationwide Inpatient Sample database (2002-2011) and undergoing an elective spine fusion for LDDD.
Discharge to rehabilitation facility, length of stay, hospitalization cost, and short-term postsurgical complications (neurological, respiratory, cardiac, gastro-intestinal, wound complication and infections, venous thromboembolism, and acute-renal failure).
Multivariable regression techniques were used to explore the association of psychiatric comorbidities on short-term outcomes by adjusting for patient demographics, clinical and hospital characteristics. As a part of sensitivity analysis, propensity scores matching methods and inverse weighting technique was utilized.
Of the 126,044 adult patients undergoing fusion surgery for LDDD (mean age: 54.91 years, 58% female), approximately 18% had a psychiatric disease. Multivariable regression analysis revealed patients with psychiatric disease undergoing fusion surgery have higher likelihood for unfavorable discharge (OR 1.41; 95%CI 1.35–1.47; p<.001), LOS (OR 1.03; 95%CI 1.02–1.04; p<0001), postsurgery neurologic complications (OR 1.25; 95%CI 1.13–1.37; p<.001) or respiratory complications (OR 1.15 95% CI 1.01–1.31; p=.040), venous thromboembolic events (OR 1.38 95% CI 1.26–1.52; p<.001) and acute renal failure (OR 1.17; 95%CI 1.01–1.37; p=.040). Patients with psychiatric disease were also associated to have higher hospitalization cost (6.32% higher; 95% CI: 5.63%–7.1%; p<.001) compared to those without it.
Our study quantifies the estimates for presence of concomitant psychiatric comorbid conditions on short-outcomes in patients undergoing fusions for LDDD. The data provides supporting evidence for adequate preoperative planning and postsurgical care.
This abstract does not discuss or include any applicable devices or drugs.
Details
- Title: Subtitle
- Thursday, September 27, 2018 1:05 PM–2:05 PM Understanding Anxiety and Depression when Performing Spine Surgery: 119. Impact of psychiatric comorbidities on short-term outcomes following intervention for lumbar degenerative disc disease
- Creators
- Piyush Kalakoti - University of IowaAndrew J. Pugely - University of IowaDaniel M. Sciubba - Johns Hopkins MedicineKanika Sharma - Iowa City, IA, USAKarthik Madhavan - Miami, FL, USARichard P. Menger - Shreveport, LA, USAMatthew J. McGirt - Carolina Neurosurgery and Spine AssociatesAnil Nanda - Shreveport, LA, USAHai Sun - Shreveport, LA, USA
- Resource Type
- Abstract
- Publication Details
- The spine journal, Vol.18(8), pp.S58-S59
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.spinee.2018.06.385
- ISSN
- 1529-9430
- eISSN
- 1878-1632
- Language
- English
- Date published
- 08/2018
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984305865402771
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