Incidence and risk factors for pneumonia following anterior cervical decompression and fusion procedures: an ACS-NSQIP study

The Spine Journal : Official Journal of the North American Spine Society
Daniel D BohlKern Singh

Abstract

Postoperative pneumonia has important clinical consequences for both patients and the health-care system. Few studies have examined pneumonia following anterior cervical decompression and fusion (ACDF) procedures. This study aimed to determine the incidence and risk factors for development of pneumonia following ACDF procedures. A retrospective cohort study of data collected prospectively by the American College of Surgeons National Surgical Quality Improvement Program was carried out. This study comprised 11,353 patients undergoing ACDF procedures during 2011-2013. The primary outcome was diagnosis of pneumonia in the first 30 postoperative days. Independent risk factors for the development of pneumonia were identified using multivariate regression. Readmission rates were compared between patients who did and did not develop pneumonia using multivariate regression that adjusted for all demographic, comorbidity, and procedural characteristics. The incidence of pneumonia was 0.45% (95% confidence interval=0.33%-0.57%). In the multivariate analysis, independent risk factors for the development of pneumonia were greater age (p<.001), dependent functional status (relative risk [RR]=5.3, p<.001), chronic obstructive pulmonary diseas...Continue Reading

References

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Citations

Jan 15, 2020·Global Spine Journal·Fan JiangMichael G Fehlings
May 26, 2018·Global Spine Journal·Peter G PassiasVirginie Lafage
Feb 23, 2017·International Orthopaedics·Deepak ChonaManish K Sethi
Jun 14, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·David J MaulerMichael A Bohl
Nov 13, 2021·The Journal of Knee Surgery·Edward S HurTad L Gerlinger

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