Objective: We aimed to determine the 2-year mortality and morbidity rates following spine surgery in elderly patients (age ≥80 years) and to study the associated risk factors. Methods: The records of patients ≥80 years of age who underwent spine ...
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https://www.riss.kr/link?id=A106498684
Joshua Yuan-Wang Tan (Spine Division, Department of Orthopaedic Surgery, Tan Tock Seng Hospital) ; Arun-Kumar Kaliya-Perumal (Spine Division, Department of Orthopaedic Surgery, Tan Tock Seng Hospital) ; Jacob Yoong-Leong Oh (Orthopaedic Surgery, Tan Tock Seng Hospital)
2019
English
KCI등재,SCIE,SCOPUS
학술저널
764-769(6쪽)
1
0
상세조회0
다운로드다국어 초록 (Multilingual Abstract)
Objective: We aimed to determine the 2-year mortality and morbidity rates following spine surgery in elderly patients (age ≥80 years) and to study the associated risk factors. Methods: The records of patients ≥80 years of age who underwent spine ...
Objective: We aimed to determine the 2-year mortality and morbidity rates following spine surgery in elderly patients (age ≥80 years) and to study the associated risk factors.
Methods: The records of patients ≥80 years of age who underwent spine surgery during the years 2003–2015 at Tan Tock Seng Hospital, Singapore were retrospectively reviewed. Information was collected on their demographic characteristics, comorbidities, diagnosis, general and neurological status, type of surgery, and outcomes. The mortality and morbidity rates over a 2-year period were analyzed. Bivariate analyses were carried out to identify factors associated with mortality.
Results: We selected 47 patients (mean age, 83.3 years; range, 80–91 years) who were followed up for a mean duration of 27.7 months. The mortality rates at 30 days, 6 months, 1 year, and 2 years following surgery were 2.1%, 8.5%, 10.6%, and 12.8%, respectively. The factors significantly associated with mortality included multiple comorbidities, nondegenerative aetiology, and vertebral fractures. The overall morbidity rate was 48.9%, and 17% of this cohort had major complications.
Conclusion: Surgeons should strategize management protocols with due consideration of the mortality and morbidity rates, and be wary of operating on patients with multiple comorbidities, nondegenerative conditions, and vertebral fractures.
참고문헌 (Reference)
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2 Liao JC, "Surgical outcomes in the elderly with degenerative spondylolisthesis : comparative study between patients over 80 years of age and under 80 years-a gender-, diagnosis-, and surgical method-matched two-cohort analyses" 18 : 734-739, 2018
3 Xing D, "Predictors for mortality in elderly patients with cervical spine injury: a systematic methodological review" 38 : 770-777, 2013
4 Lee P, "Perioperative and postoperative complications of single-level minimally invasive transforaminal lumbar interbody fusion in elderly adults" 19 : 111-114, 2012
5 Balabaud L, "Lumbar spine surgery in patients 80 years of age or older: morbidity and mortality" 25 (25): S205-S212, 2015
6 The World Bank, "Life expectancy at birth, total (years)" The World Bank
7 Desai R, "Independent predictors of mortality following spine surgery" 29 : 100-105, 2016
8 Botney R., "Improving patient safety in anesthesia: a success story?" 71 (71): S182-S186, 2008
9 Bydon M, "Impact of age on short-term outcomes after lumbar fusion : an analysis of 1395 patients stratified by decade cohorts" 77 : 347-353, 2015
10 Rihn JA, "Effectiveness of surgery for lumbar stenosis and degenerative spondylolisthesis in the octogenarian population : analysis of the Spine Patient Outcomes Research Trial(SPORT)data" 97 : 177-185, 2015
1 Jalai CM, "The impact of advanced age on peri-operative outcomes in the surgical treatment of cervical spondylotic myelopathy: a nationwide study between 2001 and 2010" 41 : E139-E147, 2016
2 Liao JC, "Surgical outcomes in the elderly with degenerative spondylolisthesis : comparative study between patients over 80 years of age and under 80 years-a gender-, diagnosis-, and surgical method-matched two-cohort analyses" 18 : 734-739, 2018
3 Xing D, "Predictors for mortality in elderly patients with cervical spine injury: a systematic methodological review" 38 : 770-777, 2013
4 Lee P, "Perioperative and postoperative complications of single-level minimally invasive transforaminal lumbar interbody fusion in elderly adults" 19 : 111-114, 2012
5 Balabaud L, "Lumbar spine surgery in patients 80 years of age or older: morbidity and mortality" 25 (25): S205-S212, 2015
6 The World Bank, "Life expectancy at birth, total (years)" The World Bank
7 Desai R, "Independent predictors of mortality following spine surgery" 29 : 100-105, 2016
8 Botney R., "Improving patient safety in anesthesia: a success story?" 71 (71): S182-S186, 2008
9 Bydon M, "Impact of age on short-term outcomes after lumbar fusion : an analysis of 1395 patients stratified by decade cohorts" 77 : 347-353, 2015
10 Rihn JA, "Effectiveness of surgery for lumbar stenosis and degenerative spondylolisthesis in the octogenarian population : analysis of the Spine Patient Outcomes Research Trial(SPORT)data" 97 : 177-185, 2015
11 Bernstein DN, "Complications and readmission after cervical spine surgery in elderly patients : an analysis of 1786 patients" 103 : 859-868, 2017
12 Puvanesarajah V, "Complications and mortality following 1 to 2 level lumbar fusion surgery in patients above 80 years of age" 42 : 437-441, 2017
13 Dindo D, "Classification of surgical complications : a new proposal with evaluation in a cohort of 6336 patients and results of a survey" 240 : 205-213, 2004
14 Jackson AP, "Cervical spine injuries in the elderly: acute postoperative mortality" 30 : 1524-1527, 2005
15 Spivak JM, "Cervical spine injuries in patients 65 and older" 19 : 2302-2306, 1994
16 Sander AL, "Cervical spine fractures in the elderly : morbidity and mortality after operative treatment" 39 : 469-476, 2013
17 Sokolowski MJ, "Acute mortality and complications of cervical spine injuries in the elderly at a single tertiary care center" 20 : 352-356, 2007
Deep Learning in Medical Imaging
Degenerative Cervical Myelopathy
학술지 이력
연월일 | 이력구분 | 이력상세 | 등재구분 |
---|---|---|---|
2023 | 평가예정 | 해외DB학술지평가 신청대상 (해외등재 학술지 평가) | |
2020-01-01 | 평가 | 등재학술지 유지 (해외등재 학술지 평가) | |
2018-03-31 | 학술지명변경 | 한글명 : 대한척추신경외과학회지 -> Neurospine | |
2018-01-01 | 평가 | 등재학술지 선정 (계속평가) | |
2016-01-01 | 평가 | 등재후보학술지 선정 (신규평가) | |
2015-12-01 | 평가 | 등재후보 탈락 (기타) | |
2013-01-01 | 평가 | 등재후보학술지 유지 (기타) | |
2012-09-19 | 학술지명변경 | 외국어명 : Korean journal of spine -> Neurospine | |
2012-01-01 | 평가 | 등재후보학술지 유지 (기타) | |
2011-01-01 | 평가 | 등재후보 1차 PASS (등재후보1차) | |
2009-01-01 | 평가 | 등재후보학술지 선정 (신규평가) |
학술지 인용정보
기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
---|---|---|---|
2016 | 0.13 | 0.13 | 0.14 |
KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
0.13 | 0.12 | 0.411 | 0 |