![]() Sugawara R, Takeshita K, Inomata Y et al (2018) The Japanese scoliosis society morbidity and mortality survey in 2014: the complication trends of spinal deformity surgery from 2012 to 2014. ĭrazin D, Shirzadi A, Rosner J, Eboli P, Safee M, Baron EM, Liu JC, Acosta FL Jr (2011) Complications and outcomes after spinal deformity surgery in the elderly: review of the existing literature and future directions. Yadla S, Maltenfort MG, Ratliff JK, Harrop JS (2010) Adult scoliosis surgery outcomes: a systematic review. Kebaish KM, Neubauer PR, Voros GD et al (2011) Scoliosis in adults aged forty years and older: prevalence and relationship to age, race, and gender. This study demonstrates that ASA class is correlated with a more complicated postoperative hospital course, greater rates of non-home discharge, total direct costs in spine deformity patients.Ĭharles YP, Ntilikina Y (2020) Scoliosis surgery in adulthood: what challenges for what outcome? Ann Transl Med 8(2):34. Direct costs were greater for higher ASA class (regression estimate = + $9,666, p = 0.002). Upon multivariable regression analysis, high ASA class was associated with higher rates of non-home discharge (OR 5.0, 95% CI 3.1–8.1). Patients in ASA Class III or IV had the greatest incidence of ICU stay when compared to patients without systemic disease ( p < 0.0001). Univariate analysis showed longer LOS ( p < 0.0001) and greater direct costs in patients with higher ASA class ( p < 0.0001). Higher ASA class was correlated with greater Elixhauser Comorbidity Index (ECI) scores ( p < 0.0001) and older age ( p < 0.0001). ResultsĤ42 patients with ASD were included in this study. Secondary measures compared between cohorts included adverse events, non-home discharge, and readmission rates. ![]() Primary outcomes included patient demographics, adjusted LOS, and cost of care. Patients undergoing spine deformity surgery at a single institution from 2008–2016 were included and stratified based upon ASA status. This study evaluates the relationship between ASA and complications, length of stay (LOS), and direct costs following spine deformity surgery. The American Society of Anesthesiologists (ASA) classification system has been applied to patients with ASD to assess preoperative health and assess the correlation between ASA class and postoperative complications. Due to the high cost of surgery, studies have evaluated risk factors that predict readmissions and poor outcomes. Adult spinal deformity (ASD) has increased prevalence in aging populations.
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