Delirium Bibliography

Reference Information

Title

Complications Associated With Spine Surgery in Patients Aged 80 Years or Older: Japan Association of Spine Surgeons with Ambition (JASA) Multicenter Study

Authors

Kobayashi, K. Imagama, S. Ando, K. Ishiguro, N. Yamashita, M. Eguchi, Y. Matsumoto, M. Ishii, K. Hikata, T. Seki, S. Terai, H. Suzuki, A. Tamai, K. Aramomi, M. Ishikawa, T. Kimura, A. Inoue, H. Inoue, G. Miyagi, M. Saito, W. Yamada, K. Hongo, M. Nishimura

Year

2017

Journal

Global Spine J

Abstract

Study Design: Retrospective study of registry data. Objectives: Aging of society and recent advances in surgical techniques and general anesthesia have increased the demand for spinal surgery in elderly patients. Many complications have been described in elderly patients, but a multicenter study of perioperative complications in spinal surgery in patients aged 80 years or older has not been reported. Therefore, the goal of the study was to analyze complications associated with spine surgery in patients aged 80 years or older with cervical, thoracic, or lumbar lesions. Methods: A multicenter study was performed in patients aged 80 years or older who underwent 262 spinal surgeries at 35 facilities. The frequency and severity of complications were examined for perioperative complications, including intraoperative and postoperative complications, and for major postoperative complications that were potentially life threatening, required reoperation in the perioperative period, or left a permanent injury. Results: Perioperative complications occurred in 75 of the 262 surgeries (29%) and 33 were major complications (13%). In multivariate logistic regression, age over 85 years (hazard ratio [HR] = 1.007, P = 0.025) and estimated blood loss ≥500 g (HR = 3.076, P =.004) were significantly associated with perioperative complications, and an operative time ≥180 min (HR = 2.78, P =.007) was significantly associated with major complications. Conclusions: Elderly patients aged 80 years or older with comorbidities are at higher risk for complications. Increased surgical invasion, and particularly a long operative time, can cause serious complications that may be life threatening. Therefore, careful decisions are required with regard to the surgical indication and procedure in elderly patients.

PMID

28989842

Keywords

anticoagulant agent
nonsteroid antiinflammatory agent
opiate
acute heart infarction
aged
article
bleeding
body mass
brain infarction
breathing disorder
cerebrovascular disease
delirium
diabetes mellitus
female
heart arrhythmia
hospitalization
human
hypertension
Japan
liver dysfunction
lumbar spine
major clinical study
male
multicenter study
operation duration
peroperative complication
postoperative complication
priority journal
retrospective study
risk
risk factor
severe renal impairment
spinal cord disease
spine surgery
thorax
urinary tract infection
uterine cervix
vertebral canal stenosis
very elderly

Page(s)

636-41

Volume

7

Issue

7