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  • Spine Surgery in Octogenarians: Quality Improvement and Review of 282 Patients

    Final Number:
    812

    Authors:
    Pal Randhawa; Jens-Peter Witt

    Study Design:
    Other

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2018 Annual Meeting - Late Breaking Science

    Introduction: Spine Surgery in Octogenarians: Quality improvement and review of 282 patients

    Methods: We gathered a total of 6,988 surgical case records, of these 282 patients over 80 years of age were separated into an ‘octogenarian’ cohort for retrospective analysis. Pre surgery factors, post-surgery complications, length of stay were all analyzed with various methods of analysis including using either Chi-square or Fisher’s exact tests, Logistic regression , and Wilcoxon Rank Sum

    Results: Preoperative factors differed strongly between the octogenarian and control groups. CHF (1.4% to 5%), cardiac arrhythmias (5.3% to 15.6%) and osteoporosis (6.6% to 18.1%) were all more common among octogenarians while obesity (10.4% to 4.6%) was more common among the controls. In the logistic regression analysis, the pre-operative presence of cardiac arrhythmias and osteoporosis were highly significant in predicting overall complications, 30-day mortality and long LOS. Obesity was significant in predicting overall complications and 30-day mortality and inpatient class was significant in predicting overall complications

    Conclusions: Being an octogenarian in itself was not significant in any of the models, suggesting that the gathered pre-operative factors may be sufficient to explain the variability in overall outcomes

    Patient Care: Better selection, evaluation, and choice of which octogenarians could undergo spine surgery

    Learning Objectives: *Examine the rate of complication and adverse effects in our octogenarian population *Add to sparse literature regarding outcomes of octogenarians undergoing spine surgery *Provide data to clinicians regarding outcome to help weigh risk and benefits of surgery in this population

    References:

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