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• W2893312441 abstract "<h3>ABSTRACT</h3> <h3>Background:</h3> To determine the incidence and risk factors for adverse cardiac events after lumbar spine fusion. <h3>Methods:</h3> A total of 50 495 patients were identified through the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database who underwent lumbar spine fusion between 2005 and 2015. The 30-day postoperative data were analyzed to assess for the incidence of adverse cardiac events including cardiac arrest or myocardial infarction. Of those who experienced an event, patient- and surgery-specific parameters were evaluated to assess for risk factors. <h3>Results:</h3> A total of 240 cardiac events occurred in the studied cohort (4.76 events/1000 patients). Factors that were associated with an increased cardiac risk were age (odds ratio [OR] = 1.039, 95% confidence interval [CI] = 1.03, 1.05, <i>P</i> < .001), male sex (OR = 1.51, 95% CI = 1.17, 1.94, <i>P</i> = .001), insulin-dependent diabetes (OR = 1.83, 95% CI = 1.29, 2.6, <i>P</i> = .001), American Society of Anesthesiologists (ASA) score >3 (OR = 1.92, 95% CI = 1.00, 3.65, <i>P</i> = .048), absolute hematocrit different from 45 (OR = 1.07, 95% CI = 1.04, 1.10, <i>P</i> < .001), and smoking (OR = 1.39, 95% CI = 1.02, 1.90, <i>P</i> = .04). The impact of sustaining a cardiac event in the setting of single-level lumbar fusion is catastrophic as the 30-day postoperative mortality rate for those sustaining an event was 24.6% (59/240 patients), compared to 0.2% (87/50 255) for those not sustaining an event (<i>P</i> < .001). <h3>Conclusions:</h3> Cardiac events after lumbar fusion are a rare but devastating series of complications. Several risk factors were identified, including insulin-dependent diabetes mellitus, smoking, advanced age, male sex, ASA score of >3, and anemia/polycythemia. Considering the severity of these consequences, appropriate risk stratification is imperative, and optimization of modifiable risk factors may mitigate this risk." @default.
• W2893312441 created "2018-10-05" @default.
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• W2893312441 date "2018-09-28" @default.
• W2893312441 modified "2023-10-18" @default.
• W2893312441 title "Risk Factors for Adverse Cardiac Events After Lumbar Spine Fusion" @default.
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• W2893312441 doi "https://doi.org/10.14444/5079" @default.
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