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• W3086572923 abstract "BACKGROUND CONTEXT Complications occur commonly following adult spinal deformity surgery. Length of stay may be influenced by the type of surgical intervention, and/or by postoperative complication and the intervention required to treat that complication. PURPOSE To understand the impact of complications and their intervention severity on the incremental increase in length of stay. STUDY DESIGN/SETTING Retrospective cohort study of prospective ASD database. PATIENT SAMPLE The study included 1418 adult spinal deformity patients. OUTCOME MEASURES Neurologic complications, HRQL scores. METHODS ASD patients (>18yrs, scoliosis ≥20°, SVA ≥5cm, PT ≥25° and/or TK >60°). Complications were classified based on complication type, and intervention severity (grade 0, no intervention, Grade 1 minimal intervention (medication change, etc), Grade 2 moderate (cardioversion, chest tube, etc), grade 3 major intervention (return to OR). RESULTS Of the 1418 patients included, 901 had at least one complication event, with 568 with a complication before discharge. Three hundred and six had an event that required a reoperation and 275 were readmitted for their event. When determining LOS, a baseline was established that was influenced by the type of surgery and placed into three groups based on osteotomy (O) and interbody use (I); Group 1 (n408): 0% O, 75% I, LOS=7.9, Group 2 (n374): 100% O, 0% I, LOS=11.9, Group 3 (n595) 100% O and I, LOS=11.2. Having a complication event prior to discharge led to an increase of 1-4 days for each group (p CONCLUSIONS Length of stay following ASD is predicted by the type of surgical intervention, and postoperative complication profile. Additional days are most predicted by the type of complication and by intervention severity. A weighted intervention score can predict the additional LOS and is useful to help understand the impact of complications. FDA DEVICE/DRUG STATUS This abstract does not discuss or include any applicable devices or drugs." @default.
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• W3086572923 date "2020-09-01" @default.
• W3086572923 modified "2023-10-14" @default.
• W3086572923 title "97. Complications following adult spinal deformity impact length of stay and are driven by intervention severity and can be predicted using a weighted score" @default.
• W3086572923 doi "https://doi.org/10.1016/j.spinee.2020.05.200" @default.
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