Risk factors for surgical complications in the management of ossification of the posterior longitudinal ligament

Background: The purpose of this study was to identify independent risk factors associated with an increased rate of surgical site complications after elective hand surgery. Methods: This study is a retrospective review of all patients who underwent elective hand, wrist, forearm, and elbow surgery over a 10-year period at a single institution. Electronic medical records were reviewed, and information regarding patient demographics, past medical and social history, perioperative laboratory values, procedures performed, and surgical complications was collected. Surgical site complications included surgical site infections, seromas or hematomas, and delayed wound healing or wound dehiscence. A univariate analysis was then performed to identify potential risk factors, which were then included in a multivariate regression analysis. Results: A total of 3261 patients who underwent elective hand surgery and met the above inclusion and exclusion criteria were included in this study. The mean age was 57 years, with 65% female and 35% male patients. The overall surgical complication rate was 2.2%. Univariate analysis of patient factors identified male sex; number of procedures >1; history of drug, alcohol, or smoking use; American Society of Anesthesiologists (ASA) class III and IV; and serum albumin <3.5 mg/dL to be significantly associated with complications. However, multivariate regression analysis identified that only ASA class III and IV (odds ratio = 3.27) was significantly associated with surgical complications. Conclusions: Patients classified as ASA class III or IV were identified to be at a significantly increased risk of complications following elective hand surgery. Health factors which triage patients into these 2 groups may represent potentially modifiable factors to mitigate perioperative risk in the elective hand surgery population.

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Donor-Dependent Risk Factors for Early Surgical Complications After Simultaneous Pancreas–Kidney Transplantation

Transplantation Proceedings ◽

10.1016/j.transproceed.2011.08.072 ◽

2011 ◽

Vol 43 (8) ◽

pp. 3092-3096 ◽

Cited By ~ 11

Author(s):

J. Ziaja ◽

R. Król ◽

J. Pawlicki ◽

M. Heitzman ◽

J. Wilk ◽

...

Keyword(s):

Risk Factors ◽

Kidney Transplantation ◽

Surgical Complications ◽

Pancreas Kidney Transplantation ◽

Simultaneous Pancreas Kidney ◽

Simultaneous Pancreas Kidney Transplantation

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Robotic surgery for endometrial cancer (EC): Identifying risk factors for surgical complications using the Clavien-Dindo classification system

Gynecologic Oncology ◽

10.1016/j.ygyno.2016.04.345 ◽

2016 ◽

Vol 141 ◽

pp. 130-131

Author(s):

A.Y. Abdelbadee ◽

M.A. Bedaiwy ◽

I.H. El-Nashar ◽

H. Saadeldeen ◽

E.R. Othman ◽

...

Keyword(s):

Risk Factors ◽

Endometrial Cancer ◽

Robotic Surgery ◽

Classification System ◽

Surgical Complications

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Which prognostic score for abdominal sepsis? Analysis of final results of PIPAS (Physiological Indicators for Prognosis in Abdominal Sepsis) study in a single center

Journal of Peritoneum (and other serosal surfaces) ◽

10.4081/joper.2018.106 ◽

2018 ◽

Author(s):

Stefano Raimondo ◽

Massimo Sartelli ◽

Federico Coccolini ◽

Paola Fugazzola ◽

Raffaele Bova ◽

...

Keyword(s):

Risk Factors ◽

Multivariate Analysis ◽

Surgical Complications ◽

Prognostic Score ◽

Abdominal Sepsis ◽

Diffuse Peritonitis ◽

Single Center ◽

Oxygen Saturation Level ◽

Icu Admission ◽

Level Of Consciousness

Intra-abdominal infections (cIAIs) constitute an important cause of morbidity and mortality. Numerous risk factors may influence prognosis of cIAIs. This study aims to evaluate which parameters and scores may better predict prognostic outcomes in cIAIs. This is a single-center prospective observational study. Data from sixty-five patients were collected during a four-month period. Univariate and multivariate analysis for physiological parameters and ROC curves for SIRS, qSOFA and WISS scores were calculated in relation to mortality, intensive care unit (ICU) admission and surgical complications. Blood oxygen saturation level (SpO2), heart and respiratory rate, systolic blood pressure (SBP), level of consciousness, INR, C-reactive protein (CRP), white blood cells, source control and health care-acquired infections affect prognosis in cIAIs according to univariate analysis. On multivariate analysis level of consciousness, SpO2, CRP, diffuse peritonitis, INR and SBP significantly influenced prognosis in cIAIs. AUROC for WISS score were 0.89 for mortality, 0.86 for major complications, 0.76 for ICU admission. In our study many risk factors adversely affect prognostic outcomes in cIAIs; PIPAS study probably may provide even better results on that. Moreover, WISS score reached remarkable performance in predicting mortality and major surgical complications in abdominal sepsis; qSOFA did not achieve satisfactory results in none of analyzed outcomes.

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Three-Dimensional Analysis of the Radiological Risk Factors for Progression of the Thoracic Ossification of the Posterior Longitudinal Ligament After Posterior Decompression and Stabilization

World Neurosurgery ◽

10.1016/j.wneu.2019.10.189 ◽

2020 ◽

Vol 134 ◽

pp. e739-e746

Author(s):

Xiaosong Yang ◽

Xiao Liu ◽

Chen Liang ◽

Miao Yu ◽

Xiaoguang Liu ◽

...

Keyword(s):

Risk Factors ◽

Dimensional Analysis ◽

Three Dimensional ◽

Posterior Longitudinal Ligament ◽

Radiological Risk ◽

Posterior Decompression

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Randomized controlled trial of laparoscopic approach to carcinoma of the endometrium (LACE): Prevalence and risk factors for surgical complications

Gynecologic Oncology ◽

10.1016/j.ygyno.2010.12.029 ◽

2011 ◽

Vol 120 ◽

pp. S10 ◽

Cited By ~ 1

Author(s):

S. Kondalsamy-Chennakesavan ◽

M. Janda ◽

V. Gebski ◽

J. Nicklin ◽

T. Jobling ◽

...

Keyword(s):

Risk Factors ◽

Randomized Controlled Trial ◽

Surgical Complications ◽

Controlled Trial ◽

Laparoscopic Approach ◽

Randomized Controlled

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Risk factors for surgical complications after D2 gastrectomy following neoadjuvant chemotherapy for gastric cancer.

Journal of Clinical Oncology ◽

10.1200/jco.2014.32.3_suppl.164 ◽

2014 ◽

Vol 32 (3_suppl) ◽

pp. 164-164

Author(s):

Takaki Yoshikawa ◽

Toru Aoyama ◽

Tsutomu Hayashi ◽

Kazuaki Tanabe ◽

Kazuhiro Nishikawa ◽

...

Keyword(s):

Risk Factors ◽

Gastric Cancer ◽

Risk Factor ◽

Postoperative Complications ◽

Phase Ii ◽

Surgical Complications ◽

Phase Ii Trial ◽

D2 Gastrectomy ◽

Randomized Phase Ii ◽

D2 Surgery

164 Background: The feasibility and safety of D2 surgery following neoadjuvant chemotherapy (NAC) has not yet been fully evaluated in patients with gastric cancer. Moreover, the risk factors for surgical complications after D2 gastrectomy following NAC are also unknown. The aim of the present study was to identify risk factors for postoperative complications after D2 surgery following NAC. Methods: This study was conducted as an exploratory analysis of a prospective randomized phase II trial of NAC. This randomized phase II trial compared two and four courses of neoadjuvant S-1/cisplatin (SC) and paclitaxel/cisplatin (PC) using a two-by-two factorial design for locally advanced gastric cancer. Sample size was set at 60 to 80 to achieve 10% improvement of 3-year OS by four courses or by PC with approximately 80% probability of the correct selection. The surgical complications were assessed and classified according to the Clavien-Dindo classification. The uni- and multivariate logistic regression analyses were performed to identify risk factors for morbidities. Results: Among the 83 patients who were registered in the phase II trial, 69 patients received NAC and D2 gastrectomy. Postoperative complications were identified in 18 patients, and the overall morbidity rate was 26.1%. The results of the univariate and multivariate analyses of various factors potentially affecting the overall surgical morbidity identified a creatinine clearance (CCr) < 60ml/min (P = 0.016) as the sole significant independent risk factor for overall morbidity. The incidence of pancreatic fistula was significantly higher in the patients with a low CCr than in those with a high CCr. Conclusions: A low CCr was found to be a significant risk factor for surgical complications associated with D2 gastrectomy after NAC. Careful attention is therefore required for these patients. Clinical trial information: UMIN000002595.

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