Perioperative stroke in patients undergoing elective spinal surgery: a retrospective analysis using the Japanese diagnosis procedure combination database

摘要: Although a few studies on perioperative stroke following spinal surgery have been reported, differences in the incidence of among various surgical procedures not determined. The purpose this retrospective analysis was to investigate during hospitalization patients undergoing elective surgery, and examine whether varied according procedure. A data from Diagnosis Procedure Combination database, nationwide administrative impatient database Japan, identified 167,106 who underwent 2007–2012. Patient information extracted included age, sex, preoperative comorbidity, administration blood transfusion, length hospitalization, type hospital. Clinical outcomes in-hospital death. overall 0.22 % (371/167,106) hospitalization. logistic regression model fitted with generalized estimating equation showed associated advanced history cardiac disease, an academic institution, resection tumor. Patients cord tumor (reference) had higher risk compared those discectomy (odds ratio (OR), 0.29; 95 % confidence interval (CI), 0.14–0.58; p = 0.001), decompression (OR, 0.44; 95 % CI, 0.26–0.73; or arthrodesis 0.55; 0.34–0.90); p = 0.02). Advanced age (≥80 years; OR, 5.66; 3.10–10.34; p ≤ 0.001), disease 1.58; 1.10–2.26; p = 0.01), diabetes 1.73; 1.36–2.20; hypertension 1.53; 1.18–1.98; cervical spine 1.44; 1.09–1.90; teaching hospital 1.36; 1.01–1.82; p = 0.04), stay 1.008; 1.005–1.010; p ≤ 0.001) were also factors for stroke. Perioperative occurred surgery. Resection increased as well comorbidities at admission, hospital, stay.