National inpatient complications and outcomes after surgery for spinal metastasis from 1993–2002

摘要: BACKGROUND. Information regarding patient outcomes, complications, and mortality after surgery for spinal metastasis has previously been derived from single-institution series. The aim of this study was to report inpatient mortality, outcomes on a national level. METHODS. The National Inpatient Sample (NIS) utilized identify 26,233 admissions surgically managed in the U.S. 1993 through 2002. Multivariate analysis performed analyze effects hospital characteristics such as discharge disposition, length stay. RESULTS. The in-hospital rate 5.6% complication 21.9%. Pulmonary (6.7%) postoperative hemorrhages or hematomas (5.9%) were most common complications reported. A single increased mean stay (LOS) by 7 days 11%. showed that more likely older patients with 2 comorbidities. With having no comorbidities reference group, 1 comorbidity risk death almost 4-fold. Mortality significantly higher men, who had operated earlier (1993–1997) year group. CONCLUSIONS. A perspective is provided significant negative effect resource utilization demonstrated. Furthermore, preoperative identified an important factor its impact defined outcomes. Cancer 2007. © 2007 American Society.