Impact of Race on 30-Day Complication Rates After Elective Complex Spinal Fusion (≥5 Levels): A Single Institutional Study of 446 Patients

Aladine A. Elsamadicy, Owoicho Adogwa, Amanda Sergesketter, Cassie Hobbs, Shay Behrens, Ankit I. Mehta, Raul A. Vasquez, Joseph Cheng, Carlos A. Bagley, Isaac O. Karikari

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective Racial disparities have been shown to affect surgical outcomes. However, the effect of race on complex spinal fusion outcomes remains understudied. The aim of this study is to determine if patient race affects 30-day complication rates after elective complex spinal fusion (≥5 levels). Methods The medical records of 490 adult patients with spinal deformity undergoing elective complex spinal fusion (≥5 levels) at a major academic institution from 2005 to 2015 were reviewed. We identified 52 black patients (11.7%) and 438 white patients (88.3%). Patient demographics, comorbidities, and intraoperative and 30-day postoperative complication and readmission rates were collected. The primary outcome investigated in this study was the rate of 30-day postoperative complications. Results Patient demographics and comorbidities were similar between both groups, including age, gender, and body mass index. Median (interquartile range) number of fusion levels and operative time were similar between the cohorts (black, 6.5 [5–9] vs. white, 7 [5–9]; P = 0.55; and black, 307.3 ± 120.2 minutes vs. white, 321.3 ± 135.3 minutes; P = 0.45, respectively). Both cohorts had similar postoperative complications and lengths of hospital stay (black, 7.2 ± 5.4 days vs. white: 6.5 ± 4.9; P = 0.37). There was no significant difference in 30-day readmission between the cohorts (black, 9.6% vs. white, 12.8%; P = 0.66). There were no observed differences in 30-day complication rates, including: pain (P = 0.74), urinary tract infection (P = 0.68), hardware failure (P = 0.36), wound dehiscence (P = 0.29), and drainage (P = 0.86). Conclusions Our study suggests that there is no difference between races in 30-day complication and readmission rates after complex spinal surgery requiring ≥5 levels of fusion.

Original languageEnglish (US)
Pages (from-to)e39
JournalWorld Neurosurgery
Volume99
DOIs
StatePublished - Mar 1 2017

Fingerprint

Spinal Fusion
Comorbidity
Length of Stay
Demography
Operative Time
Urinary Tract Infections
Medical Records
Drainage
Body Mass Index
Age Groups
Pain
Wounds and Injuries

Keywords

  • Postoperative complications
  • Race
  • Spinal fusion
  • Spine

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Impact of Race on 30-Day Complication Rates After Elective Complex Spinal Fusion (≥5 Levels) : A Single Institutional Study of 446 Patients. / Elsamadicy, Aladine A.; Adogwa, Owoicho; Sergesketter, Amanda; Hobbs, Cassie; Behrens, Shay; Mehta, Ankit I.; Vasquez, Raul A.; Cheng, Joseph; Bagley, Carlos A.; Karikari, Isaac O.

In: World Neurosurgery, Vol. 99, 01.03.2017, p. e39.

Research output: Contribution to journalArticle

Elsamadicy, AA, Adogwa, O, Sergesketter, A, Hobbs, C, Behrens, S, Mehta, AI, Vasquez, RA, Cheng, J, Bagley, CA & Karikari, IO 2017, 'Impact of Race on 30-Day Complication Rates After Elective Complex Spinal Fusion (≥5 Levels): A Single Institutional Study of 446 Patients', World Neurosurgery, vol. 99, pp. e39. https://doi.org/10.1016/j.wneu.2016.12.029
Elsamadicy, Aladine A. ; Adogwa, Owoicho ; Sergesketter, Amanda ; Hobbs, Cassie ; Behrens, Shay ; Mehta, Ankit I. ; Vasquez, Raul A. ; Cheng, Joseph ; Bagley, Carlos A. ; Karikari, Isaac O. / Impact of Race on 30-Day Complication Rates After Elective Complex Spinal Fusion (≥5 Levels) : A Single Institutional Study of 446 Patients. In: World Neurosurgery. 2017 ; Vol. 99. pp. e39.
@article{dd8ecad63140414ba0378085b56da004,
title = "Impact of Race on 30-Day Complication Rates After Elective Complex Spinal Fusion (≥5 Levels): A Single Institutional Study of 446 Patients",
abstract = "Objective Racial disparities have been shown to affect surgical outcomes. However, the effect of race on complex spinal fusion outcomes remains understudied. The aim of this study is to determine if patient race affects 30-day complication rates after elective complex spinal fusion (≥5 levels). Methods The medical records of 490 adult patients with spinal deformity undergoing elective complex spinal fusion (≥5 levels) at a major academic institution from 2005 to 2015 were reviewed. We identified 52 black patients (11.7{\%}) and 438 white patients (88.3{\%}). Patient demographics, comorbidities, and intraoperative and 30-day postoperative complication and readmission rates were collected. The primary outcome investigated in this study was the rate of 30-day postoperative complications. Results Patient demographics and comorbidities were similar between both groups, including age, gender, and body mass index. Median (interquartile range) number of fusion levels and operative time were similar between the cohorts (black, 6.5 [5–9] vs. white, 7 [5–9]; P = 0.55; and black, 307.3 ± 120.2 minutes vs. white, 321.3 ± 135.3 minutes; P = 0.45, respectively). Both cohorts had similar postoperative complications and lengths of hospital stay (black, 7.2 ± 5.4 days vs. white: 6.5 ± 4.9; P = 0.37). There was no significant difference in 30-day readmission between the cohorts (black, 9.6{\%} vs. white, 12.8{\%}; P = 0.66). There were no observed differences in 30-day complication rates, including: pain (P = 0.74), urinary tract infection (P = 0.68), hardware failure (P = 0.36), wound dehiscence (P = 0.29), and drainage (P = 0.86). Conclusions Our study suggests that there is no difference between races in 30-day complication and readmission rates after complex spinal surgery requiring ≥5 levels of fusion.",
keywords = "Postoperative complications, Race, Spinal fusion, Spine",
author = "Elsamadicy, {Aladine A.} and Owoicho Adogwa and Amanda Sergesketter and Cassie Hobbs and Shay Behrens and Mehta, {Ankit I.} and Vasquez, {Raul A.} and Joseph Cheng and Bagley, {Carlos A.} and Karikari, {Isaac O.}",
year = "2017",
month = "3",
day = "1",
doi = "10.1016/j.wneu.2016.12.029",
language = "English (US)",
volume = "99",
pages = "e39",
journal = "World Neurosurgery",
issn = "1878-8750",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Impact of Race on 30-Day Complication Rates After Elective Complex Spinal Fusion (≥5 Levels)

T2 - A Single Institutional Study of 446 Patients

AU - Elsamadicy, Aladine A.

AU - Adogwa, Owoicho

AU - Sergesketter, Amanda

AU - Hobbs, Cassie

AU - Behrens, Shay

AU - Mehta, Ankit I.

AU - Vasquez, Raul A.

AU - Cheng, Joseph

AU - Bagley, Carlos A.

AU - Karikari, Isaac O.

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Objective Racial disparities have been shown to affect surgical outcomes. However, the effect of race on complex spinal fusion outcomes remains understudied. The aim of this study is to determine if patient race affects 30-day complication rates after elective complex spinal fusion (≥5 levels). Methods The medical records of 490 adult patients with spinal deformity undergoing elective complex spinal fusion (≥5 levels) at a major academic institution from 2005 to 2015 were reviewed. We identified 52 black patients (11.7%) and 438 white patients (88.3%). Patient demographics, comorbidities, and intraoperative and 30-day postoperative complication and readmission rates were collected. The primary outcome investigated in this study was the rate of 30-day postoperative complications. Results Patient demographics and comorbidities were similar between both groups, including age, gender, and body mass index. Median (interquartile range) number of fusion levels and operative time were similar between the cohorts (black, 6.5 [5–9] vs. white, 7 [5–9]; P = 0.55; and black, 307.3 ± 120.2 minutes vs. white, 321.3 ± 135.3 minutes; P = 0.45, respectively). Both cohorts had similar postoperative complications and lengths of hospital stay (black, 7.2 ± 5.4 days vs. white: 6.5 ± 4.9; P = 0.37). There was no significant difference in 30-day readmission between the cohorts (black, 9.6% vs. white, 12.8%; P = 0.66). There were no observed differences in 30-day complication rates, including: pain (P = 0.74), urinary tract infection (P = 0.68), hardware failure (P = 0.36), wound dehiscence (P = 0.29), and drainage (P = 0.86). Conclusions Our study suggests that there is no difference between races in 30-day complication and readmission rates after complex spinal surgery requiring ≥5 levels of fusion.

AB - Objective Racial disparities have been shown to affect surgical outcomes. However, the effect of race on complex spinal fusion outcomes remains understudied. The aim of this study is to determine if patient race affects 30-day complication rates after elective complex spinal fusion (≥5 levels). Methods The medical records of 490 adult patients with spinal deformity undergoing elective complex spinal fusion (≥5 levels) at a major academic institution from 2005 to 2015 were reviewed. We identified 52 black patients (11.7%) and 438 white patients (88.3%). Patient demographics, comorbidities, and intraoperative and 30-day postoperative complication and readmission rates were collected. The primary outcome investigated in this study was the rate of 30-day postoperative complications. Results Patient demographics and comorbidities were similar between both groups, including age, gender, and body mass index. Median (interquartile range) number of fusion levels and operative time were similar between the cohorts (black, 6.5 [5–9] vs. white, 7 [5–9]; P = 0.55; and black, 307.3 ± 120.2 minutes vs. white, 321.3 ± 135.3 minutes; P = 0.45, respectively). Both cohorts had similar postoperative complications and lengths of hospital stay (black, 7.2 ± 5.4 days vs. white: 6.5 ± 4.9; P = 0.37). There was no significant difference in 30-day readmission between the cohorts (black, 9.6% vs. white, 12.8%; P = 0.66). There were no observed differences in 30-day complication rates, including: pain (P = 0.74), urinary tract infection (P = 0.68), hardware failure (P = 0.36), wound dehiscence (P = 0.29), and drainage (P = 0.86). Conclusions Our study suggests that there is no difference between races in 30-day complication and readmission rates after complex spinal surgery requiring ≥5 levels of fusion.

KW - Postoperative complications

KW - Race

KW - Spinal fusion

KW - Spine

UR - http://www.scopus.com/inward/record.url?scp=85010460357&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85010460357&partnerID=8YFLogxK

U2 - 10.1016/j.wneu.2016.12.029

DO - 10.1016/j.wneu.2016.12.029

M3 - Article

C2 - 28003170

AN - SCOPUS:85010460357

VL - 99

SP - e39

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

ER -