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Smoking Is an Independent Risk Factor for 90-Day Readmission and Reoperation Following Posterior Cervical
Ryan K Badiee1,2, Andrew K Chan1, Joshua Rivera1
1Department of Neurological Surgery, University of California, San Francisco, California.
Neurosurgery
|February 12, 2021
Summary
Smoking significantly increases the risk of readmission and reoperation after posterior cervical decompression and fusion (PCF) surgery. Preoperative smoking cessation is recommended to reduce these 90-day complications.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spine Surgery
Background:
- Posterior cervical decompression and fusion (PCF) is a common surgical procedure for cervical spine conditions.
- Ninety-day outcomes following PCF surgery are not fully understood, necessitating further investigation into associated risk factors.
Purpose of the Study:
- To identify risk factors for 90-day readmission and reoperation after PCF surgery.
- To evaluate the impact of patient and surgical characteristics on short-term outcomes.
Main Methods:
- Retrospective review of 259 adult patients undergoing PCF between 2012 and 2020.
- Collection of demographic, radiographic, and surgical data.
- Statistical analysis including univariate tests and multivariable logistic regression with lasso penalty.
Main Results:
- The 90-day readmission rate was 9.3% and reoperation rate was 4.6%.
- Surgical site infection (SSI) was the most common reason for both readmission and reoperation.
- Tobacco smoking was a significant independent risk factor for both 90-day readmission (OR: 3.48) and reoperation (OR: 3.53).
Conclusions:
- Smoking is a critical predictor of adverse 90-day outcomes after PCF surgery.
- Preoperative smoking cessation interventions are crucial for patients undergoing elective PCF to mitigate readmission and reoperation risks.