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Incidence and Risk Factors for Perioperative Cardiovascular Complications in Spine Surgery
Haruthai Chotisukarat1, Phuping Akavipat1, Pathomporn Suchartwatnachai1
1Department of Anesthesiology, Neurological Institute of Thailand, Bangkok, 10400, Thailand.
F1000Research
|April 7, 2022
Summary
The incidence of perioperative cardiovascular complications after spine surgery is 0.6%. Scoliosis surgery and a history of congestive heart failure are significant risk factors requiring close patient monitoring.
Area of Science:
- Cardiology
- Neurosurgery
- Orthopedic Surgery
Background:
- Growing number of patients undergoing spine surgery.
- Associated risk of cardiovascular complications.
- Insufficient evidence on incidence and risk factors.
Purpose of the Study:
- Determine incidence of perioperative cardiovascular complications.
- Identify risk factors for these complications in spine surgery patients.
Main Methods:
- Retrospective study of 1,002 spine surgery patients (Jan 2018 - Dec 2019).
- Data collected from electronic medical records.
- Univariate and multivariate analyses to identify risk factors.
Main Results:
- Six patients (0.6%) experienced cardiac complications.
- Complications included acute myocardial infarction, cardiac arrest, and congestive heart failure.
- Risk factors: scoliosis surgery (OR: 18.61) and history of congestive heart failure (OR: 120.97).
Conclusions:
- Low incidence (0.6%) of perioperative cardiovascular complications in spine surgery.
- Scoliosis surgery and prior congestive heart failure are key risk factors.
- Close monitoring and optimal management are crucial for high-risk patients.
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