Incidence and risk factors for pneumonia following anterior cervical decompression and fusion procedures: an ACS-NSQIP study

Abstract Background Context Postoperative pneumonia has important clinical consequences for both patients and the health-care system. Few studies have examined pneumonia following anterior cervical decompression and fusion (ACDF) procedures. Purpose This study aimed to determine the incidence and ri...

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Bibliographic Details
Published in:The spine journal 2016-03, Vol.16 (3), p.335-342
Main Authors: Bohl, Daniel D., MPH, Ahn, Junyoung, BS, Rossi, Vincent J., BS, Tabaraee, Ehsan, MD, Grauer, Jonathan N., MD, Singh, Kern, MD
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adolescent
Adult
Age
Age Factors
Aged
Anterior cervical decompression and fusion
Cervical Vertebrae - surgery
Chronic obstructive pulmonary disease
Comorbidity
Decompression, Surgical - methods
Female
Functional status
Humans
Incidence
Male
Middle Aged
Mortality
Multivariate Analysis
Operative duration
Orthopedics
Pneumonia - epidemiology
Postoperative Complications - epidemiology
Postoperative pneumonia
Pulmonary Disease, Chronic Obstructive - epidemiology
Quality Improvement
Readmission
Regression Analysis
Retrospective Studies
Risk Factors
Spinal Fusion - methods
Young Adult
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Summary:Abstract Background Context Postoperative pneumonia has important clinical consequences for both patients and the health-care system. Few studies have examined pneumonia following anterior cervical decompression and fusion (ACDF) procedures. Purpose This study aimed to determine the incidence and risk factors for development of pneumonia following ACDF procedures. Study Design/Setting A retrospective cohort study of data collected prospectively by the American College of Surgeons National Surgical Quality Improvement Program was carried out. Patient Sample This study comprised 11,353 patients undergoing ACDF procedures during 2011–2013. Outcome Measures The primary outcome was diagnosis of pneumonia in the first 30 postoperative days. Methods Independent risk factors for the development of pneumonia were identified using multivariate regression. Readmission rates were compared between patients who did and did not develop pneumonia using multivariate regression that adjusted for all demographic, comorbidity, and procedural characteristics. Results The incidence of pneumonia was 0.45% (95% confidence interval=0.33%–0.57%). In the multivariate analysis, independent risk factors for the development of pneumonia were greater age (p
ISSN:1529-9430
1878-1632
DOI:10.1016/j.spinee.2015.11.021