Malnutrition Predicts Infectious and Wound Complications Following Posterior Lumbar Spinal Fusion

STUDY DESIGN.A retrospective review of data collected prospectively by the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). OBJECTIVE.The aim of this study was to investigate the association between preoperative hypoalbuminemia, a marker for malnutrition, and c...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2016-11, Vol.41 (21), p.1693-1699
Main Authors: Bohl, Daniel D, Shen, Mary R, Mayo, Benjamin C, Massel, Dustin H, Long, William W, Modi, Krishna D, Basques, Bryce A, Singh, Kern
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Body Mass Index
Female
Humans
Hypoalbuminemia - complications
Length of Stay
Lumbar Vertebrae - surgery
Male
Malnutrition - complications
Middle Aged
Patient Readmission
Postoperative Complications
Retrospective Studies
Risk Factors
Spinal Fusion - adverse effects
Spinal Fusion - methods
Surgical Wound Infection - etiology
Treatment Outcome
Young Adult
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Summary:STUDY DESIGN.A retrospective review of data collected prospectively by the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). OBJECTIVE.The aim of this study was to investigate the association between preoperative hypoalbuminemia, a marker for malnutrition, and complications during the 30 days following posterior lumbar fusion surgery. SUMMARY OF BACKGROUND DATA.Malnutrition is a potentially modifiable risk factor that may contribute to complications following spinal surgery. Although prior studies have identified associations between malnutrition, delayed wound healing, and surgical site infection (SSI), the evidence for such a relationship within spine surgery is mixed. METHODS.Patients who underwent posterior lumbar spinal fusion of one to three levels as part of the ACS-NSQIP were identified. Patients without preoperative serum albumin concentration were excluded. Outcomes were compared between patients with and without hypoalbuminemia (defined as serum albumin concentration
ISSN:0362-2436
1528-1159
DOI:10.1097/BRS.0000000000001591