Complications, reoperations, readmissions, and length of hospital stay in 34 639 surgical cases of lumbar disc herniation
dc.contributor.author | Fjeld, Olaf Randall | |
dc.contributor.author | Grøvle, Lars | |
dc.contributor.author | Helgeland, Jon | |
dc.contributor.author | Småstuen, Milada Cvancarova | |
dc.contributor.author | Solberg, Tore | |
dc.contributor.author | Zwart, John-Anker | |
dc.contributor.author | Grotle, Margreth | |
dc.date.accessioned | 2019-04-17T09:34:03Z | |
dc.date.accessioned | 2019-05-24T08:22:56Z | |
dc.date.available | 2019-04-17T09:34:03Z | |
dc.date.available | 2019-05-24T08:22:56Z | |
dc.date.issued | 2019-03-31 | |
dc.identifier.citation | Fjeld OR, Grøvle L, Helgeland J, Småstuen MC, Solberg T, Zwart J, Grotle M. Complications, reoperations, readmissions, and length of hospital stay in 34 639 surgical cases of lumbar disc herniation. The Bone & Joint Journal. 2019;101-B(4):470-477 | en |
dc.identifier.issn | 2049-4394 | |
dc.identifier.issn | 2049-4394 | |
dc.identifier.issn | 2049-4408 | |
dc.identifier.uri | https://hdl.handle.net/10642/7159 | |
dc.description.abstract | Aims The aims of this study were to determine the rates of surgical complications, reoperations, and readmissions following herniated lumbar disc surgery, and to investigate the impact of sociodemographic factors and comorbidity on the rate of such unfavourable events. Patients and Methods This was a longitudinal observation study. Data from herniated lumbar disc operations were retrieved from a large medical database using a combination of procedure and diagnosis codes from all public hospitals in Norway from 1999 to 2013. The impact of age, gender, geographical affiliation, education, civil status, income, and comorbidity on unfavourable events were analyzed by logistic regression. Results Of 34 639 operations, 2.7% (95% confidence interval (CI) 2.6 to 2.9) had a surgical complication, 2.1% (95% CI 2.0 to 2.3) had repeat surgery within 90 days, 2.4% (95% CI 2.2 to 2.5) had a non-surgical readmission within 90 days, and 6.7% (95% CI 6.4 to 6.9) experienced at least one of these unfavourable events. Unfavourable events were found to be associated with advanced age and comorbidity. Conclusion The results suggest that surgical complications are less frequent than previously suggested. There are limited associations between sociodemographic patient characteristics and unfavourable events. | en |
dc.description.sponsorship | Governmental funds from the South-Eastern Norway Regional Health Authority (project number 2013030) were received in support of this work. | en |
dc.language.iso | en | en |
dc.publisher | Bone & Joint Publishing | en |
dc.relation.ispartofseries | The Bone & Joint Journal;Volume 101-B, Issue 4 / April 2019 | |
dc.rights | This is an open-access article distributed under the terms of the Creative Commons Attributions license (CC-BY-NC), which permits unrestricted use, distribution, and reproduction in any medium, but not for commercial gain, provided the original author and source are credited | en |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/legalcode | |
dc.subject | Discectomies | en |
dc.subject | Surgeries | en |
dc.subject | Lumbar disc herniations | en |
dc.subject | Reoperations | en |
dc.subject | Sciatica | en |
dc.subject | Complications | en |
dc.title | Complications, reoperations, readmissions, and length of hospital stay in 34 639 surgical cases of lumbar disc herniation | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2019-04-17T09:34:03Z | |
dc.description.version | publishedVersion | en |
dc.identifier.doi | https://dx.doi.org/10.1302/0301-620X.101B4.BJJ-2018-1184.R1 | |
dc.identifier.cristin | 1693062 | |
dc.source.journal | The Bone & Joint Journal |
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Except where otherwise noted, this item's license is described as This is an open-access article distributed under the terms of the Creative Commons Attributions license (CC-BY-NC), which permits unrestricted use, distribution, and reproduction in any medium, but not for commercial gain, provided the original author and source are credited