作者
Andrew M Hersh, James Feghali, Bethany Hung, Zach Pennington, Andy Schilling, Albert Antar, Jaimin Patel, Jeff Ehresman, Ethan Cottrill, Daniel Lubelski, Aladine A Elsamadicy, C Rory Goodwin, Sheng-fu Larry Lo, Daniel M Sciubba
发表日期
2021/11/1
期刊
World neurosurgery
卷号
155
页码范围
e218-e228
出版商
Elsevier
简介
Background
In the present study, we identified the risk factors for wound complications, wound infection, and reoperation for wound complications after spine metastasis surgery and deployed the resultant model as a web-based calculator.
Methods
Patients treated at a single comprehensive cancer center during a 7-year period were included. The demographics, pathology, comorbidities, laboratory values, and operative details were collected. Factors with P < 0.15 on univariable regression were entered into multivariable logistic regression to generate predictive models internally validated using 1000 bootstrapped samples.
Results
Of the 330 patients included, 29 (7.6%) had experienced a surgical site infection. The independent predictive factors for wound-related complications were a higher Charlson comorbidity index (CCI; odds ratio [OR], 1.41 per point; P < 0.01), Karnofsky performance scale score ≤70 (OR, 2 …
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AM Hersh, J Feghali, B Hung, Z Pennington, A Schilling… - World neurosurgery, 2021