Risk factors of cervical surgery related complications in patients older than 80 years

Koji Tamai, Hidetomi Terai, Akinobu Suzuki, Hiroaki Nakamura, Masaomi Yamashita, Yawara Eguchi, Shiro Imagama, Kei Ando, Kazuyoshi Kobayashi, Morio Matsumoto, Ken Ishii, Tomohiro Hikata, Shoji Seki, Masaaki Aramomi, Tetsuhiro Ishikawa, Atsushi Kimura, Hirokazu Inoue, Gen Inoue, Masayuki Miyagi, Wataru SaitoKei Yamada, Michio Hongo, Kenji Endo, Hidekazu Suzuki, Atsushi Nakano, Kazuyuki Watanabe, Junichi Ohya, Hirotaka Chikuda, Yasuchika Aoki, Masayuki Shimizu, Toshimasa Futatsugi, Keijiro Mukaiyama, Masaichi Hasegawa, Katsuhito Kiyasu, Haku Iizuka, Kotaro Nishida, Kenichiro Kakutani, Hideaki Nakajima, Hideki Murakami, Satoru Demura, Satoshi Kato, Katsuhito Yoshioka, Takashi Namikawa, Kei Watanabe, Kazuyoshi Nakanishi, Yukihiro Nakagawa, Mitsunori Yoshimoto, Hiroyasu Fujiwara, Norihiro Nishida, Masataka Sakane, Masashi Yamazaki, Takashi Kaito, Takeo Furuya, Sumihisa Orita, Seiji Ohtori

Research output: Contribution to journalArticle

Abstract

Introduction: With an aging population, the proportion of patients aged !80 years requiring cervical surgery is increasing. Surgeons are concerned with the high incidence of complications in this population, because “age” itself has been reported as a strong risk factor for complications. However, it is still unknown which factors represent higher risk among these elderly patients. Therefore, this study was conducted to identify the risk factors related to surgical complications specific to elderly patients by analyzing the registry data of patients aged !80 years who underwent cervical surgery. Methods: We retrospectively studied multicenter collected registry data using multivariate analysis. Sixty-six patients aged !80 years who underwent cervical surgery and were followed up for more than one year were included in this study. Preoperative patient demographic data, including comorbidities and postoperative complications, were collected from multicenter registry data. Complications were considered as major if they required invasive intervention, caused prolonged morbidity, or resulted in prolongation of hospital stay. Logistic regression analysis was performed to analyze the risk factors for complications. A p-value of <0.05 was considered as statistically significant. Results: The total number of patients with complications was 21 (31.8%), with seven major (10.6%) and 14 minor (21.2%) complications. Multivariate logistic regression analysis, after adjusting for age, revealed two significant risk factors: preoperative cerebrovascular disorders (OR, 6.337; p=0.043) for overall complications and cancer history (OR, 8.168; p= 0.021) for major complications. Age, presence of diabetes mellitus, and diagnosis were not significant predictive factors for complications in this study. Conclusions: Preoperative cerebrovascular disorders and cancer history were risk factors for complications after cervical surgery in patients over 80 years old. Surgeons should pay attention to these specific risk factors before performing cervical surgery in elderly patients.

Original languageEnglish
Pages (from-to)179-184
Number of pages6
JournalSpine Surgery and Related Research
Volume1
Issue number4
DOIs
Publication statusPublished - 2017 Jan 1

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Registries
Cerebrovascular Disorders
Logistic Models
Regression Analysis
Population
Comorbidity
Length of Stay
Neoplasms
Diabetes Mellitus
Multivariate Analysis
Demography
Morbidity
Incidence
Surgeons

Keywords

  • Cancer history
  • Cerebrovascular disorders
  • Cervical surgery
  • Comorbidity
  • Complications
  • Elderly
  • Risk factor

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Tamai, K., Terai, H., Suzuki, A., Nakamura, H., Yamashita, M., Eguchi, Y., ... Ohtori, S. (2017). Risk factors of cervical surgery related complications in patients older than 80 years. Spine Surgery and Related Research, 1(4), 179-184. https://doi.org/10.22603/ssrr.1.2017-0002

Risk factors of cervical surgery related complications in patients older than 80 years. / Tamai, Koji; Terai, Hidetomi; Suzuki, Akinobu; Nakamura, Hiroaki; Yamashita, Masaomi; Eguchi, Yawara; Imagama, Shiro; Ando, Kei; Kobayashi, Kazuyoshi; Matsumoto, Morio; Ishii, Ken; Hikata, Tomohiro; Seki, Shoji; Aramomi, Masaaki; Ishikawa, Tetsuhiro; Kimura, Atsushi; Inoue, Hirokazu; Inoue, Gen; Miyagi, Masayuki; Saito, Wataru; Yamada, Kei; Hongo, Michio; Endo, Kenji; Suzuki, Hidekazu; Nakano, Atsushi; Watanabe, Kazuyuki; Ohya, Junichi; Chikuda, Hirotaka; Aoki, Yasuchika; Shimizu, Masayuki; Futatsugi, Toshimasa; Mukaiyama, Keijiro; Hasegawa, Masaichi; Kiyasu, Katsuhito; Iizuka, Haku; Nishida, Kotaro; Kakutani, Kenichiro; Nakajima, Hideaki; Murakami, Hideki; Demura, Satoru; Kato, Satoshi; Yoshioka, Katsuhito; Namikawa, Takashi; Watanabe, Kei; Nakanishi, Kazuyoshi; Nakagawa, Yukihiro; Yoshimoto, Mitsunori; Fujiwara, Hiroyasu; Nishida, Norihiro; Sakane, Masataka; Yamazaki, Masashi; Kaito, Takashi; Furuya, Takeo; Orita, Sumihisa; Ohtori, Seiji.

In: Spine Surgery and Related Research, Vol. 1, No. 4, 01.01.2017, p. 179-184.

Research output: Contribution to journalArticle

Tamai, K, Terai, H, Suzuki, A, Nakamura, H, Yamashita, M, Eguchi, Y, Imagama, S, Ando, K, Kobayashi, K, Matsumoto, M, Ishii, K, Hikata, T, Seki, S, Aramomi, M, Ishikawa, T, Kimura, A, Inoue, H, Inoue, G, Miyagi, M, Saito, W, Yamada, K, Hongo, M, Endo, K, Suzuki, H, Nakano, A, Watanabe, K, Ohya, J, Chikuda, H, Aoki, Y, Shimizu, M, Futatsugi, T, Mukaiyama, K, Hasegawa, M, Kiyasu, K, Iizuka, H, Nishida, K, Kakutani, K, Nakajima, H, Murakami, H, Demura, S, Kato, S, Yoshioka, K, Namikawa, T, Watanabe, K, Nakanishi, K, Nakagawa, Y, Yoshimoto, M, Fujiwara, H, Nishida, N, Sakane, M, Yamazaki, M, Kaito, T, Furuya, T, Orita, S & Ohtori, S 2017, 'Risk factors of cervical surgery related complications in patients older than 80 years', Spine Surgery and Related Research, vol. 1, no. 4, pp. 179-184. https://doi.org/10.22603/ssrr.1.2017-0002
Tamai, Koji ; Terai, Hidetomi ; Suzuki, Akinobu ; Nakamura, Hiroaki ; Yamashita, Masaomi ; Eguchi, Yawara ; Imagama, Shiro ; Ando, Kei ; Kobayashi, Kazuyoshi ; Matsumoto, Morio ; Ishii, Ken ; Hikata, Tomohiro ; Seki, Shoji ; Aramomi, Masaaki ; Ishikawa, Tetsuhiro ; Kimura, Atsushi ; Inoue, Hirokazu ; Inoue, Gen ; Miyagi, Masayuki ; Saito, Wataru ; Yamada, Kei ; Hongo, Michio ; Endo, Kenji ; Suzuki, Hidekazu ; Nakano, Atsushi ; Watanabe, Kazuyuki ; Ohya, Junichi ; Chikuda, Hirotaka ; Aoki, Yasuchika ; Shimizu, Masayuki ; Futatsugi, Toshimasa ; Mukaiyama, Keijiro ; Hasegawa, Masaichi ; Kiyasu, Katsuhito ; Iizuka, Haku ; Nishida, Kotaro ; Kakutani, Kenichiro ; Nakajima, Hideaki ; Murakami, Hideki ; Demura, Satoru ; Kato, Satoshi ; Yoshioka, Katsuhito ; Namikawa, Takashi ; Watanabe, Kei ; Nakanishi, Kazuyoshi ; Nakagawa, Yukihiro ; Yoshimoto, Mitsunori ; Fujiwara, Hiroyasu ; Nishida, Norihiro ; Sakane, Masataka ; Yamazaki, Masashi ; Kaito, Takashi ; Furuya, Takeo ; Orita, Sumihisa ; Ohtori, Seiji. / Risk factors of cervical surgery related complications in patients older than 80 years. In: Spine Surgery and Related Research. 2017 ; Vol. 1, No. 4. pp. 179-184.
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abstract = "Introduction: With an aging population, the proportion of patients aged !80 years requiring cervical surgery is increasing. Surgeons are concerned with the high incidence of complications in this population, because “age” itself has been reported as a strong risk factor for complications. However, it is still unknown which factors represent higher risk among these elderly patients. Therefore, this study was conducted to identify the risk factors related to surgical complications specific to elderly patients by analyzing the registry data of patients aged !80 years who underwent cervical surgery. Methods: We retrospectively studied multicenter collected registry data using multivariate analysis. Sixty-six patients aged !80 years who underwent cervical surgery and were followed up for more than one year were included in this study. Preoperative patient demographic data, including comorbidities and postoperative complications, were collected from multicenter registry data. Complications were considered as major if they required invasive intervention, caused prolonged morbidity, or resulted in prolongation of hospital stay. Logistic regression analysis was performed to analyze the risk factors for complications. A p-value of <0.05 was considered as statistically significant. Results: The total number of patients with complications was 21 (31.8{\%}), with seven major (10.6{\%}) and 14 minor (21.2{\%}) complications. Multivariate logistic regression analysis, after adjusting for age, revealed two significant risk factors: preoperative cerebrovascular disorders (OR, 6.337; p=0.043) for overall complications and cancer history (OR, 8.168; p= 0.021) for major complications. Age, presence of diabetes mellitus, and diagnosis were not significant predictive factors for complications in this study. Conclusions: Preoperative cerebrovascular disorders and cancer history were risk factors for complications after cervical surgery in patients over 80 years old. Surgeons should pay attention to these specific risk factors before performing cervical surgery in elderly patients.",
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author = "Koji Tamai and Hidetomi Terai and Akinobu Suzuki and Hiroaki Nakamura and Masaomi Yamashita and Yawara Eguchi and Shiro Imagama and Kei Ando and Kazuyoshi Kobayashi and Morio Matsumoto and Ken Ishii and Tomohiro Hikata and Shoji Seki and Masaaki Aramomi and Tetsuhiro Ishikawa and Atsushi Kimura and Hirokazu Inoue and Gen Inoue and Masayuki Miyagi and Wataru Saito and Kei Yamada and Michio Hongo and Kenji Endo and Hidekazu Suzuki and Atsushi Nakano and Kazuyuki Watanabe and Junichi Ohya and Hirotaka Chikuda and Yasuchika Aoki and Masayuki Shimizu and Toshimasa Futatsugi and Keijiro Mukaiyama and Masaichi Hasegawa and Katsuhito Kiyasu and Haku Iizuka and Kotaro Nishida and Kenichiro Kakutani and Hideaki Nakajima and Hideki Murakami and Satoru Demura and Satoshi Kato and Katsuhito Yoshioka and Takashi Namikawa and Kei Watanabe and Kazuyoshi Nakanishi and Yukihiro Nakagawa and Mitsunori Yoshimoto and Hiroyasu Fujiwara and Norihiro Nishida and Masataka Sakane and Masashi Yamazaki and Takashi Kaito and Takeo Furuya and Sumihisa Orita and Seiji Ohtori",
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TY - JOUR

T1 - Risk factors of cervical surgery related complications in patients older than 80 years

AU - Tamai, Koji

AU - Terai, Hidetomi

AU - Suzuki, Akinobu

AU - Nakamura, Hiroaki

AU - Yamashita, Masaomi

AU - Eguchi, Yawara

AU - Imagama, Shiro

AU - Ando, Kei

AU - Kobayashi, Kazuyoshi

AU - Matsumoto, Morio

AU - Ishii, Ken

AU - Hikata, Tomohiro

AU - Seki, Shoji

AU - Aramomi, Masaaki

AU - Ishikawa, Tetsuhiro

AU - Kimura, Atsushi

AU - Inoue, Hirokazu

AU - Inoue, Gen

AU - Miyagi, Masayuki

AU - Saito, Wataru

AU - Yamada, Kei

AU - Hongo, Michio

AU - Endo, Kenji

AU - Suzuki, Hidekazu

AU - Nakano, Atsushi

AU - Watanabe, Kazuyuki

AU - Ohya, Junichi

AU - Chikuda, Hirotaka

AU - Aoki, Yasuchika

AU - Shimizu, Masayuki

AU - Futatsugi, Toshimasa

AU - Mukaiyama, Keijiro

AU - Hasegawa, Masaichi

AU - Kiyasu, Katsuhito

AU - Iizuka, Haku

AU - Nishida, Kotaro

AU - Kakutani, Kenichiro

AU - Nakajima, Hideaki

AU - Murakami, Hideki

AU - Demura, Satoru

AU - Kato, Satoshi

AU - Yoshioka, Katsuhito

AU - Namikawa, Takashi

AU - Watanabe, Kei

AU - Nakanishi, Kazuyoshi

AU - Nakagawa, Yukihiro

AU - Yoshimoto, Mitsunori

AU - Fujiwara, Hiroyasu

AU - Nishida, Norihiro

AU - Sakane, Masataka

AU - Yamazaki, Masashi

AU - Kaito, Takashi

AU - Furuya, Takeo

AU - Orita, Sumihisa

AU - Ohtori, Seiji

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Introduction: With an aging population, the proportion of patients aged !80 years requiring cervical surgery is increasing. Surgeons are concerned with the high incidence of complications in this population, because “age” itself has been reported as a strong risk factor for complications. However, it is still unknown which factors represent higher risk among these elderly patients. Therefore, this study was conducted to identify the risk factors related to surgical complications specific to elderly patients by analyzing the registry data of patients aged !80 years who underwent cervical surgery. Methods: We retrospectively studied multicenter collected registry data using multivariate analysis. Sixty-six patients aged !80 years who underwent cervical surgery and were followed up for more than one year were included in this study. Preoperative patient demographic data, including comorbidities and postoperative complications, were collected from multicenter registry data. Complications were considered as major if they required invasive intervention, caused prolonged morbidity, or resulted in prolongation of hospital stay. Logistic regression analysis was performed to analyze the risk factors for complications. A p-value of <0.05 was considered as statistically significant. Results: The total number of patients with complications was 21 (31.8%), with seven major (10.6%) and 14 minor (21.2%) complications. Multivariate logistic regression analysis, after adjusting for age, revealed two significant risk factors: preoperative cerebrovascular disorders (OR, 6.337; p=0.043) for overall complications and cancer history (OR, 8.168; p= 0.021) for major complications. Age, presence of diabetes mellitus, and diagnosis were not significant predictive factors for complications in this study. Conclusions: Preoperative cerebrovascular disorders and cancer history were risk factors for complications after cervical surgery in patients over 80 years old. Surgeons should pay attention to these specific risk factors before performing cervical surgery in elderly patients.

AB - Introduction: With an aging population, the proportion of patients aged !80 years requiring cervical surgery is increasing. Surgeons are concerned with the high incidence of complications in this population, because “age” itself has been reported as a strong risk factor for complications. However, it is still unknown which factors represent higher risk among these elderly patients. Therefore, this study was conducted to identify the risk factors related to surgical complications specific to elderly patients by analyzing the registry data of patients aged !80 years who underwent cervical surgery. Methods: We retrospectively studied multicenter collected registry data using multivariate analysis. Sixty-six patients aged !80 years who underwent cervical surgery and were followed up for more than one year were included in this study. Preoperative patient demographic data, including comorbidities and postoperative complications, were collected from multicenter registry data. Complications were considered as major if they required invasive intervention, caused prolonged morbidity, or resulted in prolongation of hospital stay. Logistic regression analysis was performed to analyze the risk factors for complications. A p-value of <0.05 was considered as statistically significant. Results: The total number of patients with complications was 21 (31.8%), with seven major (10.6%) and 14 minor (21.2%) complications. Multivariate logistic regression analysis, after adjusting for age, revealed two significant risk factors: preoperative cerebrovascular disorders (OR, 6.337; p=0.043) for overall complications and cancer history (OR, 8.168; p= 0.021) for major complications. Age, presence of diabetes mellitus, and diagnosis were not significant predictive factors for complications in this study. Conclusions: Preoperative cerebrovascular disorders and cancer history were risk factors for complications after cervical surgery in patients over 80 years old. Surgeons should pay attention to these specific risk factors before performing cervical surgery in elderly patients.

KW - Cancer history

KW - Cerebrovascular disorders

KW - Cervical surgery

KW - Comorbidity

KW - Complications

KW - Elderly

KW - Risk factor

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