Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/145613
Title: Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population
Authors: Tan, Joshua Yuan-Wang
Kaliya-Perumal, Arun-Kumar
Oh, Jacob Yoong-Leong
Keywords: Science::Medicine
Issue Date: 2019
Source: Tan, J. Y.-W., Kaliya-Perumal, A.-K., & Oh, J. Y.-L. (2019). Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population. Neurospine, 16(4), 764-769. doi:10.14245/ns.1836336.168
Journal: Neurospine
Abstract: Objective: We aimed to determine the 2-year mortality and morbidity rates following spine surgery in elderly patients (age ≥80 years) and to study the associated risk factors. Methods: The records of patients ≥80 years of age who underwent spine surgery during the years 2003–2015 at Tan Tock Seng Hospital, Singapore were retrospectively reviewed. Information was collected on their demographic characteristics, comorbidities, diagnosis, general and neurological status, type of surgery, and outcomes. The mortality and morbidity rates over a 2-year period were analyzed. Bivariate analyses were carried out to identify factors associated with mortality. Results: We selected 47 patients (mean age, 83.3 years; range, 80–91 years) who were followed up for a mean duration of 27.7 months. The mortality rates at 30 days, 6 months, 1 year, and 2 years following surgery were 2.1%, 8.5%, 10.6%, and 12.8%, respectively. The factors significantly associated with mortality included multiple comorbidities, nondegenerative aetiology, and vertebral fractures. The overall morbidity rate was 48.9%, and 17% of this cohort had major complications. Conclusion: Surgeons should strategize management protocols with due consideration of the mortality and morbidity rates, and be wary of operating on patients with multiple comorbidities, nondegenerative conditions, and vertebral fractures.
URI: https://hdl.handle.net/10356/145613
ISSN: 2586-6583
DOI: 10.14245/ns.1836336.168
Rights: © 2019 the Korean Spinal Neurosurgery Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecom-mons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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