Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/145613
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dc.contributor.authorTan, Joshua Yuan-Wangen_US
dc.contributor.authorKaliya-Perumal, Arun-Kumaren_US
dc.contributor.authorOh, Jacob Yoong-Leongen_US
dc.date.accessioned2020-12-30T03:11:05Z-
dc.date.available2020-12-30T03:11:05Z-
dc.date.issued2019-
dc.identifier.citationTan, 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.1836336.168en_US
dc.identifier.issn2586-6583en_US
dc.identifier.urihttps://hdl.handle.net/10356/145613-
dc.description.abstractObjective: 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.en_US
dc.language.isoenen_US
dc.relation.ispartofNeurospineen_US
dc.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.en_US
dc.subjectScience::Medicineen_US
dc.titleIs spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian populationen_US
dc.typeJournal Articleen
dc.contributor.schoolLee Kong Chian School of Medicine (LKCMedicine)en_US
dc.identifier.doi10.14245/ns.1836336.168-
dc.description.versionPublished versionen_US
dc.identifier.pmid31284337-
dc.identifier.issue4en_US
dc.identifier.volume16en_US
dc.identifier.spage764en_US
dc.identifier.epage769en_US
dc.subject.keywords80 and Over Ageden_US
dc.subject.keywordsMorbidityen_US
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