Diabetes is predictive of longer hospital stay and increased rate of complications in spinal surgery in the UK

作者：Sharma A^*; Muir R; Johnston R; Carter E; Bowden G; Wilson MacDonald J

来源：Annals of the Royal College of Surgeons of England, 2013, 95(4): 275-279.

DOI：10.1308/003588413X13511609958299

• Diabetes
• Spinal surgery
• Clavien complications
• Length of stay

INTRODUCTION Diabetes is a common co-morbidity of patients undergoing spinal surgery in the UK but there are no published studies from the UK, particularly with respect to length of hospital stay and complications. The aims of this study were to identify complications and length of hospital stay in patients with diabetes undergoing spinal surgery.
METHODS Data were collected retrospectively for 111 consecutive patients with diabetes (and 97 age and sex matched control patients, identified using computer records) who underwent spinal surgery between 2004 and 2010 in a single centre. The data collected included operative time, blood loss, details of surgery, Clavien complications and length of hospital stay.
RESULTS No significant differences were found by group in operative time, blood loss, instrumentation, use of graft or revision surgery. Overall complication rates were higher in the patients with diabetes than in the controls (28.8% vs 15.5%). The mean hospital stay was significantly longer for patients with diabetes than for control patients (4.6 vs 3.2 days, p<0.001).
CONCLUSIONS This study identified a significantly higher Clavien grade I complication rate and length of hospital stay in patients with diabetes undergoing spinal surgery than control patients (p=0.02). This has resulted in a predictive model being generated. Of note, no infections were seen in patients with diabetes, suggesting that infection rates in this particular group of patients undergoing spinal surgery might not be as high as considered previously.

• 出版日期2013-5