Table 2.
Univariable and Multivariable Analysis of 90-Day Outcomes and Overall Revisions Among Matched Cohort of +Posterior Lumbar Fusion +Cystic Fibrosis and +Posterior Lumbar Fusion -Cystic Fibrosis
Factor or Variable | Univariable | Multivariable (+PLF+CF compared with +PLF-CF) | |||
+PLF -CF (1,263) | +PLF +CF (127) | P Value | OR (95% CI) | P Value | |
90-day outcomes | |||||
Any adverse event | 325 (25.7%) | 53 (41.7%) | 0.0002 | 2.1 (1.5-3.2) | 0.0001 |
Pulmonary | 159 (12.6%) | 38 (29.9%) | <0.0001 | 3.1 (2.0-4.8) | <0.0001 |
Pleural effusion | 18 (1.4%) | <11 | 0.0181 | 3.4 (1.2-8.5) | 0.0111 |
Dyspnea | 92 (7.3%) | 25 (19.7%) | <0.0001 | 3.2 (1.9-5.2) | <0.0001 |
Respiratory failure | 38 (3.0%) | <11 | 0.0091 | 2.8 (1.3-5.8) | 0.0061 |
Pneumonia | 32 (2.5%) | <11 | 0.0323 | 2.6 (1.1-5.7) | 0.0200 |
Atelectasis | 50 (4.0%) | <11 | 0.1511 | 1.9 (0.8-3.7) | 0.1010 |
Nonpulmonary | 238 (18.8%) | 31 (24.4%) | 0.1629 | 1.4 (0.9-2.2) | 0.1320 |
VTE | 31 (2.5%) | 12 (9.4%) | <0.0001 | 4.2 (2.0-8.1) | <0.0001 |
AKI | 51 (4.0%) | 11 (8.7%) | 0.0292 | 2.4 (1.1-4.7) | 0.0181 |
Sepsis | 27 (2.1%) | <11 | 0.1287 | 2.3 (0.8-5.4) | 0.0780 |
UTI | 90 (7.1%) | 15 (11.8%) | 0.0839 | 1.8 (0.9-3.1) | 0.0608 |
Transfusion | 30 (2.4%) | <11 | 0.4391 | 1.7 (0.6-4.1) | 0.2994 |
Cardiac event | 15 (1.2%) | <11 | 1.0000 | 1.3 (0.2-4.8) | 0.7235 |
Wound complication | 49 (3.9%) | <11 | 0.5394 | 0.6 (0.1-1.7) | 0.3882 |
Surgical site infection | 45 (3.6%) | <11 | 0.3554 | 0.4 (0.1-1.4) | 0.2501 |
Readmission | 134 (10.6%) | 26 (20.5%) | 0.0015 | 2.2 (1.4-3.5) | 0.0011 |
ED visit | 235 (18.6%) | 40 (31.5%) | 0.0008 | 2.1 (1.4-3.2) | 0.0004 |
Subsequent lumbar surgery (4-yr) | 68 (9.5%) | 15 (13.3%) | 0.2849 | 1.4 (0.8-2.6) | 0.2417 |
AKI = acute kidney injury, CF = cystic fibrosis, CI = confidence interval, ECL = Elixhauser comorbidity index, ED = emergency department, PLF = posterior lumbar fusion, OR = odds ratio, UTI = urinary tract infection, VTE = venous thromboembolism
Odds ratios represent the odds of 90-day outcomes and any revision surgery among patients who are +PLF+CF compared with +PLF-CF patients.
Bold values indicate the statistical significance set at P < 0.05.