Table 4.
Multivariate analysis of risk factors and comorbidities for primary posterior lumbar spine fusion surgery
| Multivariate regression: risk factors for in-hospital mortality | |||||
|---|---|---|---|---|---|
| Category | Variable | Odds ratio | 95 % Confidence intervals | P value | |
| Age (reference: 45–46 years) | 0–44 years | 0.30 | 0.19 | 0.48 | <0.0001 |
| 65–74 | 2.50 | 1.87 | 3.33 | <0.0001 | |
| ≥75 | 4.35 | 3.25 | 5.82 | <0.0001 | |
| Gender (reference: female) admission type (reference: elective) | Male | 1.67 | 1.34 | 2.09 | <0.0001 |
| Emergent | 2.11 | 1.45 | 3.08 | 0.0001 | |
| Other | 1.76 | 1.28 | 2.43 | 0.0006 | |
| Comorbidities (reference: absence of disease) | Congestive heart failure | 4.49 | 3.25 | 6.21 | <0.0001 |
| Liver disease | 3.77 | 1.99 | 7.14 | <0.0001 | |
| Neurologic disease | |||||
| Diabetes mellitus | 0.58 | 0.40 | 0.83 | 0.0028 | |
| Coagulopathy | 6.89 | 4.98 | 9.52 | <0.0001 | |
| Neurologic disease | 2.99 | 2.08 | 4.30 | <0.0001 | |
| Renal failure | 2.61 | 1.64 | 4.17 | <0.0001 | |
| Electrolyte and fluid abnormalities | 2.79 | 2.13 | 3.66 | <0.0001 | |
| Electrolyte and fluid abnormalities | 2.79 | 2.12 | 3.66 | <0.0001 | |
| Diagnosis (reference: degenerative disc disease) | Spinal stenosis | 1.07 | 0.765 | 1.50 | 0.6841 |
| Scoliosis | 4.07 | 2.29 | 7.24 | <0.0001 | |
| Spondylolisthesis | 1.54 | 0.97 | 2.43 | 0.0671 | |
| Trauma | 4.77 | 2.96 | 7.68 | <0.0001 | |
| Oncologic | 6.38 | 3.50 | 11.64 | <0.0001 | |
| Multiple Diagnosis | 0.68 | 0.50 | 0.91 | 0.0096 | |
| Other | 1.65 | 1.05 | 2.59 | 0.0308 | |