Table 4.
Mortality, Major Medical Complications, and Resource Utilization in Propensity Score Matched Groups
| No. (%) | ||||
|---|---|---|---|---|
| Control (n = 9017) |
Augmented (n = 9017) |
HR or OR (95% CI) |
P Value |
|
| Death | ||||
| 30 days | 51 (0.6) | 31 (0.3) | 0.61 (0.39–0.95) | .03 |
| 1 year | 505 (5.6) | 469 (5.2) | 0.92 (0.81–1.04) | .18 |
| Major medical complications | ||||
| 30 days | 947 (10.5) | 860 (9.5) | 0.90 (0.81–0.99) | .03 |
| 1 year | 2709 (30.0) | 2691 (29.8) | 1.00 (0.94–1.06) | .96 |
| Healthcare utilization (1 year) | ||||
| Hospitalizationa | 5023 (55.7) | 5585 (61.9) | 1.31 (1.23–1.39) | <.001 |
| ICU admission | 1187 (13.2) | 1300 (14.4) | 1.11 (1.02–1.21) | .02 |
| SNF discharge | 1901 (21.1) | 2051 (22.8) | 1.10 (1.03–1.19) | .006 |
| Wrist fracture | 191 (2.1) | 169 (1.9) | 0.88 (0.72–1.09) | .24 |
| Hip fracture | 601 (6.7) | 582 (6.5) | 0.97 (0.86–1.09) | .57 |
| No Procedure (30 days) |
Control (n = 2773) |
Pre-Procedureb (n = 2773) |
||
| Major medical complications | 264 (9.5) | 180 (6.5) | 0.66 (0.54–0.80) | <.001 |
Abbreviations: CI, confidence interval; HR, hazard ratio; ICU, Intensive care unit; OR, Odds ratio; SNF, skilled nursing facility.
a
Hospitalizations after vertebral fracture diagnosis and excluding hospitalization at the time of spinal augmentation procedure.
b
Pre-procedure subgroup includes patients from the augmented group who had not yet undergone spinal augmentation at 30 days.