Table 1.
Frequency of Complication in Elective ASD Surgery (Total Cases = 5803; 2010-2014).
| Complication | Number | Rate |
|---|---|---|
| Total patients with ≥1 complication | 1843 | 31.8% |
| Mortality | 29 | 0.5% |
| Morbidity (patients with ≥1 complication) | 1814 | 31.3% |
| Total patients with ≥1 wound complication | 140 | 2.4% |
| Superficial SSI | 62 | 1.1% |
| Deep incisional SSI | 49 | 0.8% |
| Organ/space SSI | 17 | 0.3% |
| Wound disruption | 28 | 0.5% |
| Pneumonia | 91 | 1.6% |
| Unplanned intubation | 54 | 0.9% |
| Pulmonary embolism | 59 | 1.0% |
| On ventilator >48 hours | 42 | 0.7% |
| Progressive renal insufficiency | 9 | 0.2% |
| Acute renal failure | 48 | 0.8% |
| Urinary tract infection | 93 | 1.6% |
| Stroke/CVA occurrences | 5 | 0.1% |
| Peripheral nerve injury | 6 | 0.1% |
| Cardiac arrest requiring CPR | 17 | 0.3% |
| Myocardial infarction | 488 | 8.4% |
| Intra-/postoperative blood transfusion | 1568 | 27.0% |
| Graft/prosthesis/flap failure | 5 | 0.1% |
| DVT/PE | 105 | 1.8% |
| Systemic sepsis | 76 | 1.3% |
| Septic shock | 24 | 0.4% |
| Other outcomes | ||
| Unplanned readmissions (2011-2012), N = 5339 | 331 | 6.2% |
| Unplanned reoperations (2011-2014), N = 5339 | 216 | 4.0% |
| Hospital stay (acute care setting) >30 days | 21 | 0.4% |
Abbreviations: ASD, adult spinal deformity; SSI, surgical site infection; CVA, cardiovascular accident; CPR, cardiopulmonary resuscitation; DVT, deep vein thrombosis; PE, pulmonary embolism.