Table 4.
No Significant Complication | ≥1 Significant Complication | ||||
---|---|---|---|---|---|
n | % | n | % | P | |
Age | |||||
≥65 years | 250 | 44.2 | 194 | 68.6 | <.0001 |
Sex | |||||
Male | 239 | 42.2 | 70 | 24.7 | <.0001 |
Female | 327 | 57.8 | 213 | 75.3 | |
Race | |||||
White | 488 | 86.4 | 236 | 83.4 | .6521 |
Black | 37 | 6.6 | 23 | 8.1 | |
Hispanic | 5 | 0.9 | 2 | 0.7 | |
Other | 35 | 6.2 | 22 | 7.8 | |
Medical comorbidities | |||||
Diabetes | 98 | 17.3 | 78 | 27.6 | .0005 |
Smoking | 96 | 17.0 | 31 | 11.0 | .0207 |
Pulmonarya | 84 | 14.8 | 63 | 22.3 | .0071 |
Cardiacb | 367 | 64.8 | 217 | 76.7 | .0004 |
Renalc | 2 | 0.4 | 1 | 0.4 | 1 |
Bleeding disorder | 14 | 2.5 | 14 | 5.0 | .0571 |
Underweight | 0 | 0.0 | 8 | 2.8 | <.0001 |
Obese class III | 30 | 5.3 | 32 | 11.3 | .0015 |
Preoperative condition | |||||
ASA class ≥3 | 369 | 65.3 | 230 | 81.3 | <.0001 |
Dyspnea at rest | 54 | 9.5 | 40 | 14.1 | .0443 |
Independent | 543 | 96.8 | 255 | 90.8 | .0002 |
Poor functional statusd | 18 | 3.2 | 26 | 9.3 | |
Operative variables | |||||
Long fusion ≥4 levels | 178 | 31.5 | 129 | 465.6 | <.0001 |
Short fusion ≤3 levels | 388 | 68.6 | 154 | 54.4 | |
Pelvic fixation | 6 | 1.1 | 7 | 2.5 | .1139 |
Inpatient surgery | 550 | 97.2 | 281 | 99.3 | .0432 |
Outpatient surgery | 16 | 2.8 | 2 | 0.7 | |
Operation in 2011 | 67 | 11.8 | 38 | 13.4 | .897 |
Operation in 2012 | 116 | 20.5 | 54 | 19.1 | |
Operation in 2013 | 175 | 30.9 | 86 | 30.4 | |
Operation in 2014 | 208 | 36.8 | 105 | 37.1 | |
Extended operative time | 150 | 26.5 | 106 | 37.5 | .001 |
Abbreviations: ASA, American Society of Anesthesiologists; PLF, posterior lumbar fusion.
a Pulmonary comorbidity was defined as a history of chronic obstructive pulmonary disease of ventilator dependence within 48 hours prior to surgery.
b Cardiac comorbidity was defined as the use of hypertensive medication or a history of chronic heart failure.
c Renal comorbidity was defined as dialysis treatment within 2 weeks prior to surgery or acute renal failure within 24 hours prior to surgery.
d Poor functional status was defined as partial or total dependence prior to surgery.