Table 3. 30-day post-operative outcomes and operative details for patients undergoing release of tethered cord.
Outcomes | Males (N=1,768) | Females (N=1,914) | P value | Total (N=3,682) |
---|---|---|---|---|
Readmission | 94 (5.3) | 122 (6.4) | 0.1726 | 216 (5.9) |
Reoperation | 44 (2.5) | 57 (3.0) | 0.3637 | 101 (2.7) |
Death in 30 days | 1 (0.1) | 0 | 0.4802 | 1 (<0.1) |
Use of operating microscope | 492 (27.8) | 513 (26.8) | 0.4852 | 1005 (27.3) |
Mean length of operation in minutes (±SD) | 100.5 (±78.3) | 102.4 (±74.7) | 0.4585 | 101.5 (±76.4) |
Mean days from operation to discharge (±SD) | 2.6 (±2.1) | 2.8 (±3.2) | 0.0110 | 2.7 (±2.7) |
Any complication | 118 (6.7) | 180 (9.4) | 0.0024 | 298 (8.1) |
Surgical site infections | ||||
Superficial incisional SSI | 29 (1.6) | 50 (2.6) | 0.0420 | 79 (2.1) |
Deep incisional SSI | 12 (0.7) | 10 (0.5) | 0.5387 | 22 (0.6) |
Organ/space SSI | 5 (0.3) | 2 (0.1) | 0.2715 | 7 (0.2) |
Wound disruption | ||||
Superficial wound disruption/dehiscence* | 48 (3.1) | 66 (4.0) | 0.1771 | 114 (3.1) |
Deep wound disruption | 21 (1.2) | 30 (1.6) | 0.3248 | 51 (1.4) |
Respiratory | ||||
Unplanned intubation | 2 (0.1) | 2 (0.1) | 1.0000 | 4 (0.1) |
Pneumonia | 2 (0.1) | 1 (0.1) | 0.6106 | 3 (0.1) |
Renal | ||||
Urinary tract infection | 14 (0.8) | 46 (2.4) | 0.0001 | 60 (1.6) |
Progressive renal insufficiency | 1 (0.1) | 0 | 0.4802 | 1 (<0.1) |
Neurologic | ||||
Seizure | 3 (0.2) | 2 (0.1) | 0.6759 | 5 (0.1) |
CVA/Stroke or Intracranial Hemorrhage | 2 (0.1) | 0 | 0.2305 | 2 (0.1) |
Coma > 24 hours | 1 (0.1) | 0 | 0.4802 | 1 (<0.1) |
Nerve injury | 1 (0.1) | 0 | 0.4802 | 1 (<0.1) |
Cardiovascular and hematologic | ||||
Bleeding requiring transfusion | 5 (0.3) | 8 (0.4) | 0.4897 | 13 (0.4) |
Cardiac arrest requiring CPR | 1 (0.1) | 0 | 0.4802 | 1 (<0.1) |
Vein thrombosis requiring therapy | 1 (0.1) | 1 (0.1) | 1.0000 | 2 (0.1) |
Nonsurgical site infections | ||||
Systemic sepsis | 10 (0.6) | 5 (0.3) | 0.1474 | 15 (0.4) |
C. Difficile infection** | 1 (<0.1) | 2 (0.1) | 0.6242 | 3 (0.2) |
Septic shock*** | 1 (0.1) | 1 (0.1) | 1.0000 | 2 (0.1) |
Central line associated bloodstream infection | 1 (0.1) | 0 | 0.4802 | 1 (<0.1) |
*Of available data n=3,223; **Of available data n=1,777; ***Of available data n=3,223.