Risk factors for predicting increased surgical drain output in patients after anterior cervical corpectomy and fusion
Abstract Background Although measures to reduce and treat the postoperative surgical drain output are discussed, along with the increased interest in causative factors related to the prevention and treatment reported by many studies, these are still controversial. Methods A retrospective study was c...
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-017-0698-5 |
| _version_ | 1811184752348102656 |
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| author | Jinqian Liang Jianhua Hu Chong Chen Hao Yin Fangliang Dong |
| author_facet | Jinqian Liang Jianhua Hu Chong Chen Hao Yin Fangliang Dong |
| author_sort | Jinqian Liang |
| collection | DOAJ |
| description | Abstract Background Although measures to reduce and treat the postoperative surgical drain output are discussed, along with the increased interest in causative factors related to the prevention and treatment reported by many studies, these are still controversial. Methods A retrospective study was conducted on a consecutive series of 217 patients who had underwent ACCF between January 2016 and March 2017. Patients were categorized based on normal or increased total drain output. These two groups were compared for demographic distribution and clinical data to investigate the predictive factors of increased drain output by multivariate analysis. Results The overall incidence rate of increased drain output after ACCF was 16.6%. There are no significant differences in sex, BMI, history of taking aspirin, and ASA classification between the two groups (P > 0.05). Of the patients with increased drain output, a significantly higher proportion of patients have OPLL in the surgical level, 18 (50.0%) versus 33 (18.2%) (P = 0.000). The mean age was 60.67 ± 8.18 years versus 54.41 ± 10.05 years (P = 0.001). Number of discs involved was 2.42 ± 0.50 versus 2.02 ± 0.65 (P = 0.001). Operation time was 112.22 ± 16.49 min versus 105.21 ± 17.89 min (P = 0.031). Intraoperative blood loss was 109.86 ± 62.02 mL versus 87.83 ± 56.40 mL (P = 0.036). Logistic regression analysis showed that age (OR, 1.075; p = 0.003), history of smoking (OR, 2.792; p = 0.021), OPLL in surgical level (OR, 2.107; p = 0.001), and number of discs involved (OR, 2.764; p = 0.003) maintained its significance in predicting likelihood of increased surgical drain output. Conclusions The occurrence of increased drain output after ACCF is most likely multifactorial and is related to age, history of smoking, OPLL in surgical level, and number of discs involved. |
| first_indexed | 2024-04-11T13:17:44Z |
| format | Article |
| id | doaj.art-13fa0b82785840d190dcea8f3ae44011 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T13:17:44Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-13fa0b82785840d190dcea8f3ae440112022-12-22T04:22:20ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2017-12-011211610.1186/s13018-017-0698-5Risk factors for predicting increased surgical drain output in patients after anterior cervical corpectomy and fusionJinqian Liang0Jianhua Hu1Chong Chen2Hao Yin3Fangliang Dong4Department of Orthorpaedic Surgery, Peking Union Medical College HospitalDepartment of Orthorpaedic Surgery, Peking Union Medical College HospitalDepartment of Orthorpaedic Surgery, Peking Union Medical College HospitalDepartment of Spine Union, Hunan Provincial People’s HospitalDepartment of Spine Union, Puyang Anyang Area HospitalAbstract Background Although measures to reduce and treat the postoperative surgical drain output are discussed, along with the increased interest in causative factors related to the prevention and treatment reported by many studies, these are still controversial. Methods A retrospective study was conducted on a consecutive series of 217 patients who had underwent ACCF between January 2016 and March 2017. Patients were categorized based on normal or increased total drain output. These two groups were compared for demographic distribution and clinical data to investigate the predictive factors of increased drain output by multivariate analysis. Results The overall incidence rate of increased drain output after ACCF was 16.6%. There are no significant differences in sex, BMI, history of taking aspirin, and ASA classification between the two groups (P > 0.05). Of the patients with increased drain output, a significantly higher proportion of patients have OPLL in the surgical level, 18 (50.0%) versus 33 (18.2%) (P = 0.000). The mean age was 60.67 ± 8.18 years versus 54.41 ± 10.05 years (P = 0.001). Number of discs involved was 2.42 ± 0.50 versus 2.02 ± 0.65 (P = 0.001). Operation time was 112.22 ± 16.49 min versus 105.21 ± 17.89 min (P = 0.031). Intraoperative blood loss was 109.86 ± 62.02 mL versus 87.83 ± 56.40 mL (P = 0.036). Logistic regression analysis showed that age (OR, 1.075; p = 0.003), history of smoking (OR, 2.792; p = 0.021), OPLL in surgical level (OR, 2.107; p = 0.001), and number of discs involved (OR, 2.764; p = 0.003) maintained its significance in predicting likelihood of increased surgical drain output. Conclusions The occurrence of increased drain output after ACCF is most likely multifactorial and is related to age, history of smoking, OPLL in surgical level, and number of discs involved.http://link.springer.com/article/10.1186/s13018-017-0698-5Anterior cervical corpectomy and fusionRetrospective studyRisk factorsSurgical drain output |
| spellingShingle | Jinqian Liang Jianhua Hu Chong Chen Hao Yin Fangliang Dong Risk factors for predicting increased surgical drain output in patients after anterior cervical corpectomy and fusion Journal of Orthopaedic Surgery and Research Anterior cervical corpectomy and fusion Retrospective study Risk factors Surgical drain output |
| title | Risk factors for predicting increased surgical drain output in patients after anterior cervical corpectomy and fusion |
| title_full | Risk factors for predicting increased surgical drain output in patients after anterior cervical corpectomy and fusion |
| title_fullStr | Risk factors for predicting increased surgical drain output in patients after anterior cervical corpectomy and fusion |
| title_full_unstemmed | Risk factors for predicting increased surgical drain output in patients after anterior cervical corpectomy and fusion |
| title_short | Risk factors for predicting increased surgical drain output in patients after anterior cervical corpectomy and fusion |
| title_sort | risk factors for predicting increased surgical drain output in patients after anterior cervical corpectomy and fusion |
| topic | Anterior cervical corpectomy and fusion Retrospective study Risk factors Surgical drain output |
| url | http://link.springer.com/article/10.1186/s13018-017-0698-5 |
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