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Cardiac risk stratification and adverse outcomes in surgically managed patients with isolated traumatic spine injuries.
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- Author(s): Mohammad Ismail, Ahmad; Forssten, Maximilian Peter; Hildebrand, Frank; Sarani, Babak; Ioannidis, Ioannis; Cao, Yang; Ribeiro Jr., Marcelo A. F.; Mohseni, Shahin
- Source:
European Journal of Trauma & Emergency Surgery; Apr2024, Vol. 50 Issue 2, p523-530, 8p- Subject Terms:
- Source:
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- Abstract: Introduction: As the incidence of traumatic spine injuries has been steadily increasing, especially in the elderly, the ability to categorize patients based on their underlying risk for the adverse outcomes could be of great value in clinical decision making. This study aimed to investigate the association between the Revised Cardiac Risk Index (RCRI) and adverse outcomes in patients who have undergone surgery for traumatic spine injuries. Methods: All adult patients (18 years or older) in the 2013–2019 TQIP database with isolated spine injuries resulting from blunt force trauma, who underwent spinal surgery, were eligible for inclusion in the study. The association between the RCRI and in-hospital mortality, cardiopulmonary complications, and failure-to-rescue (FTR) was determined using Poisson regression models with robust standard errors to adjust for potential confounding. Results: A total of 39,391 patients were included for further analysis. In the regression model, an RCRI ≥ 3 was associated with a threefold risk of in-hospital mortality [adjusted IRR (95% CI): 3.19 (2.30–4.43), p < 0.001] and cardiopulmonary complications [adjusted IRR (95% CI): 3.27 (2.46–4.34), p < 0.001], as well as a fourfold risk of FTR [adjusted IRR (95% CI): 4.27 (2.59–7.02), p < 0.001], compared to RCRI 0. The risk of all adverse outcomes increased stepwise along with each RCRI score. Conclusion: The RCRI may be a useful tool for identifying patients with traumatic spine injuries who are at an increased risk of in-hospital mortality, cardiopulmonary complications, and failure-to-rescue after surgery. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of European Journal of Trauma & Emergency Surgery is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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