Hospital-acquired conditions occur more frequently in elective spine surgery than for other common elective surgical procedures

Daniels AH, Bess S, Line B, et al. Peak Timing for Complications Following Adult Spinal Deformity Surgery. World Neurosurg. Epub ahead of print April 2018. DOI: 10.1016/j.wneu.2018.04.084. Rumalla, 2018, Cervical total disc replacement and anterior cervical discectomy and fusion: reoperation rates, complications, and hospital resource utilization in 72 688 patients in the United States, Neurosurgery, 82, 441, 10.1093/neuros/nyx289 Gerling, 2017, Two-year results of the prospective spine treatment outcomes study: an analysis of complication rates, predictors of their development, and effect on patient derived outcomes at 2 years for surgical management of cervical spondylotic myelopathy, World Neurosurgery, 10.1016/j.wneu.2017.06.147 Medicare program: changes to the hospital inpatient prospective payment systems and fiscal year 2009 rates; payments for graduate medical education in certain emergency situations; changes to disclosure of physician ownership in hospitals and physician se. Fed Regist 2008;73:48433–9084. Nero, 2012, The financial impact of hospital-acquired conditions, J Health Care Finance, 38, 40 Teufack, 2010, Potential financial impact of restriction in “never event” and periprocedural hospital-acquired condition reimbursement at a tertiary neurosurgical center: a single-institution prospective study, J Neurosurg, 112, 249, 10.3171/2009.7.JNS09753 Kitagawa, 1976, Morphologic changes in the cervical neural foramen due to flexion and extension: in vivo imaging study, Spine (Phila Pa1976), 2004, 2821 Leven, 2015, Risk Factors for Hospital-Acquired Conditions (HAC) and Associated Complications following Anterior Cervical Discectomy and Fusion (ACDF), Spine J, 15, S241, 10.1016/j.spinee.2015.07.361 Yadla, 2015, Identification of complications that have a significant effect on length of stay after spine surgery and predictive value of 90-day readmission rate, J Neurosurg Spine, 23, 807, 10.3171/2015.3.SPINE14318 Stachler, 2010, Preliminary NSQIP results: A tool for quality improvement, Otolaryngol - Head Neck Surg, 143 Varthi, 2016, Perioperative outcomes after cervical laminoplasty versus posterior decompression and fusion: analysis of 779 patients in the ACS-NSQIP database, Clinical Spine Surgery, 10.1097/BSD.0000000000000183 Porter, 2010, What is value in health care?, N Engl J Med, 363, 2477, 10.1056/NEJMp1011024 Kuhns, 2015, Cost and quality of life outcome analysis of postoperative infections after subaxial dorsal cervical fusions, J Neurosurg Spine, 22, 381, 10.3171/2014.10.SPINE14228 Carey, 2011, Excess costs attributable to postoperative complications, Med Care Res Rev, 68, 490, 10.1177/1077558710396378 Parchi, 2015, Postoperative Spine Infections, Orthop Rev (Pavia), 7, 5900, 10.4081/or.2015.5900 Olsen, 2003, Risk factors for surgical site infection in spinal surgery, J Neurosurg, 98, 149 Horan, 1993, Nosocomial infections in surgical patients in the United States, January 1986-June 1992. National Nosocomial Infections Surveillance (NNIS) System, Infect Control Hosp Epidemiol, 14, 73, 10.2307/30147164 Olsen, 2008, Risk factors for surgical site infection following orthopaedic spinal operations, J Bone Joint Surg Am, 90, 62, 10.2106/JBJS.F.01515 Weinstein, 2000, Postoperative spinal wound infection: a review of 2,391 consecutive index procedures, J Spinal Disord, 13, 422, 10.1097/00002517-200010000-00009 Kim, 2011, Thromboembolic complications following spine surgery assessed with Spiral CT scans, HSS J, 7, 37, 10.1007/s11420-010-9179-7 Bohl, 1976, Urinary tract infection following posterior lumbar fusion procedures: an American college of surgeons national surgical quality improvement program study, Spine (Phila Pa, 2015, 1785 Chen, 2012, Epidemiology and outcome of major postoperative infections following cardiac surgery: Risk factors and impact of pathogen type, Am J Infect Control, 40, 963, 10.1016/j.ajic.2012.01.012 Crawford, 2017, Complications after cardiac operations: all are not created equal, Ann Thorac Surg, 103, 32, 10.1016/j.athoracsur.2016.10.022 Tevis, 2016, Postoperative complications: looking forward to a safer future, Clin Colon Rectal Surg, 29, 246, 10.1055/s-0036-1584501 Alves, 2005, Postoperative mortality and morbidity in French patients undergoing colorectal surgery: results of a prospective multicenter study, Arch Surg, 140, 278, 10.1001/archsurg.140.3.278 Longo, 2000, Risk factors for morbidity and mortality after colectomy for colon cancer, Dis Colon Rectum, 43, 83, 10.1007/BF02237249