医学
逻辑回归
椎间盘切除术
家庭收入
人口
外科
单变量分析
多元分析
内科学
环境卫生
腰椎
历史
考古
作者
Austin J. Borja,John Connolly,Svetlana Kvint,Donald Detchou,Gregory Glauser,Krista Strouz,Scott D. McClintock,Paul J. Marcotte,Neil R. Malhotra
出处
期刊:Journal of Neurosurgical Sciences
[Edizioni Minerva Medica]
日期:2023-05-01
卷期号:67 (3)
被引量:2
标识
DOI:10.23736/s0390-5616.21.05246-2
摘要
Numerous studies have demonstrated that household income is independently predictive of postsurgical morbidity and mortality, but few studies have elucidated this relationship in a purely spine surgery population. This study aims to correlate household income with adverse events after discectomy for far lateral disc herniation (FLDH).All adult patients (N.=144) who underwent FLDH surgery at a single, multihospital, 1659-bed university health system (2013-2020) were retrospectively analyzed. Univariate logistic regression was used to evaluate the relationship between household income and adverse postsurgical events, including unplanned hospital readmissions, ED visits, and reoperations.Mean age of the population was 61.72±11.55 years. Mean household income was $78,283±26,996; 69 (47.9%) were female; and 126 (87.5%) were non-Hispanic white. Ninety-two patients underwent open and fifty-two underwent endoscopic FLDH surgery. Each additional dollar decrease in household income was significantly associated with increased risk of reoperation of any kind within 90-days, but not 30-days, after the index admission. However, household income did not predict risk of readmission or ED visit within either 30-days or 30-90-days postsurgery.These findings suggest that household income may predict reoperation following FLDH surgery. Additional research is warranted into the relationship between household income and adverse neurosurgical outcomes.
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