Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population

Objective: We aimed to determine the 2-year mortality and morbidity rates following spine surgery in elderly patients (age ≥80 years) and to study the associated risk factors. Methods: The records of patients ≥80 years of age who underwent spine surgery during the years 2003–2015 at Tan Tock Seng Ho...

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Main Authors: Tan, Joshua Yuan-Wang, Kaliya-Perumal, Arun-Kumar, Oh, Jacob Yoong-Leong
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2020
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Online Access:https://hdl.handle.net/10356/145613
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Institution: Nanyang Technological University
Language: English
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spelling sg-ntu-dr.10356-1456132023-03-05T16:47:58Z Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population Tan, Joshua Yuan-Wang Kaliya-Perumal, Arun-Kumar Oh, Jacob Yoong-Leong Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine 80 and Over Aged Morbidity Objective: We aimed to determine the 2-year mortality and morbidity rates following spine surgery in elderly patients (age ≥80 years) and to study the associated risk factors. Methods: The records of patients ≥80 years of age who underwent spine surgery during the years 2003–2015 at Tan Tock Seng Hospital, Singapore were retrospectively reviewed. Information was collected on their demographic characteristics, comorbidities, diagnosis, general and neurological status, type of surgery, and outcomes. The mortality and morbidity rates over a 2-year period were analyzed. Bivariate analyses were carried out to identify factors associated with mortality. Results: We selected 47 patients (mean age, 83.3 years; range, 80–91 years) who were followed up for a mean duration of 27.7 months. The mortality rates at 30 days, 6 months, 1 year, and 2 years following surgery were 2.1%, 8.5%, 10.6%, and 12.8%, respectively. The factors significantly associated with mortality included multiple comorbidities, nondegenerative aetiology, and vertebral fractures. The overall morbidity rate was 48.9%, and 17% of this cohort had major complications. Conclusion: Surgeons should strategize management protocols with due consideration of the mortality and morbidity rates, and be wary of operating on patients with multiple comorbidities, nondegenerative conditions, and vertebral fractures. Published version 2020-12-30T03:11:05Z 2020-12-30T03:11:05Z 2019 Journal Article Tan, J. Y.-W., Kaliya-Perumal, A.-K., & Oh, J. Y.-L. (2019). Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population. Neurospine, 16(4), 764-769. doi:10.14245/ns.1836336.168 2586-6583 https://hdl.handle.net/10356/145613 10.14245/ns.1836336.168 31284337 4 16 764 769 en Neurospine © 2019 the Korean Spinal Neurosurgery Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecom-mons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. application/pdf
institution Nanyang Technological University
building NTU Library
continent Asia
country Singapore
Singapore
content_provider NTU Library
collection DR-NTU
language English
topic Science::Medicine
80 and Over Aged
Morbidity
spellingShingle Science::Medicine
80 and Over Aged
Morbidity
Tan, Joshua Yuan-Wang
Kaliya-Perumal, Arun-Kumar
Oh, Jacob Yoong-Leong
Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population
description Objective: We aimed to determine the 2-year mortality and morbidity rates following spine surgery in elderly patients (age ≥80 years) and to study the associated risk factors. Methods: The records of patients ≥80 years of age who underwent spine surgery during the years 2003–2015 at Tan Tock Seng Hospital, Singapore were retrospectively reviewed. Information was collected on their demographic characteristics, comorbidities, diagnosis, general and neurological status, type of surgery, and outcomes. The mortality and morbidity rates over a 2-year period were analyzed. Bivariate analyses were carried out to identify factors associated with mortality. Results: We selected 47 patients (mean age, 83.3 years; range, 80–91 years) who were followed up for a mean duration of 27.7 months. The mortality rates at 30 days, 6 months, 1 year, and 2 years following surgery were 2.1%, 8.5%, 10.6%, and 12.8%, respectively. The factors significantly associated with mortality included multiple comorbidities, nondegenerative aetiology, and vertebral fractures. The overall morbidity rate was 48.9%, and 17% of this cohort had major complications. Conclusion: Surgeons should strategize management protocols with due consideration of the mortality and morbidity rates, and be wary of operating on patients with multiple comorbidities, nondegenerative conditions, and vertebral fractures.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Tan, Joshua Yuan-Wang
Kaliya-Perumal, Arun-Kumar
Oh, Jacob Yoong-Leong
format Article
author Tan, Joshua Yuan-Wang
Kaliya-Perumal, Arun-Kumar
Oh, Jacob Yoong-Leong
author_sort Tan, Joshua Yuan-Wang
title Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population
title_short Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population
title_full Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population
title_fullStr Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population
title_full_unstemmed Is spinal surgery safe for elderly patients aged 80 and above? Predictors of mortality and morbidity in an Asian population
title_sort is spinal surgery safe for elderly patients aged 80 and above? predictors of mortality and morbidity in an asian population
publishDate 2020
url https://hdl.handle.net/10356/145613
_version_ 1759857091599663104