PMID- 38353736
OWN - NLM
STAT- MEDLINE
DCOM- 20240319
LR  - 20240319
IS  - 1432-0932 (Electronic)
IS  - 0940-6719 (Linking)
VI  - 33
IP  - 3
DP  - 2024 Mar
TI  - Factors associated with increased length of stay and risk of complications in 336 
      patients submitted to spine surgery. The role of a validated capture system 
      (SAVES v2) as a first-line tool to properly face the problem.
PG  - 1028-1043
LID - 10.1007/s00586-023-08036-1 [doi]
AB  - PURPOSE: In this study, we analyzed the use of a validated capture system (Spinal 
      Adverse Events Severity system, SAVES V2) as a first non-technical skill to 
      properly face the relevant problem of surgical complications (SCs) and adverse 
      events (AEs) in spinal surgery. METHODS: We retrospectively collected AEs 
      occurring in a tertiary referral center for spine surgery from January 2017 to 
      January 2018 and classified them according to SAVES V2 system. We compared this 
      collection of AEs with a prospective collection performed without any 
      classification system. Univariate and multivariate logistic regression models 
      were used to determined odds ratio (ORs) for selected potential risk factors of 
      AEs and prolonged length of stay. RESULTS: Overall a higher number of AEs was 
      retrospectively recorded using SAVES system compared to the prospective recording 
      without the use of any capture system (97/336 vs 210/336, p < 0.001). The length 
      of stay (LOS) increased in the group of complicated patients for all the 
      procedures examined. In the non-oncological group, LOS was significantly higher 
      for complicated patients compared to uncomplicated patients (F = 44.11, 
      p = 0.0000). Similar results have been obtained in the oncological group of 
      patients. In the multivariate regression model surgical time and postoperative 
      AEs emerged as risk factors for prolonged LOS, while only the presence of 
      previous surgeries was confirmed as risk factor for AEs. CONCLUSION: Considering 
      that the rate of AEs and SCs in spinal surgery is still high despite the 
      improvement of technical skills, we suggest the use of SAVES V2 capture system as 
      a first-line tool to face the problem.
CI  - (c) 2024. The Author(s).
FAU - Falzetti, Luigi
AU  - Falzetti L
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Griffoni, Cristiana
AU  - Griffoni C
AUID- ORCID: 0000-0001-8344-7534
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Carretta, Elisa
AU  - Carretta E
AD  - Department of Programming and Monitoring, IRCCS Istituto Ortopedico Rizzoli, 
      Bologna, Italy.
FAU - Pezzi, Andrea
AU  - Pezzi A
AD  - IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milan, Italy.
FAU - Monetta, Annalisa
AU  - Monetta A
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Cavallari, Carlotta
AU  - Cavallari C
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Ghermandi, Riccardo
AU  - Ghermandi R
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. 
      riccardo.ghermandi@ior.it.
FAU - Tedesco, Giuseppe
AU  - Tedesco G
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Terzi, Silvia
AU  - Terzi S
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Bandiera, Stefano
AU  - Bandiera S
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Evangelisti, Gisberto
AU  - Evangelisti G
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Girolami, Marco
AU  - Girolami M
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Pipola, Valerio
AU  - Pipola V
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Tosini, Giovanni
AU  - Tosini G
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Noli, Luigi Emanuele
AU  - Noli LE
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Gasbarrini, Alessandro
AU  - Gasbarrini A
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Barbanti Brodano, Giovanni
AU  - Barbanti Brodano G
AD  - Department of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
LA  - eng
GR  - grant 5x1000- 2020/Ministero della Salute/
PT  - Journal Article
DEP - 20240214
PL  - Germany
TA  - Eur Spine J
JT  - European spine journal : official publication of the European Spine Society, the 
      European Spinal Deformity Society, and the European Section of the Cervical Spine 
      Research Society
JID - 9301980
SB  - IM
MH  - Humans
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Length of Stay
MH  - *Postoperative Complications/epidemiology/etiology
MH  - *Spine/surgery
OTO - NOTNLM
OT  - Adverse event
OT  - Complication
OT  - Non-technical skill
OT  - Safety
OT  - Spinal surgery
EDAT- 2024/02/14 12:44
MHDA- 2024/03/19 06:44
CRDT- 2024/02/14 11:06
PHST- 2023/05/05 00:00 [received]
PHST- 2023/10/29 00:00 [accepted]
PHST- 2023/10/13 00:00 [revised]
PHST- 2024/03/19 06:44 [medline]
PHST- 2024/02/14 12:44 [pubmed]
PHST- 2024/02/14 11:06 [entrez]
AID - 10.1007/s00586-023-08036-1 [pii]
AID - 10.1007/s00586-023-08036-1 [doi]
PST - ppublish
SO  - Eur Spine J. 2024 Mar;33(3):1028-1043. doi: 10.1007/s00586-023-08036-1. Epub 2024 
      Feb 14.