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Complications and outcomes of surgery for spinal meningioma: a Nationwide Inpatient Sample analysis from 2003 to 2010.
- Source :
-
Clinical neurology and neurosurgery [Clin Neurol Neurosurg] 2014 Mar; Vol. 118, pp. 65-8. Date of Electronic Publication: 2014 Jan 03. - Publication Year :
- 2014
-
Abstract
- Objective: The aim of the present study was to analyze the practice patterns, complications and outcome following surgery for spinal meningioma in the United States.<br />Patients and Methods: We performed a retrospective cohort study using the Nationwide Inpatient Sample database from 2003 to 2010. In-patient mortality and discharge disposition were the outcome predictors.<br />Results: A total of 13,792 admissions for surgically managed spinal meningioma were identified. The number of admissions increased from 12.6% in 2003 to 14.7% in 2010. 1.2% patients were ≤18 years and 28.4% ≥70 years. 8.3% patients had high co-morbidity score. The total in-hospital complication rate was 6.4%. 42% of the admissions were discharged to facilities other than home or self-care. Patients in the pediatric and adult age groups had a significantly higher rate of adverse outcome. There was no difference in complication rates and adverse discharge disposition between the hospitals with varying case volumes.<br />Conclusions: Caucasian patients with private insurance without co-morbidity had significantly lower complication rate and good outcome. Occurrence of spinal meningioma in the pediatric and adult age groups does not carry worse prognosis.<br /> (Copyright © 2014 Elsevier B.V. All rights reserved.)
- Subjects :
- Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Databases, Factual
Female
Hospital Mortality
Hospitals statistics & numerical data
Humans
International Classification of Diseases
Laminectomy
Male
Meningioma complications
Meningioma epidemiology
Middle Aged
Neurosurgical Procedures adverse effects
Postoperative Complications epidemiology
Spinal Neoplasms complications
Spinal Neoplasms epidemiology
Treatment Outcome
United States epidemiology
Young Adult
Meningioma surgery
Neurosurgical Procedures methods
Spinal Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1872-6968
- Volume :
- 118
- Database :
- MEDLINE
- Journal :
- Clinical neurology and neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 24529232
- Full Text :
- https://doi.org/10.1016/j.clineuro.2013.12.010