TY - JOUR AU - De la Garza-Ramos, Rafael AU - Nakhla, Jonathan AU - Gelfand, Yaroslav AU - Echt, Murray AU - Scoco, Aleka N. AU - Kinon, Merritt D. AU - Yassari, Reza PY - 2018 TI - Predicting critical care unit-level complications after long-segment fusion procedures for adult spinal deformity JF - Journal of Spine Surgery; Vol 4, No 1 (March 04, 2018): Journal of Spine Surgery Y2 - 2018 KW - N2 - Background: To identify predictive factors for critical care unit-level complications (CCU complication) after long-segment fusion procedures for adult spinal deformity (ASD). Methods: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database [2010–2014] was reviewed. Only adult patients who underwent fusion of 7 or more spinal levels for ASD were included. CCU complications included intraoperative arrest/infarction, ventilation >48 hours, pulmonary embolism, renal failure requiring dialysis, cardiac arrest, myocardial infarction, unplanned intubation, septic shock, stroke, coma, or new neurological deficit. A stepwise multivariate regression was used to identify independent predictors of CCU complications. Results: Among 826 patients, the rate of CCU complications was 6.4%. On multivariate regression analysis, dependent functional status (P=0.004), combined approach (P=0.023), age (P=0.044), diabetes (P=0.048), and surgery for over 8 hours (P=0.080) were significantly associated with complication development. A simple scoring system was developed to predict complications with 0 points for patients aged Conclusions: The findings in this study suggest that older patients, patients with diabetes, patients who depend on others for activities of daily living, and patients who undergo combined approaches or surgery for over 8 hours may be at a significantly increased risk of developing a CCU-level complication after adult deformity surgery. UR - https://jss.amegroups.org/article/view/4073