Complications and Length of Stay in Patients undergoing Anterior Cervical Discectomy and Fusion in Prasat Neurological Institute

Main Article Content

Anchalee Yosakorn

Abstract

The objective of this descriptive research was to study the occurrence of complications and the number of days in hospital in patients who underwent anterior cervical discectomy and fusion (ACDF). This study gathered the pasted information from the medical records of 226 patients underwent ACDF. In the Prasat neurological institute Between October 1, 2017, and September 30, 2019, Data were analyzed using descriptive statistics mean and standard deviation.  The results of the study showed that the complications after the surgery were 65%, most of them were constipation (55.8%) then hypokalemia (11.9%). Nausea and vomiting and sore throat were 16.4% and 11.5% respectively. Other complications included problems with the cardiovascular system (34.5%) and urinary system (11.5%). In addition, the results showed that patients who received surgery at multilevel ACDF had the length of stay between 2 and 45 days with the mean of 7.73 (SD=4.736). Also those received 5- level fusions had the length of stay between days 2 and 14 with the mean of 8.27 (SD=3.003 ).

Article Details

How to Cite
Yosakorn, A. (2022). Complications and Length of Stay in Patients undergoing Anterior Cervical Discectomy and Fusion in Prasat Neurological Institute. Vajira Nursing Journal, 24(1), 41–50. Retrieved from https://he02.tci-thaijo.org/index.php/vnj/article/view/257098
Section
research article

References

Bureau of Epidemiology Department of Disease Control Ministry of Public Health. (2011). Chronic Diseases Surveillance Report, 2012 Retrieved 12 June 2020 http://www.boe.moph .go.th/files/report/20140109_40197220.pdf

Bovonratwet, P., Fu, M. C., Tyagi, V., Bohl, D. D., Ondeck, N. T., Albert, T. J., & Grauer, J. N. (2019). Incidence, risk factors, and clinical implications of postoperative hematoma requiring reoperation following anterior cervical discectomy and fusion. Spine, 44(8), 543-549.

Debono, B., Corniola, M. V., Pietton, R.,

Sabatier, P., Hamel, O., & Tessitore, E. (2019). Benefits of enhanced recovery after surgery for fusion in degenerative

spine surgery: impact on outcome, length of stay, and patient Neurosurgical focus, 46(4), E6.

Desai, A., Ball, P. A., Bekelis, K., Lurie, J., Mirza, S. K., Tosteson, T. D., . . . Weinstein, J. N. (2012). Surgery for lumbar degenerative spondylolisthesis in SPORT: Does incidental durotomy affect outcome? Spine, 37(5), 406-413. doi:10. 1097/BRS.0b013e3182349bc5

Dial, B. L., Esposito, V. R., Danilkowicz, R., O’Donnell, J., Sugarman, B., Blizzard, D. J., & Erickson, M. E. (2020). Factors associated with extended length of stay and 90-day readmission rates following ACDF. Global spine journal,

(3), 252-260.

Epstein, N. E. (2019). A Review of Complication Rates for Anterior Cervical Diskectomy and Fusion (ACDF). Surg Neurol Int, 10, 1-8. doi:10.25259/SNI-191-2019

Inthira Roopsawang, Suparb Aree-Ue, & Putwatana, P. (2009). A Follow-Up Study of Health Status in Patients with Chronic Low Back Pain before and after Spinal Surgery. Rama Nurs J, 15(3), 344-360.

Knutsson, B., Michaelsson, K., & Sanden, B. (2013). Obesity is associated with inferior results after surgery for lumbar spinal stenosis: a study of 2633 patients from the Swedish spine register. Spine (Phila Pa 1976), 38(5), 435-441.doi:10.1097/BRS.0b013e 318270b243

Kovacs, F. M., Urrutia, G., & Alarcon, J. D. (2011). Surgery versus conservative treatment for symptomatic lumbar spinal stenosis: a systematic review of randomized controlled trials. Spine (Phila Pa 1976), 36(20), E1335-1351. doi:10.1097/BRS.0b013e31820c97b1

Malik, A. T., Khan, S. N., Kim, J., & Yu, E. (2019). 30-Day Postoperative Morbidity and Readmission Following Revision Anterior Cervical Discectomy and Fusion (ACDF). Clinical spine surgery, 32(10), 435-438.