A history of congestive heart failure (OR 120.97) and scoliosis surgery (OR 18.61) significantly increased the risk of perioperative cardiovascular complications, which occurred in 0.6% of patients overall.
Cohort (n=1,002)
No
What are the incidence and risk factors for perioperative cardiovascular complications in patients undergoing spine surgery?
Perioperative cardiovascular complications in spine surgery are rare (0.6%), but patients with a history of congestive heart failure or those undergoing scoliosis surgery are at significantly higher risk and require close monitoring.
Odds Ratio: 120.97 (95% CI 2.12–6898.8)
p-value: p=0.02
Background: An increasing number of patients are opting for spine surgery despite the associated risk of cardiovascular complications. The evidence regarding the incidence and risk factors of cardiovascular complications in spine surgery is insufficient. Therefore, we aimed to determine the incidence and risk factors for cardiovascular complications that occur perioperatively in spine surgery. Methods: This retrospective study included all patients who underwent spine surgery between January 2018 and December 2019 at a single center. Demographic, clinical, and operative data were collected from electronic medical records. The incidence of perioperative cardiac complications was determined. Univariate and multivariate analyses were performed to identify risk factors for the development of perioperative cardiovascular complications in the participants. Results: Of the 1,002 eligible patients enrolled in the study, six developed cardiac complications. Acute myocardial infarction, cardiac arrest, and congestive heart failure occurred in one, two, and three patients, respectively. Risk factors for cardiovascular complications included scoliosis surgery (odds ratios (OR): 18.61; 95% confidence interval (CI): 1.346-257.35) and a history of congestive heart failure (OR: 120.97; 95% CI: 2.12-6898.80). Conclusion: The incidence of perioperative cardiovascular complications in patients who underwent spine surgery was 0.6%. High-risk patients should be closely monitored optimally managed throughout the perioperative period.
Chotisukarat et al. (Thu,) conducted a cohort in Spine surgery (n=1,002). History of congestive heart failure vs. No history of congestive heart failure was evaluated on Perioperative cardiovascular complications (cardiac arrest, acute congestive heart failure, acute myocardial infarction, and acute stroke) (OR 120.97, 95% CI 2.12-6898.80, p=0.02). A history of congestive heart failure (OR 120.97) and scoliosis surgery (OR 18.61) significantly increased the risk of perioperative cardiovascular complications, which occurred in 0.6% of patients overall.