INCIDENCE OF PULMONARY EMBOLISM DEVELOPING AFTER SPINAL SURGERIES APPLIED TO ADULT PATIENTS IN OUR CLINIC
Journal Title: Kocatepe Medical Journal - Year 2024, Vol 25, Issue 1
Abstract
OBJECTIVE: The aims of this study are to determine the incidence of pulmonary embolism (PE) in patients who have undergone spinal surgery for different reasons and to investigate whether the surgical etiology has an effect on the incidence. MATERIAL AND METHODS: Hospital Information Management System (HIMS) records were reviewed retrospectively using ICD (International Classification of Disease) codes of surgeries to evaluate post-operative PE complications in patients who underwent spinal surgery at Afyonkarahisar Health Sciences University Hospital between 01.01.2017 - 30.11.2021. Data of patients aged 18-64 years were included in the study. Patients over 65 years of age and children were excluded from the study. Data of patients with PE were analyzed to evaluate potential risk factors for PE. Chi-square test with Fisher-Freeman-Halton Exact Test was used for statistical analysis. RESULTS: A total of 1105 patient files, 581 women (52.6%) and 524 men (47.4%), were reviewed retrospectively. 382 (34.6%) in the stabilized degeneration group, 291 (26.3%) in the trauma group, 287 (26%) in the unstabilized degeneration group, 86 (7.8%) in the tumor group, 59 (5.3%) in the infection group) were sick. PE complications seen in 6 of 1105 patients were examined. The incidence of PE in this study was 0.54%. Of the 6 patients with PE, 3 were male (50%) and 3 were female (50%). One of the women was operated for trauma, one for tumor, and one for infection. A statistically significant difference was found between the groups (p: 0.014). Two female patients who were operated on due to tumor and infection died in the following period. Thus, the mortality rate in patients with PE was found to be 33.3%. CONCLUSIONS: Although PE is rare, it is a complication with very serious clinical consequences and a high mortality.
Authors and Affiliations
İhsan CANBEK, Serhat YILDIZHAN, Mehmet Gazi BOYACI, Usame RAKİP, Serhat KORKMAZ, Adem ASLAN, Havva Hafize TALAZ, Hayriye Nur SARIKAŞ, İrem GÜNARSLAN, Abdulsalam SOUDA, Metra SHARİFİ
Keywords
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- EP ID EP731019
- DOI https://doi.org/10.18229/kocatepetip.1186850
- Views 42
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