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dc.contributor.authorFjeld, Olaf Randall
dc.contributor.authorGrøvle, Lars
dc.contributor.authorHelgeland, Jon
dc.contributor.authorSmåstuen, Milada Cvancarova
dc.contributor.authorSolberg, Tore
dc.contributor.authorZwart, John-Anker
dc.contributor.authorGrotle, Margreth
dc.date.accessioned2019-04-25T13:58:40Z
dc.date.available2019-04-25T13:58:40Z
dc.date.issued2019-04-01
dc.description.abstract<i>Aims</i>: The aims of this study were to determine the rates of surgical complications, reoperations, and readmissions following herniated lumbar disc surgery, and to investigate the impact of sociodemographic factors and comorbidity on the rate of such unfavourable events.<p> <p><i>Patients and Methods</i>: This was a longitudinal observation study. Data from herniated lumbar disc operations were retrieved from a large medical database using a combination of procedure and diagnosis codes from all public hospitals in Norway from 1999 to 2013. The impact of age, gender, geographical affiliation, education, civil status, income, and comorbidity on unfavourable events were analyzed by logistic regression.<p> <p><i>Results</i>: Of 34 639 operations, 2.7% (95% confidence interval (CI) 2.6 to 2.9) had a surgical complication, 2.1% (95% CI 2.0 to 2.3) had repeat surgery within 90 days, 2.4% (95% CI 2.2 to 2.5) had a non-surgical readmission within 90 days, and 6.7% (95% CI 6.4 to 6.9) experienced at least one of these unfavourable events. Unfavourable events were found to be associated with advanced age and comorbidity.<p> <p><i>Conclusion</i>: The results suggest that surgical complications are less frequent than previously suggested. There are limited associations between sociodemographic patient characteristics and unfavourable events.<p>en_US
dc.description.sponsorshipSouth-Eastern Norway Regional Health Authorityen_US
dc.descriptionSource at <a href=https://doi.org/10.1302/0301-620X.101B4.BJJ-2018-1184.R1>https://doi.org/10.1302/0301-620X.101B4.BJJ-2018-1184.R1. </a>en_US
dc.identifier.citationFjeld, O.R., Grøvle, L., Helgeland, J., Småstuen, M.C., Solberg, T.K., Zwart, J-A. & Grotle, M. (2019). Complications, reoperations, readmissions, and length of hospital stay in 34 639 surgical cases of lumbar disc herniation. <i>The Bone & Joint Journal</i>, 101-B, 470-477. https://doi.org/10.1302/0301-620X.101B4.BJJ-2018-1184.R1en_US
dc.identifier.cristinIDFRIDAID 1693062
dc.identifier.doi10.1302/0301-620X.101B4.BJJ-2018-1184.R1
dc.identifier.issn2049-4394
dc.identifier.issn2049-4408
dc.identifier.urihttps://hdl.handle.net/10037/15227
dc.language.isoengen_US
dc.publisherBritish Editorial Society of Bone and Joint Surgeryen_US
dc.relation.journalThe Bone & Joint Journal
dc.rights.accessRightsopenAccessen_US
dc.subjectDiscectomyen_US
dc.subjectSurgeryen_US
dc.subjectLumbar disc herniationen_US
dc.subjectSciaticaen_US
dc.subjectComplicationsen_US
dc.subjectReoperationsen_US
dc.subjectAdverse eventsen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Orthopedic surgery: 784en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Ortopedisk kirurgi: 784en_US
dc.titleComplications, reoperations, readmissions, and length of hospital stay in 34 639 surgical cases of lumbar disc herniationen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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