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Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors
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| Zeitschriftentitel: | Global Spine Journal |
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| Personen und Körperschaften: | , , , |
| In: | Global Spine Journal, 10, 2020, 5, S. 578-582 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
SAGE Publications
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| Schlagwörter: |
| author_facet |
Ong, Edward Tien-En Yeo, Lincoln Kai-Pheng Kaliya-Perumal, Arun-Kumar Oh, Jacob Yoong-Leong Ong, Edward Tien-En Yeo, Lincoln Kai-Pheng Kaliya-Perumal, Arun-Kumar Oh, Jacob Yoong-Leong |
|---|---|
| author |
Ong, Edward Tien-En Yeo, Lincoln Kai-Pheng Kaliya-Perumal, Arun-Kumar Oh, Jacob Yoong-Leong |
| spellingShingle |
Ong, Edward Tien-En Yeo, Lincoln Kai-Pheng Kaliya-Perumal, Arun-Kumar Oh, Jacob Yoong-Leong Global Spine Journal Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors Neurology (clinical) Orthopedics and Sports Medicine Surgery |
| author_sort |
ong, edward tien-en |
| spelling |
Ong, Edward Tien-En Yeo, Lincoln Kai-Pheng Kaliya-Perumal, Arun-Kumar Oh, Jacob Yoong-Leong 2192-5682 2192-5690 SAGE Publications Neurology (clinical) Orthopedics and Sports Medicine Surgery http://dx.doi.org/10.1177/2192568219863805 <jats:sec><jats:title>Study Design:</jats:title><jats:p> Retrospective case series. </jats:p></jats:sec><jats:sec><jats:title>Objectives:</jats:title><jats:p> This study aims to determine the prevalence and risk factors for orthostatic hypotension (OH) in patients undergoing cervical spine surgery. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Data was collected from records of 190 consecutive patients who underwent cervical spine procedures at our center over 24 months. Statistical comparison was made between patients who developed postoperative OH and those who did not by analyzing characteristics such as age, gender, premorbid medical comorbidities, functional status, mechanism of spinal cord injury, preoperative neurological function, surgical approach, estimated blood loss, and length of stay. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> Twenty-two of 190 patients (11.6%) developed OH postoperatively. No significant differences in age, gender, medical comorbidities, or premorbid functional status were observed. Based on univariate comparisons, traumatic mechanism of injury ( P = .002), poor ASIA (American Spinal Injury Association) grades (A, B, or C) ( P < .001), and posterior surgical approach ( P = .045) were found to significantly influence occurrence of OH. Among the significant variables, after adjusting for mechanism of injury and surgical approach, only ASIA grade was found to be an independent predictor. Having an ASIA grade of A, B, or C increased the likelihood of developing OH by approximately 5.978 times ( P = .003). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Our study highlights that OH is not an uncommon manifestation following cervical spine surgery. Patients with poorer ASIA grades A, B, or C were more likely to have OH when compared with those with ASIA grades D or E (43.5% vs 7.2%). Hence, we suggest that postural blood pressure should be routinely monitored in this group of patients so that early intervention can be initiated. </jats:p></jats:sec> Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors Global Spine Journal |
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| title |
Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
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Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
| title_full |
Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
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Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
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Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
| title_short |
Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
| title_sort |
orthostatic hypotension following cervical spine surgery: prevalence and risk factors |
| topic |
Neurology (clinical) Orthopedics and Sports Medicine Surgery |
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http://dx.doi.org/10.1177/2192568219863805 |
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2020 |
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578-582 |
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<jats:sec><jats:title>Study Design:</jats:title><jats:p> Retrospective case series. </jats:p></jats:sec><jats:sec><jats:title>Objectives:</jats:title><jats:p> This study aims to determine the prevalence and risk factors for orthostatic hypotension (OH) in patients undergoing cervical spine surgery. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Data was collected from records of 190 consecutive patients who underwent cervical spine procedures at our center over 24 months. Statistical comparison was made between patients who developed postoperative OH and those who did not by analyzing characteristics such as age, gender, premorbid medical comorbidities, functional status, mechanism of spinal cord injury, preoperative neurological function, surgical approach, estimated blood loss, and length of stay. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> Twenty-two of 190 patients (11.6%) developed OH postoperatively. No significant differences in age, gender, medical comorbidities, or premorbid functional status were observed. Based on univariate comparisons, traumatic mechanism of injury ( P = .002), poor ASIA (American Spinal Injury Association) grades (A, B, or C) ( P < .001), and posterior surgical approach ( P = .045) were found to significantly influence occurrence of OH. Among the significant variables, after adjusting for mechanism of injury and surgical approach, only ASIA grade was found to be an independent predictor. Having an ASIA grade of A, B, or C increased the likelihood of developing OH by approximately 5.978 times ( P = .003). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Our study highlights that OH is not an uncommon manifestation following cervical spine surgery. Patients with poorer ASIA grades A, B, or C were more likely to have OH when compared with those with ASIA grades D or E (43.5% vs 7.2%). Hence, we suggest that postural blood pressure should be routinely monitored in this group of patients so that early intervention can be initiated. </jats:p></jats:sec> |
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| author | Ong, Edward Tien-En, Yeo, Lincoln Kai-Pheng, Kaliya-Perumal, Arun-Kumar, Oh, Jacob Yoong-Leong |
| author_facet | Ong, Edward Tien-En, Yeo, Lincoln Kai-Pheng, Kaliya-Perumal, Arun-Kumar, Oh, Jacob Yoong-Leong, Ong, Edward Tien-En, Yeo, Lincoln Kai-Pheng, Kaliya-Perumal, Arun-Kumar, Oh, Jacob Yoong-Leong |
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| description | <jats:sec><jats:title>Study Design:</jats:title><jats:p> Retrospective case series. </jats:p></jats:sec><jats:sec><jats:title>Objectives:</jats:title><jats:p> This study aims to determine the prevalence and risk factors for orthostatic hypotension (OH) in patients undergoing cervical spine surgery. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Data was collected from records of 190 consecutive patients who underwent cervical spine procedures at our center over 24 months. Statistical comparison was made between patients who developed postoperative OH and those who did not by analyzing characteristics such as age, gender, premorbid medical comorbidities, functional status, mechanism of spinal cord injury, preoperative neurological function, surgical approach, estimated blood loss, and length of stay. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> Twenty-two of 190 patients (11.6%) developed OH postoperatively. No significant differences in age, gender, medical comorbidities, or premorbid functional status were observed. Based on univariate comparisons, traumatic mechanism of injury ( P = .002), poor ASIA (American Spinal Injury Association) grades (A, B, or C) ( P < .001), and posterior surgical approach ( P = .045) were found to significantly influence occurrence of OH. Among the significant variables, after adjusting for mechanism of injury and surgical approach, only ASIA grade was found to be an independent predictor. Having an ASIA grade of A, B, or C increased the likelihood of developing OH by approximately 5.978 times ( P = .003). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Our study highlights that OH is not an uncommon manifestation following cervical spine surgery. Patients with poorer ASIA grades A, B, or C were more likely to have OH when compared with those with ASIA grades D or E (43.5% vs 7.2%). Hence, we suggest that postural blood pressure should be routinely monitored in this group of patients so that early intervention can be initiated. </jats:p></jats:sec> |
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| spelling | Ong, Edward Tien-En Yeo, Lincoln Kai-Pheng Kaliya-Perumal, Arun-Kumar Oh, Jacob Yoong-Leong 2192-5682 2192-5690 SAGE Publications Neurology (clinical) Orthopedics and Sports Medicine Surgery http://dx.doi.org/10.1177/2192568219863805 <jats:sec><jats:title>Study Design:</jats:title><jats:p> Retrospective case series. </jats:p></jats:sec><jats:sec><jats:title>Objectives:</jats:title><jats:p> This study aims to determine the prevalence and risk factors for orthostatic hypotension (OH) in patients undergoing cervical spine surgery. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Data was collected from records of 190 consecutive patients who underwent cervical spine procedures at our center over 24 months. Statistical comparison was made between patients who developed postoperative OH and those who did not by analyzing characteristics such as age, gender, premorbid medical comorbidities, functional status, mechanism of spinal cord injury, preoperative neurological function, surgical approach, estimated blood loss, and length of stay. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> Twenty-two of 190 patients (11.6%) developed OH postoperatively. No significant differences in age, gender, medical comorbidities, or premorbid functional status were observed. Based on univariate comparisons, traumatic mechanism of injury ( P = .002), poor ASIA (American Spinal Injury Association) grades (A, B, or C) ( P < .001), and posterior surgical approach ( P = .045) were found to significantly influence occurrence of OH. Among the significant variables, after adjusting for mechanism of injury and surgical approach, only ASIA grade was found to be an independent predictor. Having an ASIA grade of A, B, or C increased the likelihood of developing OH by approximately 5.978 times ( P = .003). </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Our study highlights that OH is not an uncommon manifestation following cervical spine surgery. Patients with poorer ASIA grades A, B, or C were more likely to have OH when compared with those with ASIA grades D or E (43.5% vs 7.2%). Hence, we suggest that postural blood pressure should be routinely monitored in this group of patients so that early intervention can be initiated. </jats:p></jats:sec> Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors Global Spine Journal |
| spellingShingle | Ong, Edward Tien-En, Yeo, Lincoln Kai-Pheng, Kaliya-Perumal, Arun-Kumar, Oh, Jacob Yoong-Leong, Global Spine Journal, Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors, Neurology (clinical), Orthopedics and Sports Medicine, Surgery |
| title | Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
| title_full | Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
| title_fullStr | Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
| title_full_unstemmed | Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
| title_short | Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
| title_sort | orthostatic hypotension following cervical spine surgery: prevalence and risk factors |
| title_unstemmed | Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors |
| topic | Neurology (clinical), Orthopedics and Sports Medicine, Surgery |
| url | http://dx.doi.org/10.1177/2192568219863805 |