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dc.date.accessioned2019-06-21T07:00:51Z
dc.date.available2019-06-21T07:00:51Z
dc.date.created2019-04-17T11:28:49Z
dc.date.issued2019
dc.identifier.citationFjeld, Olaf Randall Grøvle, Lars Helgeland, Jon Småstuen, Milada Cvancarova Solberg, Tore Zwart, John-Anker Grotle, Margreth . Complications, reoperations, readmissions, and length of hospital stay in 34 639 surgical cases of lumbar disc herniation. The Bone & Joint Journal. 2019, 101-B(4), 470-477
dc.identifier.urihttp://hdl.handle.net/10852/68469
dc.description.abstractAims 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. Patients and Methods 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. Results 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. Conclusion The results suggest that surgical complications are less frequent than previously suggested. There are limited associations between sociodemographic patient characteristics and unfavourable events.
dc.languageEN
dc.publisherBritish Editorial Society of Bone and Joint Surger
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.titleComplications, reoperations, readmissions, and length of hospital stay in 34 639 surgical cases of lumbar disc herniation
dc.typeJournal article
dc.creator.authorFjeld, Olaf Randall
dc.creator.authorGrøvle, Lars
dc.creator.authorHelgeland, Jon
dc.creator.authorSmåstuen, Milada Cvancarova
dc.creator.authorSolberg, Tore
dc.creator.authorZwart, John-Anker
dc.creator.authorGrotle, Margreth
cristin.unitcode185,0,0,0
cristin.unitnameUniversitetet i Oslo
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2
dc.identifier.cristin1693062
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=The Bone & Joint Journal&rft.volume=101-B&rft.spage=470&rft.date=2019
dc.identifier.jtitleThe Bone & Joint Journal
dc.identifier.volume101-B
dc.identifier.startpage470
dc.identifier.endpage477
dc.identifier.doihttp://dx.doi.org/10.1302/0301-620X.101B4.BJJ-2018-1184.R1
dc.identifier.urnURN:NBN:no-71623
dc.type.documentTidsskriftartikkel
dc.type.peerreviewedPeer reviewed
dc.source.issn2049-4394
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/68469/1/Fjeld_2019_Com.pdf
dc.type.versionPublishedVersion


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