The Impact of Asymptomatic Human Immunodeficiency Virus-Positive Disease Status on Inpatient Complications Following Spine Surgery: A Propensity Score-Matched Analysis.

anterior cervical discectomy and fusion asymptomatic HIV complications lumbar fusion thoracolumbar fusion

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
12 Feb 2023
Historique:
received: 26 12 2022
revised: 20 01 2023
accepted: 04 02 2023
entrez: 25 2 2023
pubmed: 26 2 2023
medline: 26 2 2023
Statut: epublish

Résumé

In the United States, nearly 1.2 million people > 12 years old have human immunodeficiency virus (HIV), which is associated with postoperative complications following orthopedic procedures. Little is known about how asymptomatic HIV (AHIV) patients fare postoperatively. This study compares complications after common spine surgeries between patients with and without AHIV. The Nationwide Inpatient Sample (NIS) was retrospectively reviewed from 2005-2013, identifying patients aged > 18 years who underwent 2-3-level anterior cervical discectomy and fusion (ACDF), ≥4-level thoracolumbar fusion (TLF), or 2-3-level lumbar fusion (LF). Patients with AHIV and without HIV were 1:1 propensity score-matched. Univariate analysis and multivariable binary logistic regression were performed to assess associations between HIV status and outcomes by cohort. 2-3-level ACDF (

Identifiants

pubmed: 36835993
pii: jcm12041458
doi: 10.3390/jcm12041458
pmc: PMC9967388
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Neil V Shah (NV)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.

Matthew J Lettieri (MJ)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.

Samuel Gedailovich (S)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.

David Kim (D)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.

Madhu Oad (M)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.
Department of Radiology, Nassau University Medical Center, Hempstead, NY 11550, USA.

Ryne J Veenema (RJ)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.

Adam J Wolfert (AJ)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.

George A Beyer (GA)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.

Hanbin Wang (H)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.

Ravi S Nunna (RS)

Department of Neurological Surgery, University of Missouri Columbia, Columbia, MO 65211, USA.

Douglas A Hollern (DA)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.

Renaud Lafage (R)

Department of Orthopaedic Surgery, Northwell Health Lenox Hill Hospital, New York, NY 10075, USA.

Vincent Challier (V)

Spine Unit 1, Orthopedic Surgery Department, Bordeaux University Hospital, 33400 Bordeaux, France.

Andrew A Merola (AA)

Department of Orthopaedic Surgery, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY 11215, USA.

Peter G Passias (PG)

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY 10021, USA.

Frank J Schwab (FJ)

Department of Orthopaedic Surgery, Northwell Health Lenox Hill Hospital, New York, NY 10075, USA.

Virginie Lafage (V)

Department of Orthopaedic Surgery, Northwell Health Lenox Hill Hospital, New York, NY 10075, USA.

Carl B Paulino (CB)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.
Department of Orthopaedic Surgery, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY 11215, USA.

Bassel G Diebo (BG)

Department of Orthopedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.
Department of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, East Providence, RI 02912, USA.

Classifications MeSH