Tobacco Use and Complications Following Spinal Fusion: A Comparison of the National Surgical Quality Improvement Program and National Inpatient Sample Datasets.


BACKGROUND:Smoking is a known risk factor for inferior health outcomes. Retrospective analyses of large datasets may assess whether such risk is manifested or mitigated in clinical practice. Although many risk factor analyses use the National Surgical Quality Improvement Program (NSQIP) and National (Nationwide) Inpatient Sample (NIS), such investigations have seldom been directly compared. METHODS:NIS and NSQIP datasets were used. Primary outcome measures were perioperative complications. NSQIP complications were stratified based on occurrence before versus after discharge. Multiple logistic regression was employed in adjusted analyses. RESULTS:Among NSQIP (N = 56,145) and NIS (N = 1,311,426) patients, 24.0% and 31.8% were identified as tobacco users, respectively. Before discharge, NSQIP smokers had increased odds of pneumonia (adjusted odds ratio [aOR] = 1.43), postoperative intubation (aOR = 1.40), and sepsis (aOR = 1.71) and decreased odds of pulmonary embolism (aOR = 0.57) (all P < 0.05). After discharge, NSQIP smokers exhibited increased odds of cardiac arrest (aOR = 2.53) and surgical site infection (aOR = 1.25) and decreased odds of urinary tract infection (aOR = 0.68) and deep venous thrombosis (aOR = 0.61) (all P < 0.05). In adjusted analysis of NIS data, tobacco users exhibited increased odds of inpatient pneumonia (aOR = 1.57), myocardial infarction (aOR = 1.29), and postoperative intubation (aOR = 1.15) and decreased odds of pulmonary embolism (aOR = 0.80) and deep venous thrombosis (aOR = 0.78) (all P < 0.05). CONCLUSIONS:Patients with a history of tobacco use undergoing spinal fusion were at increased risk of pneumonia and intubation but decreased risk of deep venous thrombosis and pulmonary embolism during the inpatient postoperative stay. After discharge, smokers exhibited increased odds of cardiac arrest and surgical site infection. NIS and NSQIP results were similar, with 9 of 12 outcomes exhibiting identical inpatient conclusions. Qualitative comparison of NIS and NSQIP yields results that offer increased validity over single-source studies.


World Neurosurg


World neurosurgery


Durand WM,DePasse JM,Bokshan SL,Eltorai AEM,Daniels AH




Has Abstract


2019-03-01 00:00:00












  • Intracanal Optic Nerve Cavernous Hemangioma: A Case Report and Review of the Literature.

    abstract:BACKGROUND:Cerebral cavernous malformations of the intracanalicular optic nerve are extremely rare lesions. Only a few case reports and 1 case series have been published. We report an additional case with atypical imaging and review the existing literature with attention to time to surgery and imaging characteristics. ...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Algoet M,Van Dyck-Lippens PJ,Casselman J,Sirimsi S,Fletcher CDM,Van Den Berghe I,Vanopdenbosch L,De Muynck S,Vantomme N

    更新日期:2019-06-01 00:00:00

  • Risk Factor Analysis for the Outcomes of Indirect Traumatic Optic Neuropathy with No Light Perception at Initial Visual Acuity Testing.

    abstract:BACKGROUND:The optimal management of indirect traumatic optic neuropathy (TON) is controversial. We aimed to compare the differences in visual improvement by treatment option in patients presenting with TON and no light perception (NLP). We also wanted to identify any patient-related factors that might favor the use of...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Lai IL,Liao HT

    更新日期:2018-07-01 00:00:00

  • Angiographic "Blush" After Stereotactic Radiosurgery Ablation of Residual Arteriovenous Malformation in Pediatric Patient: Case Report and Review of Literature.

    abstract:INTRODUCTION:While surgical resection remains a primary treatment for accessible arteriovenous malformations (AVMs), stereotactic radiosurgery (SRS) has become thoroughly integrated into the AVM armamentarium; however, delayed sequelae of this treatment have become evident with increased long-term follow-up. To our kno...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Szujewski CC,Heiferman DM,Rosenbaum MD,Reynolds MR,Anderson DE,Serrone JC

    更新日期:2018-03-01 00:00:00

  • Clinical Features, Treatment, and Prognostic Factors of 56 Intracranial and Intraspinal Clear Cell Meningiomas.

    abstract:OBJECTIVE:Intracranial and intraspinal clear cell meningiomas (CCMs) are rarely reported because of their extremely low incidence, and the current understanding of CCM is poor. The purpose of this study was to analyze the incidence and the clinical, radiologic, pathologic, and prognostic features of intracranial and in...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Tao X,Dong J,Hou Z,Hao S,Zhang J,Wu Z,Liu B

    更新日期:2018-03-01 00:00:00

  • Pipeline Embolization Device for Recurrent Cerebral Aneurysms after Microsurgical Clipping.

    abstract:BACKGROUND:Microsurgical clipping is regarded as the most durable treatment for cerebral aneurysms. Aneurysm recurrence after clipping is uncommon and is associated with an increased risk of rupture. Reoperation for recurrent cerebral aneurysms is particularly challenging because of adhesions and scaring, and it carrie...

    journal_title:World neurosurgery

    pub_type: 杂志文章,多中心研究


    authors: Adeeb N,Griessenauer CJ,Moore J,Stapleton CJ,Patel AB,Gupta R,Patel AS,Thomas AJ,Ogilvy CS

    更新日期:2016-09-01 00:00:00

  • Interdural Spinal Cyst: A Rare Clinical Entity.

    abstract:BACKGROUND:For more than 2 decades, dural spinal cysts have been broadly classified as extradural and intradural. CASE DESCRIPTION:A 40-year-old woman presented with radicular thoracic pain. Intraoperative findings showed the cyst to be present within the dura itself. CONCLUSIONS:We suggest a revised classification o...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Sajjad J,Yousaf I,Bermingham N,Kaar G

    更新日期:2016-04-01 00:00:00

  • Is It Possible To Evaluate the Ideal Cervical Alignment for Each Patient Needing Surgery? An Easy Rule To Determine the Appropriate Cervical Lordosis in Preoperative Planning.

    abstract:BACKGROUND:Cervical sagittal alignment parameters are essential to plan stages of surgery. The aims of this study were to evaluate the relationship between cervical sagittal alignment parameters and surgical outcomes after anterior cervical arthrodesis; to identify parameters linked to a better outcome; to determine th...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Ajello M,Marengo N,Pilloni G,Penner F,Vercelli G,Pecoraro F,Zenga F,Vaccaro AR,Ducati A,Garbossa D

    更新日期:2017-01-01 00:00:00

  • Management of Root-Level Double Crush: Case Report with Technical Notes on Contralateral Interlaminar Foraminotomy with Full Endoscopic Uniportal Approach.

    abstract:BACKGROUND:Double crush of a nerve at the root level is not common. We describe here a double crush of the right L4 nerve with foramina to far lateral disk (ventral) and extraforaminal (dorsal) compression. The double crush was managed by endoscopy with a contralateral uniportal approach from the left interlaminar spac...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Kim HS,Singh R,Adsul NM,Oh SW,Noh JH,Jang IT

    更新日期:2019-02-01 00:00:00

  • Neurosurgical Infection Rates and Risk Factors: A National Surgical Quality Improvement Program Analysis of 132,000 Patients, 2006-2014.

    abstract:BACKGROUND:The existing body of literature on postoperative neurosurgical infections lacks large multicenter reports on postoperative neurosurgical infections. This is the largest study to date of postoperative neurosurgical infections rates, time to event, and risk factors. METHODS:Demographics, medical history, and ...

    journal_title:World neurosurgery

    pub_type: 杂志文章,多中心研究


    authors: Karhade AV,Cote DJ,Larsen AM,Smith TR

    更新日期:2017-01-01 00:00:00

  • Neurosurgical therapy for Status Epilepticus in Oligoastrocytoma Patient: A case report.

    abstract:BACKGROUND:Super refractory epilepticus status (SRSE) is a life-threatening neurologic emergency defined as 'status epilepticus (SE) that continues 24 hours or more after the onset of anaesthesia, including those cases in which the SE recurs on the reduction or withdrawal of anaesthesia', which occur in 10-15% of SE pa...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: San-Juan D,Álvarez-Perera LÁ,Dávila-Rodríguez DO,Ramos-Jiménez C,Alcocer-Barrada V,Lilia-Tena M,Anschel DJ,Cruz JP,Martínez-Juárez IE

    更新日期:2019-01-22 00:00:00

  • Deep Brain Stimulation of the Hypothalamus Leads to Increased Metabolic Rate in Refractory Obesity.

    abstract:OBJECTIVE:Obesity has become a worldwide epidemic, with very few long-term successful treatment options for refractory disease. Deep brain stimulation (DBS) of the bilateral lateral hypothalamus (LH) in refractory obesity has been performed safely. However, questions remain regarding the optimal settings and its effect...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Whiting AC,Sutton EF,Walker CT,Godzik J,Catapano JS,Oh MY,Tomycz ND,Ravussin E,Whiting DM

    更新日期:2019-01-01 00:00:00

  • Neuroendoscopic management of middle fossa arachnoid cysts.

    abstract:OBJECTIVE:The purpose of this study is to analyze symptomatic middle fossa arachnoid cysts and describe the advantages of the endoscopic technique to manage those cases that should be resolved surgically. METHODS:The physiopathology is described, and the clinical manifestations are analyzed. The diagnostic methodology...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Fernández Molina G

    更新日期:2013-02-01 00:00:00

  • Direct Carotid Cavernous Fistula Due to Rupture of a Cavernous Carotid Aneurysm Embedded Within a Prolactinoma After Cabergoline Administration.

    abstract:BACKGROUND:A small number of reports have described subarachnoid hemorrhage resulting from a ruptured aneurysm embedded within a prolactinoma. To the best of our knowledge, no reports have described an embedded carotid cavernous fistula. We report a patient with carotid cavernous fistula secondary to a ruptured interna...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Nakahara M,Uozumi Y,Chiba Y,Miyake S,Fujita A,Kohmura E

    更新日期:2019-02-01 00:00:00

  • Temporal Glioblastoma Mimicking Basal Ganglia Invasion: Distinguishing Removable and Unremovable Tumors.

    abstract:OBJECTIVE:Maximal safe resection prolongs the survival of patients with glioblastoma (GB). However, whether total resection of the enhanced lesion is pursued or abandoned depends on preoperative judgments based on the findings of magnetic resonance imaging (MRI). Anatomically, medial temporal tumor tends to invade towa...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Shibahara I,Hanihara M,Miyasaka K,Sato S,Hide T,Kumabe T

    更新日期:2019-10-01 00:00:00

  • Clinical characteristics and neurologic recovery of patients with cervical spinal tuberculosis: should conservative treatment be preferred? A retrospective follow-up study of 115 cases.

    abstract:OBJECTIVE:To present the clinical characteristics and prognostic factors of neurologic recovery in patients with cervical spinal tuberculosis (CST). METHODS:General description and multivariate analysis were used to detect possible predictors of the outcome of patients with neurologic deficit. Follow-up data were used...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Qu JT,Jiang YQ,Xu GH,Tang Y,Wang ZT,Ye XJ,Shi GH,Dong JW,Li J,Zhou JL,Hu Y

    更新日期:2015-05-01 00:00:00

  • Severe Spinal Cord Compression by Anomalous Vertebral Arteries Treated with Gore-Tex Tape Transposition Technique.

    abstract::Rare anomalous courses of vertebral arteries in the craniovertebral junction may compress the spinal cord causing myelopathy. We report here the severest form of this pathologic condition successfully treated with transposition of bilateral vertebral artery using Gore-Tex tapes. A 73-year-old man presented with progre...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Baba T,Chang HS,Matsumae M

    更新日期:2020-01-01 00:00:00

  • Total Resection of Brainstem Extension of Tentorial Schwannoma Using an Occipital Transtentorial Approach.

    abstract:BACKGROUND:Approximately 60 cases of schwannoma unrelated to the cranial nerve have been reported, and only 12 arose from the tentorium. We present a case of tentorial schwannoma extending into the pons and midbrain without cranial nerve involvement, which was almost totally resected with an occipital transtentorial ap...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Xinrui L,Sato Y,Dan M,Kuroda H,Kumabe T

    更新日期:2017-02-01 00:00:00

  • Congenital Cervical Tethered Spinal Cord in Adults: Recognition, Surgical Technique, and Literature Review.

    abstract:OBJECTIVE:Recognition of congenital tethered cervical cord in adults and literature review. METHODS:Retrospective review of adult onset tethered cervical cord patients (age >20 years). RESULTS:Three adults were identified; 2 women and 1 man, average age 47 years. The presenting symptoms were neck pain with restricted...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Menezes AH,Dlouhy BJ

    更新日期:2020-10-24 00:00:00

  • Serum Substance P Concentration in Children With Traumatic Brain Injury: A First Report.

    abstract:OBJECTIVE:To review the clinic value and severity assessment of serum substance P (SP) concentration in children with different degrees of traumatic brain injury (TBI) through analyzing correlations with outcomes. METHODS:One hundred thirty-nine children with TBI who were diagnosed and treated at Nanjing Medical Unive...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Zhou Y,Ye H,Lu W

    更新日期:2020-12-09 00:00:00

  • Contralateral Hemispheric Brain Atrophy After Primary Intracerebral Hemorrhage.

    abstract:OBJECTIVE:In patients with intracerebral hematoma (ICH), it is well known that brain atrophy occurs in the hemisphere ipsilateral to the hematoma. The present study aimed to investigate contralateral hemispheric volume changes in patients with ICH as well as related factors. METHODS:Of 112 patients with ICH who were s...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Kim JH,Kim YS,Kim SH,Kim SD,Park JY,Kim TS,Joo SP

    更新日期:2017-06-01 00:00:00

  • Posttraumatic Triple Acute Epidural Hematomas: First Report of Bilateral Synchronous Epidural Hematoma and a Third Delayed.

    abstract:BACKGROUND:Development of a delayed acute epidural hematoma (DEDH) represents a rare event, characterized by a high mortality rate. It is defined as an extradural bleeding not evident at the first brain computed tomography (CT) scan performed after traumatic brain injury but evidenced by further radiologic evaluations....

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Fricia M,Umana GE,Scalia G,Raudino G,Passanisi M,Spitaleri A,Cicero S

    更新日期:2020-01-01 00:00:00

  • COVID-19 Impact on Neurosurgical Practice: Lockdown Attitude and Experience of a European Academic Center.

    abstract:BACKGROUND:The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented challenge. Different models of reorganization have been described aiming to preserve resources and ensure optimal medical care. Limited clinical neurosurgical experience with patients with COVID-19 has been reported. We share organizational...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Lubansu A,Assamadi M,Barrit S,Dembour V,Yao G,El Hadwe S,De Witte O

    更新日期:2020-12-01 00:00:00

  • Comparison of Surgical Invasiveness Between Microdiscectomy and 3 Different Endoscopic Discectomy Techniques for Lumbar Disc Herniation.

    abstract:OBJECTIVE:Muscle injury is inevitable during surgical exposure of the spine. This study compared paraspinal muscle injury after 4 surgical techniques: microdiscectomy (MD), percutaneous endoscopic lumbar discectomy (PELD), percutaneous endoscopic interlaminar discectomy (PEID), unilateral biportal endoscopic discectomy...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Choi KC,Shim HK,Hwang JS,Shin SH,Lee DC,Jung HH,Park HA,Park CK

    更新日期:2018-08-01 00:00:00

  • Utility of Intracranial Pressure Monitoring for Diagnosis of Idiopathic Intracranial Hypertension in the Absence of Papilledema.

    abstract:BACKGROUND:Idiopathic intracranial hypertension (IIH) is characterized by headaches, visual obscurations, and papilledema, and the diagnosis involves lumbar puncture (LP) with an elevated opening pressure (OP) ≥20 cm H20. When papilledema is absent, the diagnosis becomes less clear. Some physicians have argued that the...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Bridges KJ,Raslan AM

    更新日期:2018-03-01 00:00:00

  • Is There a Place for the Posterior Approach in Cases of Acute Myelopathy on Thoracic Disc Hernia?

    abstract:BACKGROUND:Acute myelopathy in cases of thoracic disc herniation (TDH) is an exceptional condition for which the treatment is not codified. Here we present the results of a standardized procedure in 10 patients who underwent surgery for acute myelopathy on TDH between December 2009 and December 2016. METHODS:Our appro...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Brauge D,Madkouri R,Reina V,Bennis S,Baussart B,Mireau E,Aldea S,Gaillard S

    更新日期:2017-11-01 00:00:00

  • Operative strategies for minimizing hearing loss and other major complications associated with microvascular decompression for trigeminal neuralgia.

    abstract:OBJECTIVE:To retrospectively assess the surgical outcomes and complication rates following microvascular decompression (MVD) for trigeminal neuralgia, using a targeted, restricted retrosigmoid approach. METHODS:During the period 1994-2009, a total of 119 patients underwent MVD for trigeminal neuralgia. A retrospective...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Bond AE,Zada G,Gonzalez AA,Hansen C,Giannotta SL

    更新日期:2010-07-01 00:00:00

  • Universal extracranial-intracranial graft bypass for large or giant internal carotid aneurysms: techniques and results in 38 consecutive patients.

    abstract:OBJECTIVE:To present indications, surgical techniques, and outcomes of extracranial-intracranial (EC-IC) graft bypass. METHODS:Between January 1996 and June 2011, 38 patients with large or giant internal carotid artery (ICA) aneurysms were treated using graft bypass, employing the radial artery (RA) or the saphenous v...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Ishishita Y,Tanikawa R,Noda K,Kubota H,Izumi N,Katsuno M,Ota N,Miyazaki T,Hashimoto M,Kimura T,Morita A

    更新日期:2014-07-01 00:00:00

  • Subtotal Resection of Cervical Dumbbell Schwannomas: Radiographic Predictors for Surgical Considerations.

    abstract:OBJECTIVE:Currently, radiologic predictors for the resectability of cervical dumbbell schwannomas remain unknown. To identify radiologic predictors for resectability, we retrospectively reviewed data from 72 patients. METHODS:From January 1995 to June 2017, 72 patients who underwent surgical treatment for cervical dum...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Ryu SM,Kim SK,Park JH,Lee SH,Eoh W,Kim ES

    更新日期:2019-01-01 00:00:00

  • Optic Nerve Atrophy Due to Long-Standing Compression by Planum Sphenoidale Meningioma.

    abstract:PURPOSE:In this study we report an uncommon endoscopic endonasal image of an atrophic optic nerve as seen after surgical removal of a suprasellar meningioma. The peculiarity of this case is the long-lasting underestimated ocular symptomatology of the patient who reported a 15-year history of impairment of vision on her...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Di Somma A,Kaen AM,Cárdenas Ruiz-Valdepeñas E,Cavallo LM

    更新日期:2018-05-01 00:00:00

  • Ambroise Paré: His Contribution to the Future Advancement of Neurosurgery and the Hardships of His Times Affecting His Life and Brilliant Career.

    abstract::Ambroise Paré was celebrated surgeon of the 16th century whose practical accomplishments, books, and ideas transformed surgery and was a precursor for the later development of neurosurgery. He developed many surgical innovations related to wound management, arterial ligation for the prevention of hemorrhage during lim...

    journal_title:World neurosurgery

    pub_type: 传,历史文章,杂志文章,评审


    authors: Splavski B,Rotim K,Boop FA,Gienapp AJ,Arnautović KI

    更新日期:2020-02-01 00:00:00