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Clin Neurol Neurosurg. 2014 Mar;118:65-8. doi: 10.1016/j.clineuro.2013.12.010. Epub 2014 Jan 3.

Complications and outcomes of surgery for spinal meningioma: a Nationwide Inpatient Sample analysis from 2003 to 2010.

Author information

1
Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, USA.
2
Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, USA. Electronic address: ananda@lsuhsc.edu.

Abstract

OBJECTIVE:

The aim of the present study was to analyze the practice patterns, complications and outcome following surgery for spinal meningioma in the United States.

PATIENTS AND METHODS:

We performed a retrospective cohort study using the Nationwide Inpatient Sample database from 2003 to 2010. In-patient mortality and discharge disposition were the outcome predictors.

RESULTS:

A total of 13,792 admissions for surgically managed spinal meningioma were identified. The number of admissions increased from 12.6% in 2003 to 14.7% in 2010. 1.2% patients were ≤18 years and 28.4% ≥70 years. 8.3% patients had high co-morbidity score. The total in-hospital complication rate was 6.4%. 42% of the admissions were discharged to facilities other than home or self-care. Patients in the pediatric and adult age groups had a significantly higher rate of adverse outcome. There was no difference in complication rates and adverse discharge disposition between the hospitals with varying case volumes.

CONCLUSIONS:

Caucasian patients with private insurance without co-morbidity had significantly lower complication rate and good outcome. Occurrence of spinal meningioma in the pediatric and adult age groups does not carry worse prognosis.

KEYWORDS:

Meningioma; Nationwide Inpatient Sample; Outcome; Spinal

PMID:
24529232
DOI:
10.1016/j.clineuro.2013.12.010
[Indexed for MEDLINE]
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