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Journal of Neurology and Neurorehabilitation Research | Volume 4
September 03-04, 2019 | London, UK
Spine and Spinal Disorders
4
th
International Conference on
J Neurol Neurorehabil Res, Volume 4
Complications, reoperations, readmissions and length of hospital stay in 34,639 surgical
cases of Lumbar Disc Herniation
Olaf Fjeld
1,2
, Lars Grøvle
3
, Jon Helgeland
4
, Milada Cvancarova Småstuen
1,5
, Tore Kristian Solberg
6,7
, John-Anker
Zwart
1
and
Margreth Grotle
1,5
1
Oslo University Hospital, Norway
2
University of Oslo, Norway
3
Østfold Hospital Trust, Norway
4
Norwegian Institute of Public Health, Norway
5
Oslo Metropolitan University, Norway
6
University Hospital of Northern Norway, Norway
7
The Arctic University (UiT) of Norway, Norway
M
easuring rates of complications, reoperations,
readmissions, and length of hospital stay contributes
important information regarding the quality and costs of
surgical and hospital care. This information is valuable, not
only in relation cost-effectiveness and the framing of clinical
guidelines on a population level, but also in the conversations
between patients and clinicians. The objective of this
longitudinal observation study was to determine the rate of
unfavourable events such as complications, reoperations,
and readmissions for patients operated for lumbar disc
herniation over a 15-year period from 1999 to 2013. Further,
to investigate the impact of age, sex, comorbidity, education,
civil status, income, and regional health authority affiliation
on the rate of such events. The study showed that surgery
for lumbar disc herniation has very low mortality (p<0.001%)
and fewer than 7% of patients experience an unfavourable
event such as a reoperation, surgical complication, or hospital
readmission. Whether this rate is acceptable must however
be considered in relation to the health gains achieved by
lumbar disc surgery.
Speaker Biography
Olaf Fjeld studied medicine at Trinity College Dublin, Ireland. He
currently works as a Neurologist at the Oslo University Hospital and is
expected to complete his PhD on “poor outcomes in Sciatica” within
the present year.
e:
fjeldo@tcd.ie