Preoperative Serum Albumin Level Predicts Length of Stay and Perioperative Adverse Events Following Vertebral Corpectomy and Posterior Stabilization for Metastatic Spine Disease Article Swipe
Takashi Hirase
,
Khaled M. Taghlabi
,
Jesús G. Cruz-Garza
,
Amir H. Faraji
,
Rex A. W. Marco
,
Comron Saifi
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1177/21925682231163814
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1177/21925682231163814
Study Design Retrospective review of a prospectively collected national database Objectives To determine the association between preoperative serum albumin levels and perioperative adverse events (AEs) following vertebral corpectomy and posterior stabilization for metastatic spine disease. Methods The 2010 to 2019 American College of Surgeons’ National Surgical Quality Improvement (ACS-NSQIP) database was used to identify all patients undergoing vertebral corpectomy and posterior stabilization for metastatic spine disease. Receiver operative characteristic (ROC) curve analysis was used to determine preoperative serum albumin cut-off values for predicting perioperative AEs. Low preoperative serum albumin was defined as serum albumin below this cut-off value. Results A total of 301 patients were included in the study. ROC curve analysis demonstrated serum albumin < 3.25 g/dL as a cut-off value for predicting perioperative AEs. The low serum albumin group had a higher overall perioperative AEs ( P = .041), longer post-operative LOS ( P < .001), higher 30-day reoperation rate ( P = .014), and a higher in-hospital mortality rate ( P = .046). Multivariate analysis demonstrated that low preoperative serum albumin was associated with higher perioperative AEs. Conclusions Low serum albumin level is associated with higher perioperative AEs, longer postoperative LOS, and higher rates of 30-day reoperation and in-hospital mortality among patients undergoing vertebral corpectomy and posterior stabilization for metastatic spine disease. Strategies to improve preoperative nutritional status in patients undergoing this procedure may improve these perioperative outcome measures within this surgical population. Level of Evidence III
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/21925682231163814
- OA Status
- gold
- Cited By
- 5
- References
- 25
- Related Works
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- OpenAlex ID
- https://openalex.org/W4323812842
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4323812842Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1177/21925682231163814Digital Object Identifier
- Title
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Preoperative Serum Albumin Level Predicts Length of Stay and Perioperative Adverse Events Following Vertebral Corpectomy and Posterior Stabilization for Metastatic Spine DiseaseWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-03-10Full publication date if available
- Authors
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Takashi Hirase, Khaled M. Taghlabi, Jesús G. Cruz-Garza, Amir H. Faraji, Rex A. W. Marco, Comron SaifiList of authors in order
- Landing page
-
https://doi.org/10.1177/21925682231163814Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1177/21925682231163814Direct OA link when available
- Concepts
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Medicine, Perioperative, Corpectomy, Albumin, Surgery, Receiver operating characteristic, Adverse effect, Internal medicine, DecompressionTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 1, 2023: 3Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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