Postoperative vision loss after spine surgery: a single-institution case-control comparison
Postoperative vision loss (POVL) after spine surgery is a rare but devastating outcome. We present the first case-control study from a single institution for POVL with the diagnoses of ischemic optic neuropathy or central vision loss after complex spine surgery. POVL cases following spine surgeries...
Gespeichert in:
| Veröffentlicht in: | The Ochsner journal 2014, Vol.14 (2), p.179-183 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 183 |
|---|---|
| container_issue | 2 |
| container_start_page | 179 |
| container_title | The Ochsner journal |
| container_volume | 14 |
| creator | Farag, Ehab Abd-Elsayed, Alaa A Dalton, Jarrod E Nada, Eman Parker, Brian M |
| description | Postoperative vision loss (POVL) after spine surgery is a rare but devastating outcome. We present the first case-control study from a single institution for POVL with the diagnoses of ischemic optic neuropathy or central vision loss after complex spine surgery.
POVL cases following spine surgeries between December 1995 and December 2010 at the Cleveland Clinic were identified retrospectively using administrative codes. Each instance of POVL was matched to 5 case-control patients based on age, gender, body mass index, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and hematocrit. Duration of anesthesia, fluid volumes, and hemodynamic measurements were then compared between POVL cases and control cases using Wilcoxon rank sum test.
Six patients developed POVL. These patients had significantly greater blood loss (P=0.002, Wilcoxon test) and a significantly greater volume of red blood cells transfused (P=0.006) than the control patients. No other intraoperative measures differed significantly after Bonferroni correction for multiple outcomes.
We found that patients with POVL had significantly greater blood loss and significantly more red blood cell transfusions than their matched controls. |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4052583</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2157950626</sourcerecordid><originalsourceid>FETCH-LOGICAL-p294t-b0e22a929290d41f4871c97661740d65a5838e0453b564342359e17912226a393</originalsourceid><addsrcrecordid>eNpdkE1LAzEQhveg2Fr9CxLw4mUh39t4EKT4BQU96MnDkm6nNWU3WTPZgv_eFKuozGFg5uWZd96DYswUl6WijI-KY8QNpZIqyY-KEZdG5rEeF69PAVPoIdrktkC2Dl3wpA2IxK4SRIK980BwiGuIH5fEEnR-3ULpPCaXhrSTNxahbIJPMbSkCV1vo8PgT4rDlW0RTvd9Urzc3jzP7sv5493D7Hpe9tzIVC4ocG4Nz0WXkq3ktGKNqbRmlaRLrayaiilQqcRCaSkkF8oAqwzjnGsrjJgUV1_cflh0sGwgG7Ft3UfX2fhRB-vqvxvv3up12NY5Dp7hGXCxB8TwPgCmunPYQNtaD2HAmilRKSOF3t06_yfdhCH6_F7NmaqMoprrrDr77ejHynfu4hMqdX4C</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2157950626</pqid></control><display><type>article</type><title>Postoperative vision loss after spine surgery: a single-institution case-control comparison</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Farag, Ehab ; Abd-Elsayed, Alaa A ; Dalton, Jarrod E ; Nada, Eman ; Parker, Brian M</creator><creatorcontrib>Farag, Ehab ; Abd-Elsayed, Alaa A ; Dalton, Jarrod E ; Nada, Eman ; Parker, Brian M</creatorcontrib><description>Postoperative vision loss (POVL) after spine surgery is a rare but devastating outcome. We present the first case-control study from a single institution for POVL with the diagnoses of ischemic optic neuropathy or central vision loss after complex spine surgery.
POVL cases following spine surgeries between December 1995 and December 2010 at the Cleveland Clinic were identified retrospectively using administrative codes. Each instance of POVL was matched to 5 case-control patients based on age, gender, body mass index, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and hematocrit. Duration of anesthesia, fluid volumes, and hemodynamic measurements were then compared between POVL cases and control cases using Wilcoxon rank sum test.
Six patients developed POVL. These patients had significantly greater blood loss (P=0.002, Wilcoxon test) and a significantly greater volume of red blood cells transfused (P=0.006) than the control patients. No other intraoperative measures differed significantly after Bonferroni correction for multiple outcomes.
We found that patients with POVL had significantly greater blood loss and significantly more red blood cell transfusions than their matched controls.</description><identifier>ISSN: 1524-5012</identifier><identifier>PMID: 24940126</identifier><language>eng</language><publisher>United States: Ochsner Clinic Foundation Academic Center - Publishing Services</publisher><subject>Anemia ; Anesthesiology ; Blood pressure ; Medical personnel ; Original Research ; Patients ; Risk factors ; Software ; Studies ; Surgery ; Task forces ; Tuberculosis</subject><ispartof>The Ochsner journal, 2014, Vol.14 (2), p.179-183</ispartof><rights>Copyright © 2014. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at http://www.ochsnerjournal.org/content/permissions</rights><rights>Academic Division of Ochsner Clinic Foundation 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4052583/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4052583/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24940126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Farag, Ehab</creatorcontrib><creatorcontrib>Abd-Elsayed, Alaa A</creatorcontrib><creatorcontrib>Dalton, Jarrod E</creatorcontrib><creatorcontrib>Nada, Eman</creatorcontrib><creatorcontrib>Parker, Brian M</creatorcontrib><title>Postoperative vision loss after spine surgery: a single-institution case-control comparison</title><title>The Ochsner journal</title><addtitle>Ochsner J</addtitle><description>Postoperative vision loss (POVL) after spine surgery is a rare but devastating outcome. We present the first case-control study from a single institution for POVL with the diagnoses of ischemic optic neuropathy or central vision loss after complex spine surgery.
POVL cases following spine surgeries between December 1995 and December 2010 at the Cleveland Clinic were identified retrospectively using administrative codes. Each instance of POVL was matched to 5 case-control patients based on age, gender, body mass index, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and hematocrit. Duration of anesthesia, fluid volumes, and hemodynamic measurements were then compared between POVL cases and control cases using Wilcoxon rank sum test.
Six patients developed POVL. These patients had significantly greater blood loss (P=0.002, Wilcoxon test) and a significantly greater volume of red blood cells transfused (P=0.006) than the control patients. No other intraoperative measures differed significantly after Bonferroni correction for multiple outcomes.
We found that patients with POVL had significantly greater blood loss and significantly more red blood cell transfusions than their matched controls.</description><subject>Anemia</subject><subject>Anesthesiology</subject><subject>Blood pressure</subject><subject>Medical personnel</subject><subject>Original Research</subject><subject>Patients</subject><subject>Risk factors</subject><subject>Software</subject><subject>Studies</subject><subject>Surgery</subject><subject>Task forces</subject><subject>Tuberculosis</subject><issn>1524-5012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkE1LAzEQhveg2Fr9CxLw4mUh39t4EKT4BQU96MnDkm6nNWU3WTPZgv_eFKuozGFg5uWZd96DYswUl6WijI-KY8QNpZIqyY-KEZdG5rEeF69PAVPoIdrktkC2Dl3wpA2IxK4SRIK980BwiGuIH5fEEnR-3ULpPCaXhrSTNxahbIJPMbSkCV1vo8PgT4rDlW0RTvd9Urzc3jzP7sv5493D7Hpe9tzIVC4ocG4Nz0WXkq3ktGKNqbRmlaRLrayaiilQqcRCaSkkF8oAqwzjnGsrjJgUV1_cflh0sGwgG7Ft3UfX2fhRB-vqvxvv3up12NY5Dp7hGXCxB8TwPgCmunPYQNtaD2HAmilRKSOF3t06_yfdhCH6_F7NmaqMoprrrDr77ejHynfu4hMqdX4C</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Farag, Ehab</creator><creator>Abd-Elsayed, Alaa A</creator><creator>Dalton, Jarrod E</creator><creator>Nada, Eman</creator><creator>Parker, Brian M</creator><general>Ochsner Clinic Foundation Academic Center - Publishing Services</general><general>the Academic Division of Ochsner Clinic Foundation</general><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2014</creationdate><title>Postoperative vision loss after spine surgery: a single-institution case-control comparison</title><author>Farag, Ehab ; Abd-Elsayed, Alaa A ; Dalton, Jarrod E ; Nada, Eman ; Parker, Brian M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p294t-b0e22a929290d41f4871c97661740d65a5838e0453b564342359e17912226a393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Anemia</topic><topic>Anesthesiology</topic><topic>Blood pressure</topic><topic>Medical personnel</topic><topic>Original Research</topic><topic>Patients</topic><topic>Risk factors</topic><topic>Software</topic><topic>Studies</topic><topic>Surgery</topic><topic>Task forces</topic><topic>Tuberculosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Farag, Ehab</creatorcontrib><creatorcontrib>Abd-Elsayed, Alaa A</creatorcontrib><creatorcontrib>Dalton, Jarrod E</creatorcontrib><creatorcontrib>Nada, Eman</creatorcontrib><creatorcontrib>Parker, Brian M</creatorcontrib><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Ochsner journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Farag, Ehab</au><au>Abd-Elsayed, Alaa A</au><au>Dalton, Jarrod E</au><au>Nada, Eman</au><au>Parker, Brian M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative vision loss after spine surgery: a single-institution case-control comparison</atitle><jtitle>The Ochsner journal</jtitle><addtitle>Ochsner J</addtitle><date>2014</date><risdate>2014</risdate><volume>14</volume><issue>2</issue><spage>179</spage><epage>183</epage><pages>179-183</pages><issn>1524-5012</issn><abstract>Postoperative vision loss (POVL) after spine surgery is a rare but devastating outcome. We present the first case-control study from a single institution for POVL with the diagnoses of ischemic optic neuropathy or central vision loss after complex spine surgery.
POVL cases following spine surgeries between December 1995 and December 2010 at the Cleveland Clinic were identified retrospectively using administrative codes. Each instance of POVL was matched to 5 case-control patients based on age, gender, body mass index, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and hematocrit. Duration of anesthesia, fluid volumes, and hemodynamic measurements were then compared between POVL cases and control cases using Wilcoxon rank sum test.
Six patients developed POVL. These patients had significantly greater blood loss (P=0.002, Wilcoxon test) and a significantly greater volume of red blood cells transfused (P=0.006) than the control patients. No other intraoperative measures differed significantly after Bonferroni correction for multiple outcomes.
We found that patients with POVL had significantly greater blood loss and significantly more red blood cell transfusions than their matched controls.</abstract><cop>United States</cop><pub>Ochsner Clinic Foundation Academic Center - Publishing Services</pub><pmid>24940126</pmid><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1524-5012 |
| ispartof | The Ochsner journal, 2014, Vol.14 (2), p.179-183 |
| issn | 1524-5012 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4052583 |
| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Anemia Anesthesiology Blood pressure Medical personnel Original Research Patients Risk factors Software Studies Surgery Task forces Tuberculosis |
| title | Postoperative vision loss after spine surgery: a single-institution case-control comparison |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T23%3A12%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Postoperative%20vision%20loss%20after%20spine%20surgery:%20a%20single-institution%20case-control%20comparison&rft.jtitle=The%20Ochsner%20journal&rft.au=Farag,%20Ehab&rft.date=2014&rft.volume=14&rft.issue=2&rft.spage=179&rft.epage=183&rft.pages=179-183&rft.issn=1524-5012&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E2157950626%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2157950626&rft_id=info:pmid/24940126&rfr_iscdi=true |