ArticleSurgical neurology international2025
Nutritional status is associated with inferior clinical outcomes: A National Surgical Quality Improvement Project analysis of surgically treated spinal vascular lesions.
Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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9 authors.
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Abstract
Background: Spinal arteriovenous shunts (sAVSs) consist of direct arterial-venous connections without intervening capillaries. Although rare, if left untreated, permanent neurological injury can occur. The present study aims to assess preoperative risks associated with 30-day unplanned readmission, 30-day unplanned reoperation (RTOR), nonhome discharge, and postoperative complications. Methods: The American College of Surgeons National Surgical Quality Improvement Project database was employed to isolate cases of surgically treated sAVSs from 2012 to 2022. Univariate comparisons and multivariate logistic regression analyses were performed. Results: Among the cohort, there were 18 (5.0%) 30-day readmissions, 18 (5.0%) RTOR, 145 (40.0%) nonhome discharges, and 52 (14.0%) cases with a postoperative complication. Preoperative hypoalbuminemia was a risk for 30-day readmission ( Conclusion: Preoperative hypoalbuminemia increases the odds of 30-day readmissions, nonhome discharges, and postoperative complications, stressing the importance of preoperative optimization. 30-day readmission and RTOR are associated with increased rates of postoperative complications, while 30-day readmissions, RTOR, and postoperative complications resulted in more nonhome discharges.
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