Patient and Procedural Factors That Influence Anesthetized, Nonoperative Time in Spine Surgery

Ross C. Puffer, Grant W. Mallory, Anthony M. Burrows, Timothy B Curry, Michelle J. Clarke

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Study Design Retrospective study. Objective Efficient use of operating room time is important, as delays during induction or recovery increase time not spent operating while in the operating room. We identified factors that increase anesthetized, nonoperative time by utilizing a database of over 5,000 consecutive neurosurgical spine cases. Methods Surgical records were searched to identify all spine surgeries performed between January 2010 and July 2012. Anesthetized, nonoperative time was calculated from the anesthesia record and compared with both patient and procedure characteristics to determine any significant relationships Results There were 5,515 surgical cases with a mean age of 60.5 and mean body mass index (BMI) of 29.7; 3,226 (58%) were male subjects. There were 1,176 (21%) fusion cases, and level of pathology was predominantly lumbar (4,010 cases, 73%). Fusion cases had a significantly longer total anesthetized, nonoperative time (fusion: 98 minutes, nonfusion: 76 minutes, mean difference: 22 minutes, p < 0.0001). Significant factors affecting anesthetized, nonoperative time in nonfusion cases include age greater than 65 years (mean difference 5 minutes, p < 0.0001), American Society of Anesthesiologists (ASA) grade, and BMI (BMI < 25: 72 ± 1.2 minutes, BMI 25 to 29: 74 ± 0.6 minutes, BMI 30 to 39: 79 ± 0.6 minutes, BMI 40 +: 87 ± 1.8 minutes, p < 0.0001). Similarly, for fusion operations, age > 65 years significantly increased nonoperative time (mean difference 6 minutes, p < 0.01), as did increasing ASA (mean difference 9 minutes, p < 0.0001) and increasing BMI. Conclusion Patient and surgical factors, including ASA grade, BMI, level of pathology, and surgical approach, have noticeable effects on anesthetized, nonoperative times in spine surgery.

Original languageEnglish (US)
Pages (from-to)447-451
Number of pages5
JournalGlobal Spine Journal
Volume6
Issue number5
DOIs
StatePublished - Aug 1 2016

Fingerprint

Spine
Body Mass Index
Operating Rooms
Surgical Pathology
Anesthesia
Retrospective Studies
Databases
Pathology

Keywords

  • anesthesia
  • factors
  • patient
  • spine
  • surgery
  • time

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Patient and Procedural Factors That Influence Anesthetized, Nonoperative Time in Spine Surgery. / Puffer, Ross C.; Mallory, Grant W.; Burrows, Anthony M.; Curry, Timothy B; Clarke, Michelle J.

In: Global Spine Journal, Vol. 6, No. 5, 01.08.2016, p. 447-451.

Research output: Contribution to journalArticle

Puffer, Ross C. ; Mallory, Grant W. ; Burrows, Anthony M. ; Curry, Timothy B ; Clarke, Michelle J. / Patient and Procedural Factors That Influence Anesthetized, Nonoperative Time in Spine Surgery. In: Global Spine Journal. 2016 ; Vol. 6, No. 5. pp. 447-451.
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abstract = "Study Design Retrospective study. Objective Efficient use of operating room time is important, as delays during induction or recovery increase time not spent operating while in the operating room. We identified factors that increase anesthetized, nonoperative time by utilizing a database of over 5,000 consecutive neurosurgical spine cases. Methods Surgical records were searched to identify all spine surgeries performed between January 2010 and July 2012. Anesthetized, nonoperative time was calculated from the anesthesia record and compared with both patient and procedure characteristics to determine any significant relationships Results There were 5,515 surgical cases with a mean age of 60.5 and mean body mass index (BMI) of 29.7; 3,226 (58{\%}) were male subjects. There were 1,176 (21{\%}) fusion cases, and level of pathology was predominantly lumbar (4,010 cases, 73{\%}). Fusion cases had a significantly longer total anesthetized, nonoperative time (fusion: 98 minutes, nonfusion: 76 minutes, mean difference: 22 minutes, p < 0.0001). Significant factors affecting anesthetized, nonoperative time in nonfusion cases include age greater than 65 years (mean difference 5 minutes, p < 0.0001), American Society of Anesthesiologists (ASA) grade, and BMI (BMI < 25: 72 ± 1.2 minutes, BMI 25 to 29: 74 ± 0.6 minutes, BMI 30 to 39: 79 ± 0.6 minutes, BMI 40 +: 87 ± 1.8 minutes, p < 0.0001). Similarly, for fusion operations, age > 65 years significantly increased nonoperative time (mean difference 6 minutes, p < 0.01), as did increasing ASA (mean difference 9 minutes, p < 0.0001) and increasing BMI. Conclusion Patient and surgical factors, including ASA grade, BMI, level of pathology, and surgical approach, have noticeable effects on anesthetized, nonoperative times in spine surgery.",
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