UNASSIGNED: @entity85 ( @entity85 ) may cause severe disability and difficulty with daily activities. The purpose of this study was to investigate the impact of preoperative functional status on 30-day major complication occurrence in @entity85 surgery. A review of the prospectively-collected American College of Surgeons National Surgical Quality Improvement database was performed for the years 2007-2013. Inclusion criteria were adult @entity1 (over 21years of age) who underwent spinal fusion for @entity85 . Functional status was defined as "independent" or "dependent" (requiring assistance from another @entity1 ) for activities of daily living such as bathing, dressing, feeding, toileting, or mobility. The association between functional status and complications (overall and major) was investigated via multivariate analysis. Results are presented as odds ratios (OR) with 95% confidence intervals (CI). A total of 1247 @entity1 met inclusion criteria (94.4% independent and 5.6% dependent @entity1 ). The overall 30-day complication rate was 16.0% (15.6% for independent @entity1 and 22.9% for dependent @entity1 , p=0.10); major complications occurred in 9.2% of independent @entity1 and 17.1% for dependent @entity1 (p=0.02). After controlling for @entity1 age, smoking status, preoperative hematocrit, revision status, use of osteotomy, number of levels fused, and operative time, being dependent on another @entity1 for activities of daily living was found to be a significant predictor of major complication development (OR 2.09; 95% CI, 1.04-4.20; p=0.03). Depending on others for activities of daily living before undergoing @entity85 surgery may predict the development of @entity532 , increasing the risk by 2-fold compared to independent @entity1 .

Preoperative functional status as a predictor of short-term outcome in adult XXXX surgery.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'person'] @entity85 :: ('MESH:D009140', 'Disease') :: ['Adult spinal deformity', 'ASD'] @entity532 :: ('MESH:D003925', 'Disease') :: ['major perioperative complications']
@entity85 :: (MESH:D009140,Disease) :: ['spinal deformity']
