Evidence map›Paper›PMID 41280304›Full record

ArticleNorth American Spine Society journal2025

Impact of enhanced hospital infection prevention measures during-COVID-19 pandemic on the incidence of surgical site infections following spinal instrumentation surgery for lumbar spinal stenosis: A nationwide database study.

Daiyang Yu, Yuri Miyakoshi, Tomoyuki Tanaka, Kunihiko Takahashi, Tetsuya Jinno, Toshitaka Yoshii, Kiyohide Fushimi, Hiroyuki Inose

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Article in North American Spine Society journal, 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Daiyang YuDepartment of Orthopedics, Graduate School, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Yuri MiyakoshiDepartment of Orthopedics, Graduate School, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Tomoyuki TanakaDepartment of Orthopedic Surgery, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama, 343-8555, Japan.
Kunihiko TakahashiDepartment of Biostatistics, M&D Data Science Center, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Tetsuya JinnoDepartment of Orthopedic Surgery, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama, 343-8555, Japan.
Toshitaka YoshiiDepartment of Orthopedics, Graduate School, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Kiyohide FushimiDepartment of Health Policy and Informatics, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Hiroyuki InoseDepartment of Orthopedics, Graduate School, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background context: Despite the implementation of stringent infection control measures during the COVID-19 pandemic, the impact of these interventions on surgical site infection (SSI) rates in spinal instrumentation surgery remains unclear. This study aimed to compare the incidence of SSIs after spinal instrumentation surgeries for lumbar spinal canal stenosis (LCS) before and during the COVID-19 pandemic and to assess the impact of the COVID-19 pandemic, including enhanced hospital infection prevention measures implemented during-pandemic, on the incidence of SSIs following spinal instrumented surgery for LCS. Methods: This was a retrospective cohort study using the Diagnosis Procedure Combination database, a Japanese national database. We analyzed 42,890 patients who underwent instrumentation surgery for LCS during the prepandemic (2017-2018) and during-pandemic (2020-2021) periods. The primary outcome was the occurrence of postoperative SSIs during hospitalization. We used propensity score (PS) matching to compare SSI rates and conducted multivariate logistic regression analysis to assess the pandemic's impact after adjusting for confounding variables. Results: Results showed a significant increase in SSI rates during-pandemic, from 1.83% to 2.53% (p<.01). After PS matching, the during-pandemic group continued to show a higher SSI rate (2.44%) compared to the prepandemic group (1.84%, p=.01). Multiple logistic regression analysis demonstrated that the association between the COVID-19 period (prepandemic versus during-pandemic) and SSI incidence remained statistically significant after adjusting for potential confounding variables (p=.01, OR=1.26). Conclusions: These findings suggest that SSIs following instrumented spinal surgeries for LCS in Japan increased during-pandemic, even with matched patient characteristics. Future research should focus on identifying specific elements of perioperative care that may have been compromised during the pandemic and developing targeted interventions to address these gaps in surgical infection prevention.

Indexed as

ComplicationCOVID-19DPC databaseInstrumentation surgeryLumbar canal stenosisSurgical site infection

Identifiers

PMID41280304
PMCPMC12634863

What Socratic holds

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.