Table 3

Postoperative univariate associations by chronic kidney disease stage.

Stage 1 (n = 76,137)Stage 2 (n = 92,698)Stage 3a (n = 20,926)Stage 3b (n = 7551)Stage 4 (n = 1552)Stage 5 (n = 869)
VariableSteroid
(n = 3413)
No Steroid
(n = 72,724)
P ValueSteroid
(n = 4351)
No Steroid
(n = 88,347)
P ValueSteroid
(n = 1368)
No Steroid
(n = 19,558)
P ValueSteroid
(n = 593)
No Steroid
(n = 6958)
P ValueSteroid
(n = 155)
No Steroid
(n = 1397)
P ValueSteroid
(n = 45)
No Steroid
(n = 824)
P Value
Wound infection1011127 8.05E−09 1541281 <2.2E−16 45349 0.000273 161460.30323500.35793420.5019
Pulmonary event1161060 4.27E−15 1231217 2.68E−12 284260.847629219 0.02978 98914731
VTE1091117 1.96E−11 1291482 6.18E−09 163640.0738222151 0.02158 3550.2682290.672
MACE28390 0.03271 58710 0.00042 252920.30365150 0.03277 65311650.2455
Renal event16128 0.0007748 132880.89131699 0.003718 1586 0.01424 166 0.0113 140.2339
Death within 30 d73252 <2.2E−16 49403 7.28E−08 91090.57484810.41363380.79190330.4083
Sepsis54768 0.006418 92766 4.37E−13 31244 0.002941 20110 0.004306 5580.82914290.08541
UTI811104 0.0002175 1521674 1.88E−11 53548 0.02893 34247 0.01225 76912120.1609
Transfusion within 72 h78210,356 <2.2E−16 94113,805 <2.2E−16 3303818 5.39E−05 15316700.3422534360.4663113260.05818
Return to OR1972851 3.23E−07 2653169 3.64E−15 102872 2.09E−06 47324 0.0009916 111210.64831389 0.001095
LOS ≥10 d5155763 <2.2E−16 4504935 <2.2E−16 1501437 3.95E−06 85617 3.41E−05 343220.7639193330.7562
  • Abbreviations: CKD, chronic kidney disease; LOS, length of stay; MACE, major adverse cardiovascular event; OR, operating room; UTI, urinary tract infection; VTE, venous thromboembolism.

  • Note: Comparison of postoperative variables between lumbar spine fusion patient groups stratified by CKD stage. For each CKD stage, patients with reported chronic steroid use were compared with patients without chronic steroid use using Fisher exact tests. Statistical significance was defined as P value ≤0.05.