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• W2068800358 abstract "In Brief Study Design. A retrospective review of instrumented spine registry from an integrated US healthcare system. Objective. Investigate the 30-day readmission rate and risk factors after instrumented spine surgery. Summary of Background Data. Published readmission rates range from 2% to over 20%. We were interested in learning which patients were at greatest risk, when did readmissions occur, and why. Method. 30-day readmission rates were determined for 14,939 patients after an index spine procedure between 1/2009 and 3/2013. Data were analyzed with descriptive statistics, univariate, and multivariate logistic regression analysis. Result. The average age of the cohort was 59 (SD = 13.4) and 52% were female. The 30-day readmission rate was 5.5% (821/14,939). The temporal pattern for readmission was: 17% (140) at week 1, 48% (394) at week 2, 72% (591) at week 3, and 100% (821) at week 4. The leading causes were wound complications (infection, hematoma, dehiscence, seroma), sepsis, pain management, pneumonia, and pulmonary emboli/deep venous thrombosis. In a multivariate model, readmission risk factors were: malignancy (OR 2.99, 95% CI: 1.56, 5.73), operative time more than 400 minutes (OR 2.59, 95% CI: 1.66, 4.02), operative time 300–399 minutes (OR 2.33, 95% CI: 1.54–3.52), hospital stay 6–10 days (OR 2.03, 95% CI: 1.31–3.14), hospital stay more than 10 days (OR 1.85, 95% CI: 1.1, −3.08), surgical complications (OR 1.67, 95% CI: 1.18, 2.36), operative time 200–299 (OR 1.52, 95% CI: 1.04, 2.22), depression (OR 1.48, 95% CI: 1.14, 1.93), rheumatoid arthritis (OR 1.45, 95% CI: 1.05, 2.01), deficiency anemia (OR 1.30, 95% CI: 1.05, 1.61), and hypothyroidism (OR 1.29, 95% CI: 1.01, 1.64). Conclusion. Surgical complications (dural tear, deep infections, superficial infections, epidural hematoma), malignancy, lengthy operative times, and lengthy initial hospitalizations are all risk factors for 30-day readmission. These findings should be considered during preoperative assessment and surgical planning. Level of Evidence: 3 30-day readmissions were determined for 14,939 patients after spine surgery. Surgical complications (dural tear, deep and superficial infections, epidural hematoma), malignancy, lengthy operative times, and long hospitalizations are all risk factors. The timing for readmission was: 17% at week 1, 48% at week 2, 72% at week 3, and 100% at week 4." @default.
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• W2068800358 date "2015-07-01" @default.
• W2068800358 modified "2023-10-13" @default.
• W2068800358 title "Risk Factors Associated With 30-day Readmissions After Instrumented Spine Surgery in 14,939 Patients" @default.
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• W2068800358 doi "https://doi.org/10.1097/brs.0000000000000916" @default.
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