0 43

Cited 3 times in

Analysis of Risk Factors Associated With Hospital Readmission Within 360 Days After Degenerative Lumbar Spine Surgery in Elderly Patients

Authors
 Jong Joo Lee  ;  Seong Bae An  ;  Tae Woo Kim  ;  Dong Ah Shin  ;  Seong Yi  ;  Keung Nyun Kim  ;  Do Heum Yoon  ;  Hyun Chul Shin  ;  Yoon Ha 
Citation
 WORLD NEUROSURGERY, Vol.126 : e196-e207, 2019-06 
Journal Title
 WORLD NEUROSURGERY 
ISSN
 1878-8750 
Issue Date
2019-06
MeSH
Aged ; Aged, 80 and over ; Aspartate Aminotransferases / blood ; Asthma / complications ; Body Mass Index ; Critical Care / statistics & numerical data ; Electrocardiography ; Female ; Heart Diseases / complications ; Humans ; Intervertebral Disc Degeneration / surgery* ; Lumbar Vertebrae / surgery* ; Male ; Patient Readmission / statistics & numerical data* ; Platelet Count ; Postoperative Complications ; Risk Factors ; Sex Factors ; Spinal Fusion
Keywords
Elderly patients ; Readmission ; Regression analysis ; Risk factors ; Spinal surgery
Abstract
Objective: There is a paucity of studies on readmission rates in elderly patients over a period of 360 days after spinal surgery. Methods: We identified 1248 patients older than 70 years who underwent degenerative lumbar spinal surgery from November 2005 to April 2015. We reviewed the patients who were readmitted within 360 days and compared them by univariate and multivariate analysis with the nonreadmitted patients for each period of 0-30, 30-90, 90-180, and 180-360 days postoperatively to determine risk factors for hospital readmission. Results: A total of 1248 patients (733 female, 58.7%) were enrolled in the study. The number of readmitted patients was 37 (2.96%), 94 (7.53%), 145 (11.62%), 182 (14.58%), and 213 (17.07%) at 30, 90, 180, 270, and 360 days, respectively. Surgical site-related problems decreased gradually in the first 0-90 days and slightly increased after then. Non-surgical site-related problems gradually increased with time. Logistic multiple regression analysis showed that electrocardiographic abnormalities, male sex, low hemoglobin levels, asthma, heart disease, intensive care unit admission, low alanine aminotransferase level, high body mass index, and high platelet level were risk factors for readmission. Conclusions: We found that electrocardiographic abnormalities, male sex, low hemoglobin levels, asthma, heart disease, intensive care unit admission, low aspartate aminotransferase level, high body mass index, and high platelet level were risk factors for readmission. As the postoperative observational period became longer, the reasons for readmission tended to be more related to non-surgical site-related problems than to surgical-related problems.
Full Text
https://www.sciencedirect.com/science/article/pii/S1878875019304164
DOI
10.1016/j.wneu.2019.01.293
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Keung Nyun(김긍년)
Shin, Dong Ah(신동아) ORCID logo https://orcid.org/0000-0002-5225-4083
An, Seong Bae(안성배)
Yoon, Do Heum(윤도흠) ORCID logo https://orcid.org/0000-0003-1452-5724
Yi, Seong(이성)
Lee, Jong Joo(이종주)
Ha, Yoon(하윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/175899
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links