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Incidence, reasons, and risk factors for 30-day readmission after lumbar spine surgery for degenerative spinal disease

 Pyung Goo Cho  ;  Tae Hyun Kim  ;  Hana Lee  ;  Gyu Yeul Ji  ;  Sang Hyuk Park  ;  Dong Ah Shin 
 SCIENTIFIC REPORTS, Vol.10(1) : 12672, 2020-12 
Journal Title
Issue Date
Adult ; Aged ; Case-Control Studies ; Elective Surgical Procedures ; Female ; Humans ; Incidence ; Intervertebral Disc Degeneration / epidemiology* ; Intervertebral Disc Displacement / epidemiology* ; Length of Stay ; Logistic Models ; Male ; Middle Aged ; Neurosurgical Procedures / adverse effects ; Neurosurgical Procedures / methods* ; Pain, Postoperative / epidemiology* ; Patient Readmission / statistics & numerical data* ; Retrospective Studies ; Risk Factors ; Spinal Fusion / adverse effects ; Spinal Fusion / methods* ; Treatment Outcome
This study investigated risk factors for 30-day readmission of discharged patients who had undergone lumbar spinal surgery. This retrospective, case-control study reviewed 3,933 patients discharged after elective spinal surgery for lumbar degenerative diseases from 2005 to 2012 at a university hospital. Of these patients, 102 were re-hospitalized within 30 days of discharge. Patient medical records were reviewed. The incidence of readmission within 30 days was 2.6%, and uncontrolled pain was the most common reason for readmission. In the univariate analysis, age, mental illness, the number of medical comorbidities, previous spinal surgery, fusion surgery, number of fusion levels, estimated blood loss, operation time, intensive care unit (ICU) admission, length of hospital stays, and total medical expenses were associated with a higher risk of readmission within 30 days. Multiple logistic regression analysis revealed that previous spinal surgery, operation time, ICU admission, length of hospital stays, and total medical expenses were independent risk factors for 30-day readmission. Independent risk factors for readmission were longer operation time, a previous spinal surgery, ICU admission, longer hospital stays, and higher medical expenses. Further studies controlling these risk factors could contribute to reducing readmission and thus improving the quality of care.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Tae Hyun(김태현) ORCID logo https://orcid.org/0000-0003-1053-8958
Shin, Dong Ah(신동아) ORCID logo https://orcid.org/0000-0002-5225-4083
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