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

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dc.contributor.author김태현-
dc.contributor.author신동아-
dc.date.accessioned2021-05-21T17:05:54Z-
dc.date.available2021-05-21T17:05:54Z-
dc.date.issued2020-12-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/182701-
dc.description.abstractThis 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.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherNature Publishing Group-
dc.relation.isPartOfSCIENTIFIC REPORTS-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCase-Control Studies-
dc.subject.MESHElective Surgical Procedures-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHIntervertebral Disc Degeneration / epidemiology*-
dc.subject.MESHIntervertebral Disc Displacement / epidemiology*-
dc.subject.MESHLength of Stay-
dc.subject.MESHLogistic Models-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeurosurgical Procedures / adverse effects-
dc.subject.MESHNeurosurgical Procedures / methods*-
dc.subject.MESHPain, Postoperative / epidemiology*-
dc.subject.MESHPatient Readmission / statistics & numerical data*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSpinal Fusion / adverse effects-
dc.subject.MESHSpinal Fusion / methods*-
dc.subject.MESHTreatment Outcome-
dc.titleIncidence, reasons, and risk factors for 30-day readmission after lumbar spine surgery for degenerative spinal disease-
dc.typeArticle-
dc.contributor.collegeGraduate School of Public Health (보건대학원)-
dc.contributor.departmentGraduate School of Public Health (보건대학원)-
dc.contributor.googleauthorPyung Goo Cho-
dc.contributor.googleauthorTae Hyun Kim-
dc.contributor.googleauthorHana Lee-
dc.contributor.googleauthorGyu Yeul Ji-
dc.contributor.googleauthorSang Hyuk Park-
dc.contributor.googleauthorDong Ah Shin-
dc.identifier.doi10.1038/s41598-020-69732-2-
dc.contributor.localIdA01082-
dc.contributor.localIdA02092-
dc.relation.journalcodeJ02646-
dc.identifier.eissn2045-2322-
dc.identifier.pmid32728078-
dc.contributor.alternativeNameKim, Tae Hyun-
dc.contributor.affiliatedAuthor김태현-
dc.contributor.affiliatedAuthor신동아-
dc.citation.volume10-
dc.citation.number1-
dc.citation.startPage12672-
dc.identifier.bibliographicCitationSCIENTIFIC REPORTS, Vol.10(1) : 12672, 2020-12-
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

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