Procedure invasiveness ups spinal surgery readmissions

Procedure invasiveness ups spinal surgery readmissions

(HealthDay)—Thirty-day unplanned readmission rates following lumbar spine surgery increase with procedure invasiveness, with medical and surgical factors contributing to readmission, according to a study published in the April 20 issue of Spine.

Andrew J. Pugely, M.D., from the University of Iowa Hospitals and Clinics in Iowa City, and colleagues used data from a multicenter clinical registry to identify patients undergoing lumbar discectomy, laminectomy, anterior and posterior fusions, and multilevel deformity surgery in 2012. They examined the incidence, causes, and for 30-day readmissions.

The researchers found that 4.4 percent of the 15,668 patients undergoing had unplanned 30-day hospital readmissions. Readmissions were lowest after discectomy procedures and highest after deformity (3.3 versus 9.0 percent; P < 0.001). Wound-related, pain-related, thromboembolic, and systemic infections were the main causes for (38.6, 22.4, 9.4, and 8.0 percent, respectively). Advanced patient age (>80 years), African-American race, recent weight loss, chronic obstructive pulmonary disorder, cancer history, creatinine more than 1.2, elevated American Society of Anesthesiologists class, operative time longer than four hours, and prolonged hospital length of stay at least four days were significant predictors of readmission.

"Both medical and surgical reasons contributed to readmission, many unavoidable," the authors write. "Surgeons should explore optimization measures for those at risk of early, unplanned readmission."

Relevant financial activities outside the submitted work were disclosed.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Unplanned readmission common after spine fusion

date Sep 11, 2013

(HealthDay)—For patients undergoing spine fusion for adult spinal deformity, unplanned hospital readmissions are relatively common and are often related to surgical site infections, according to a study ...

Hypertension linked to post-cervical fusion readmission

date Jan 22, 2014

(HealthDay)—The readmission rate following anterior cervical discectomy and fusion (ACDF) is 2.5 percent, and hypertension may increase the likelihood of readmission, according to a study published in the ...

More lumbar Sx complications at teaching hospitals

date Mar 12, 2014

(HealthDay)—Patients undergoing lumbar spine surgery at teaching hospitals incur longer hospitalizations and have more postoperative complications compared to those treated at nonteaching hospitals, according ...

Recommended for you

Level I trauma experience prepares surgeons for battle

date Jul 01, 2015

Soldiers injured during the conflicts in Iraq and Afghanistan have the highest survival rates in history, thanks to the availability of surgeons skilled in combat care. But combat-ready surgical skills are hard to sustain ...

Surgery may help adolescents with frequent migraines

date Jun 29, 2015

(HealthDay)—Migraine surgery may be an effective choice for adolescents who haven't gotten relief from standard treatment, a small study suggests. The findings were published in the June issue of Plastic an ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.