Abstract
There is a paucity of studies on readmission rates in elderly patients over a period of 360 days after spinal surgery. 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. 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. We found that electrocardio...Continue Reading
References
Aug 28, 2004·The Journal of Bone and Joint Surgery. British Volume·K A JanssonP Blomqvist
Mar 28, 2006·The American Journal of Cardiology·Peter G NoordzijDon Poldermans
May 28, 2008·Journal of the American Geriatrics Society·Jordan M CloydChristopher P Ames
Apr 8, 2010·JAMA : the Journal of the American Medical Association·Richard A DeyoJeffrey G Jarvik
Nov 26, 2010·BMC Surgery·Asgeir S JakolaTore Solberg
Sep 6, 2012·Journal of Korean Neurosurgical Society·Jung-Hyun LeeYoon Kyoung Lee
Oct 27, 2012·The Spine Journal : Official Journal of the North American Spine Society·Marjorie C WangAnn B Nattinger
Feb 15, 2014·Spine·Andrew J PugelySergio Mendoza-Lattes
Apr 15, 2014·Journal of Neurosurgery. Spine·Bobby D KimJohn Y S Kim
Sep 18, 2015·Neurosurgery·Michael G FehlingsJustin S Smith
Oct 2, 2015·Neurosurgical Focus·James T Bernatz, Paul A Anderson
Oct 10, 2015·Journal of Neurosurgery. Spine·Michael D CusimanoGabriela Ilie
Jul 13, 2016·Yonsei Medical Journal·Byung Ho LeeSeong Hwan Moon
Jul 28, 2016·World Neurosurgery·Owoicho AdogwaCarlos A Bagley
Mar 8, 2017·Journal of Korean Neurosurgical Society·Chang-Hyun LeeJung-Kil Lee
Apr 8, 2017·The Spine Journal : Official Journal of the North American Spine Society·Ahmed SalehRobert W Molinari
Apr 26, 2017·Spine·Ali A BaajArt Sedrakyan
Jun 3, 2017·Journal of Neurosurgery. Spine·Rishi K WadhwaPraveen V Mummaneni
Nov 17, 2017·Journal of Korean Neurosurgical Society·Jong Min ChoiSung Bum Kim
Dec 28, 2017·Spine·Jeffrey HillsClinton J Devin
Feb 3, 2018·World Neurosurgery·Julia GerhardtYu-Mi Ryang
Apr 16, 2018·Neurospine·Chang-Hyun LeeJi-Woong Kwon
Jun 13, 2018·Neurosurgery·Aladine A ElsamadicyShivanand P Lad
Jun 16, 2018·Journal of Neurosurgery. Spine·Scott L ParkerClinton J Devin
Jul 12, 2018·Neurospine·Jeong Hoon KimSeong-Hoon Oh