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

World Neurosurgery
Jong Joo LeeYoon Ha

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
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
Oct 2, 2015·Neurosurgical Focus·James T Bernatz, Paul A Anderson
Oct 10, 2015·Journal of Neurosurgery. Spine·Michael D CusimanoGabriela Ilie
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
Jun 16, 2018·Journal of Neurosurgery. Spine·Scott L ParkerClinton J Devin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Related Papers

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
P M Schuurmans-StekhovenP D Meiring
Advances in Surgery
Donald J Lucas, Timothy M Pawlik
European Journal of Internal Medicine
Carlotta FranchiREPOSI Investigators
© 2022 Meta ULC. All rights reserved