Early and late hospital readmissions after spine deformity surgery in children with cerebral palsy

Spine Deformity
Andrew C VivasHarms Study Group

Abstract

Retrospective review of a prospectively collected multicenter registry of pediatric patients with cerebral palsy (CP) and neuromuscular scoliosis (NMS) undergoing spinal fusion. To define risk factors for unplanned readmission after elective spinal deformity surgery. Patients with CP and NMS have high rates of hospital readmission; however, risk factors for readmission are not well established. Univariate and multivariate analyses were used to compare the demographics, operative and postoperative course, radiographic characteristics, and preoperative Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) questionnaires of patients who did not require readmission to those who required either early readmission (within 90 days of the index surgery) or late readmission (readmission after 90 days). Of the 218 patients identified, 19 (8.7%) required early readmission, while 16 (7.3%) required late readmission. Baseline characteristics were similar between the three cohorts. On univariate analysis, early readmission was associated with longer duration of surgery (p < 0.001) and larger magnitude of residual deformity (p = 0.003 and p = 0.029 for postoperative major and minor angles, respectively). The health sc...Continue Reading

References

Apr 1, 1997·Developmental Medicine and Child Neurology·R PalisanoB Galuppi
Sep 17, 2005·Spine·Steven D GlassmanFrank Schwab
Sep 19, 2006·Developmental Medicine and Child Neurology·Unni G NarayananKent Campbell
Jan 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Margaret A OlsenVictoria J Fraser
Feb 28, 2008·Spine·Vidyadhar V UpasaniPeter O Newton
Mar 25, 2008·The Spine Journal : Official Journal of the North American Spine Society·Chirag G PatilMaxwell Boakye
Apr 3, 2009·The New England Journal of Medicine·Stephen F JencksEric A Coleman
Oct 27, 2012·The Spine Journal : Official Journal of the North American Spine Society·Marjorie C WangAnn B Nattinger
Nov 30, 2012·Clinical Orthopaedics and Related Research·Christina K HardestyGeorge H Thompson
Mar 3, 2015·Journal of Pediatric Orthopedics·Shobhit V MinhasNorman Y Otsuka
Jun 27, 2015·International Journal of Spine Surgery·Chibuikem AkamnonuJohn A Bendo
Oct 22, 2016·The Spine Journal : Official Journal of the North American Spine Society·Erika Roddy, Mohammad Diab
Nov 4, 2016·The Journal of Bone and Joint Surgery. American Volume·Amit JainUNKNOWN Harms Study Group

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