Incidence and considerations of 90-day readmissions following posterior lumbar fusion

The Spine Journal : Official Journal of the North American Spine Society
Jonathan J CuiJonathan N Grauer

Abstract

Posterior lumbar fusion (PLF) is a commonly performed procedure. The evolution of bundled payment plans is beginning to require physicians to more closely consider patient outcomes up to 90 days after an operation. Current quality metrics and other databases often consider only 30 postoperative days. The relatively new Healthcare Cost and Utilization Project Nationwide Readmissions Database (HCUP-NRD) tracks patient-linked hospital admissions data for up to one calendar year. To identify readmission rates within 90 days of discharge following PLF and to put this in context of 30 day readmission and baseline readmission rates. Retrospective study of patients in the HCUP-NRD. Any patient undergoing PLF performed in the first 9 months of 2013 were identified in the HCUP-NRD. Readmission patterns up to a full calendar year after discharge. PLFs performed in the first 9 months of 2013 were identified in the HCUP-NRD. Patient demographics and readmissions were tracked for 90 days after discharge. To estimate the average admission rate in an untreated population, the average daily admission rate in the last quarter of the year was calculated for a subset of PLF patients who had their operation in the first quarter of the year. This st...Continue Reading

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