Unplanned hospital readmission after surgical treatment of common lumbar pathologies: rates and causes

Spine
Chibuikem AkamnonuJohn A Bendo

Abstract

Retrospective cohort study. To assess the rate and causes of unplanned readmissions after surgical treatment of common degenerative lumbar pathologies within 90 days. With pay-for performance and bundled payment compensation models being implemented; there is a growing emphasis to decrease the number of unplanned readmissions after surgery. Reports on degenerative lumbar spine pathology readmission rates are often obtained from national databases that lack clinical detail. Less published are the results from single-center institutions. Hospital administrative database from a single-tertiary institution was queried to identify patients who underwent surgery for 6 common lumbar pathologies during a period from 2011 to 2013. All readmissions within 90 days of discharge were reviewed for cause and rate of unplanned readmissions was calculated. A total of 1306 patients were identified who underwent surgery for various lumbar pathologies during a 2-year time period. There were a total of 70 readmissions captured in the database that included 14 planned, 43 unplanned readmissions, and 13 coding errors. The unplanned readmission rate varied between 2.1% and 7.1% depending on pathology, with an overall rate of 3.3% within 90 days of dis...Continue Reading

References

Apr 3, 2009·The New England Journal of Medicine·Stephen F JencksEric A Coleman
Nov 4, 2011·The Journal of Bone and Joint Surgery. American Volume·Richard A DeyoSohail K Mirza
Jun 16, 2012·Spine·Richard A McCormackJoseph A Bosco
May 24, 2013·Spine·William W SchairerSigurd H Berven
Feb 15, 2014·Spine·Andrew J PugelySergio Mendoza-Lattes
Mar 13, 2014·Journal of Shoulder and Elbow Surgery·William W SchairerBrian T Feeley

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Citations

Mar 21, 2018·The Journal of Bone and Joint Surgery. American Volume·Samrat YeramaneniRichard A Hostin
Dec 6, 2017·European Journal of Public Health·Francesco NapolitanoUNKNOWN Collaborative Working Group
Oct 14, 2017·Journal of Neurosurgery. Pediatrics·Silky ChotaiRobert P Naftel
Mar 1, 2016·Annals of the Royal College of Surgeons of England·R PeeraullyB Davies
Mar 14, 2020·Journal of Neurosurgery. Spine·Haariss IlyasMichael P Steinmetz
Oct 3, 2018·Neurosurgery·Jeffrey M HillsClinton J Devin
Jun 1, 2018·Neurosurgery·Silky ChotaiClinton J Devin
Oct 31, 2020·Clinical Spine Surgery : a Spine Publication·Amir TareeSamuel K Cho

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