5 key notes on hospital readmissions for adult spinal deformity surgery

Spine

A new study published in Spine examines hospital readmissions within two years of adult thoracolumbar spinal deformity surgery.

The researchers examined patients who underwent adult spinal deformity procedures with 334 patients included in the study. The researchers found:

 

1. There were 76 readmissions, accounting for 22.8 percent of the patients. Sixty-five patients, or 85.5 percent, underwent reoperations and 11 patients, or 14.5 percent, reported medical readmissions.

 

2. The most common reason for readmission was:

 

• Implant complications for surgical readmission: 36.9 percent reported rod breakage
• Infection for medical readmission: 36.4 percent, treated with antibiotics

 

3. The non-medical readmissions included pleural effusion, deep vein thrombosis, intraoperative blood loss, neurologic and unspecified.

 

4. The predictors for readmission include:

 

• Major perioperative complications
• Infection
• Implant complications
• Radiographic complications

 

5. The health-related quality of life analysis showed overall improvement for all patients, although the patients who were readmitted improved less at each point in time and overall.

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