TY - JOUR
T1 - Risk Factors for 30 and 90-Day Readmission due to Intestinal Bowel Obstruction after Posterior Lumbar Fusion
AU - Mikhail, Christopher Mina
AU - Warburton, Andrew
AU - Girdler, Steven Joseph
AU - Platt, Samantha
AU - Cong, Guang Ting
AU - Cho, Samuel Kang Wook
N1 - Publisher Copyright:
© 2021. by Korean Society of Spine Surgery
PY - 2021
Y1 - 2021
N2 - Study Design: A retrospective analysis of data from the Healthcare Cost and Utilization Project Nationwide Readmissions Database (HCUP-NRD).Purpose: To identify the perioperative characteristics associated with 30-day and 90-day readmission due to intestinal bowel obstructions(IBOs) following posterior lumbar fusion (PLF) procedure.Overview of Literature: PLF procedures are used to repair spinal injuries and curvature deformities. IBO is a common surgical complicationand its repair often necessitates surgery that increases the readmission rates and healthcare costs. Previous studies haveidentified the preoperative risk factors for 30-day readmissions in PLF; however, no study has specifically investigated IBO or identifiedrisk factors for 90-day readmissions.Methods: Data on demographic characteristics and medical comorbidities of patients who underwent PLF with subsequent readmissionwere obtained from the HCUP-NRD. The perioperative characteristics that were significantly different between patients readmittedwith and without an active diagnosis of IBO were identified with bivariate analysis for both 30-day and 90-day readmissions. Thesignificant characteristics were then included in a multivariate analysis to identify those that were independently associated with 30-day and 90-day readmissions.Results: Drug abuse (odds ratio [OR], 4.00), uncomplicated diabetes (OR, 2.06), having Medicare insurance (OR, 1.65), age 55–64years (OR, 2.42), age 65–79 years (OR, 2.77), and age >80 years (OR, 3.87) were significant risk factors for 30-day readmission attributableto IBO after a PLF procedure.Conclusions: Of the several preoperative risk factors identified for readmission with IBO after PLF surgery, drug abuse had the strongestassociation and was likely to be the most clinically relevant factor.
AB - Study Design: A retrospective analysis of data from the Healthcare Cost and Utilization Project Nationwide Readmissions Database (HCUP-NRD).Purpose: To identify the perioperative characteristics associated with 30-day and 90-day readmission due to intestinal bowel obstructions(IBOs) following posterior lumbar fusion (PLF) procedure.Overview of Literature: PLF procedures are used to repair spinal injuries and curvature deformities. IBO is a common surgical complicationand its repair often necessitates surgery that increases the readmission rates and healthcare costs. Previous studies haveidentified the preoperative risk factors for 30-day readmissions in PLF; however, no study has specifically investigated IBO or identifiedrisk factors for 90-day readmissions.Methods: Data on demographic characteristics and medical comorbidities of patients who underwent PLF with subsequent readmissionwere obtained from the HCUP-NRD. The perioperative characteristics that were significantly different between patients readmittedwith and without an active diagnosis of IBO were identified with bivariate analysis for both 30-day and 90-day readmissions. Thesignificant characteristics were then included in a multivariate analysis to identify those that were independently associated with 30-day and 90-day readmissions.Results: Drug abuse (odds ratio [OR], 4.00), uncomplicated diabetes (OR, 2.06), having Medicare insurance (OR, 1.65), age 55–64years (OR, 2.42), age 65–79 years (OR, 2.77), and age >80 years (OR, 3.87) were significant risk factors for 30-day readmission attributableto IBO after a PLF procedure.Conclusions: Of the several preoperative risk factors identified for readmission with IBO after PLF surgery, drug abuse had the strongestassociation and was likely to be the most clinically relevant factor.
KW - Complications
KW - Lumbrasacral spondylosis
KW - Patient readmission
KW - Spine
UR - http://www.scopus.com/inward/record.url?scp=85124506236&partnerID=8YFLogxK
U2 - 10.31616/asj.2020.0085
DO - 10.31616/asj.2020.0085
M3 - Article
AN - SCOPUS:85124506236
SN - 1976-1902
VL - 15
SP - 618
EP - 627
JO - Asian Spine Journal
JF - Asian Spine Journal
IS - 5
ER -