Cargando…
Unplanned hospital readmission after surgical treatment for thoracic spinal stenosis: incidence and causative factors
BACKGROUND: To assess the incidence and causative factors of unplanned hospital readmission within 90 days after surgical treatment of thoracic spinal stenosis (TSS). METHODS: Hospital administrative database was queried to identify patients who underwent surgical treatment of TSS from July 2010 thr...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7818723/ https://www.ncbi.nlm.nih.gov/pubmed/33472615 http://dx.doi.org/10.1186/s12891-021-03975-6 |
_version_ | 1783638897577689088 |
---|---|
author | Wang, Hui Wang, Longjie Sun, Zhuoran Jiang, Shuai Li, Weishi |
author_facet | Wang, Hui Wang, Longjie Sun, Zhuoran Jiang, Shuai Li, Weishi |
author_sort | Wang, Hui |
collection | PubMed |
description | BACKGROUND: To assess the incidence and causative factors of unplanned hospital readmission within 90 days after surgical treatment of thoracic spinal stenosis (TSS). METHODS: Hospital administrative database was queried to identify patients who underwent surgical treatment of TSS from July 2010 through December 2017. All unplanned readmissions within 90 days of discharge were reviewed for causes and the rate of unplanned readmissions was calculated. Patients of unplanned readmission were matched 1:3 to a control cohort without readmission. RESULTS: Twenty-one patients (incidence of 1.7 % in 1239 patients) presented unplanned hospital readmission within a 90-day period and enrolled as the study group, 63 non-readmission patients (a proportion of 1: 3) were randomly selected as the control group. Causes of readmission include pseudomeningocele (8 patients; 38 %), CSF leakage combined with poor incision healing (6 patients; 29 %), wound dehiscence (2 patient; 9 %), surgical site infection (2 patients; 9 %), spinal epidural hematoma (1 patient; 5 %), inadequate original surgical decompression (2 patients; 9 %). Mean duration from re-admission to the first surgery was 39.6 ± 28.2 days, most of the patients readmitted at the first 40 days (66.7 %, 14/21 patients). When compared to the non-readmitted patients, diagnosis of OPLL + OFL, circumferential decompression, dural injury, long hospital stay were more to be seen in readmitted patients. CONCLUSIONS: The incidence of 90-day unplanned readmission after surgical treatment for TSS is 1.7 %, CSF leakage and pseudomeningocele were the most common causes of readmission, the peak period of readmission occurred from 10 to 40 days after surgery, patients should be closely followed up within this period. |
format | Online Article Text |
id | pubmed-7818723 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78187232021-01-22 Unplanned hospital readmission after surgical treatment for thoracic spinal stenosis: incidence and causative factors Wang, Hui Wang, Longjie Sun, Zhuoran Jiang, Shuai Li, Weishi BMC Musculoskelet Disord Research Article BACKGROUND: To assess the incidence and causative factors of unplanned hospital readmission within 90 days after surgical treatment of thoracic spinal stenosis (TSS). METHODS: Hospital administrative database was queried to identify patients who underwent surgical treatment of TSS from July 2010 through December 2017. All unplanned readmissions within 90 days of discharge were reviewed for causes and the rate of unplanned readmissions was calculated. Patients of unplanned readmission were matched 1:3 to a control cohort without readmission. RESULTS: Twenty-one patients (incidence of 1.7 % in 1239 patients) presented unplanned hospital readmission within a 90-day period and enrolled as the study group, 63 non-readmission patients (a proportion of 1: 3) were randomly selected as the control group. Causes of readmission include pseudomeningocele (8 patients; 38 %), CSF leakage combined with poor incision healing (6 patients; 29 %), wound dehiscence (2 patient; 9 %), surgical site infection (2 patients; 9 %), spinal epidural hematoma (1 patient; 5 %), inadequate original surgical decompression (2 patients; 9 %). Mean duration from re-admission to the first surgery was 39.6 ± 28.2 days, most of the patients readmitted at the first 40 days (66.7 %, 14/21 patients). When compared to the non-readmitted patients, diagnosis of OPLL + OFL, circumferential decompression, dural injury, long hospital stay were more to be seen in readmitted patients. CONCLUSIONS: The incidence of 90-day unplanned readmission after surgical treatment for TSS is 1.7 %, CSF leakage and pseudomeningocele were the most common causes of readmission, the peak period of readmission occurred from 10 to 40 days after surgery, patients should be closely followed up within this period. BioMed Central 2021-01-20 /pmc/articles/PMC7818723/ /pubmed/33472615 http://dx.doi.org/10.1186/s12891-021-03975-6 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Wang, Hui Wang, Longjie Sun, Zhuoran Jiang, Shuai Li, Weishi Unplanned hospital readmission after surgical treatment for thoracic spinal stenosis: incidence and causative factors |
title | Unplanned hospital readmission after surgical treatment for thoracic spinal stenosis: incidence and causative factors |
title_full | Unplanned hospital readmission after surgical treatment for thoracic spinal stenosis: incidence and causative factors |
title_fullStr | Unplanned hospital readmission after surgical treatment for thoracic spinal stenosis: incidence and causative factors |
title_full_unstemmed | Unplanned hospital readmission after surgical treatment for thoracic spinal stenosis: incidence and causative factors |
title_short | Unplanned hospital readmission after surgical treatment for thoracic spinal stenosis: incidence and causative factors |
title_sort | unplanned hospital readmission after surgical treatment for thoracic spinal stenosis: incidence and causative factors |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7818723/ https://www.ncbi.nlm.nih.gov/pubmed/33472615 http://dx.doi.org/10.1186/s12891-021-03975-6 |
work_keys_str_mv | AT wanghui unplannedhospitalreadmissionaftersurgicaltreatmentforthoracicspinalstenosisincidenceandcausativefactors AT wanglongjie unplannedhospitalreadmissionaftersurgicaltreatmentforthoracicspinalstenosisincidenceandcausativefactors AT sunzhuoran unplannedhospitalreadmissionaftersurgicaltreatmentforthoracicspinalstenosisincidenceandcausativefactors AT jiangshuai unplannedhospitalreadmissionaftersurgicaltreatmentforthoracicspinalstenosisincidenceandcausativefactors AT liweishi unplannedhospitalreadmissionaftersurgicaltreatmentforthoracicspinalstenosisincidenceandcausativefactors |