Dataset Information

The 90-Day Reoperations and Readmissions in Complex Adult Spinal Deformity Surgery.

ABSTRACT:

Study design

Retrospective review.

Objective

Identify surgical complex adult spine deformity patients who are at increased risk for an unplanned postoperative 90-day readmission and/or reoperation.

Methods

A total of 227 consecutive records of complex adult (≥18 years old) spine deformity surgeries from 2015 to 2018 were reviewed. Demographics, comorbidities, operative details, and postoperative complication data was collected. Chi-square/Fisher's exact test and t tests were used for bivariate analysis. To determine independent predictors for readmissions/reoperations, stepwise multivariate logistic regressions were employed. The C-statistic and Hosmer-Lemeshow (HL) value was used to measure concordance and goodness of fit.

Results

Average age was 50.5 ± 17.8 years and 67.8% were female. Ninety-day readmission and reoperation rates were 7.0% and 5.3%, respectively. Median number of days after index discharge date resulting in readmission and reoperation were 16.5 and 28, respectively. The multivariate regression for 90-day readmissions included pulmonary comorbidity, depression, history of deep vein thrombosis/pulmonary embolism (DVT/PE), and gastrointestinal comorbidity (C-statistic = 0.82; HL = 0.79). Pulmonary comorbidity, depression, and history of DVT/PE increased risk for 90-day readmission by 5-, 3.5-, and 10.2-fold, respectively. The multivariate regression for 90-day reoperations was similar to readmissions (C-statistic = 0.89; HL = 0.31). Operative time>7 hours and history of DVT/PE increased risk for early reoperation by 5.8- and 8.7-fold, respectively.

Conclusions

An emphasis on medically optimizing patients with preexisting pulmonary comorbidities, depression, and history of DVT/PE may have a substantial impact on improving short-term outcomes in this population. The present study provides benchmark data and may serve as an initial model to predict unplanned reoperations and readmissions.

SUBMITTER: Lee NJ

PROVIDER: S-EPMC9121151 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

The 90-Day Reoperations and Readmissions in Complex Adult Spinal Deformity Surgery.

Lee Nathan J NJ Lenke Lawrence G LG Cerpa Meghan M Lombardi Joseph J Ha Alex A Park Paul P Leung Eric E Sardar Zeeshan M ZM Lehman Ronald A RA

Global spine journal 20200903 3

<h4>Study design</h4>Retrospective review.<h4>Objective</h4>Identify surgical complex adult spine deformity patients who are at increased risk for an unplanned postoperative 90-day readmission and/or reoperation.<h4>Methods</h4>A total of 227 consecutive records of complex adult (≥18 years old) spine deformity surgeries from 2015 to 2018 were reviewed. Demographics, comorbidities, operative details, and postoperative complication data was collected. Chi-square/Fisher's exact test and <i>t</i> te ...[more]

PMID: 32878483

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Dataset Information

The 90-Day Reoperations and Readmissions in Complex Adult Spinal Deformity Surgery.

Study design

Objective

Methods

Results

Conclusions

Publications

The 90-Day Reoperations and Readmissions in Complex Adult Spinal Deformity Surgery.

Similar Datasets

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