STUDY DESIGN: Retrospective cohort study. OBJECTIVE: The aim of this study was to investigate differences in 30- and 90-day readmissions for spine metastases treated with decompression and/or fusion spine surgery in a nationwide readmission database. SUMMARY OF BACKGROUND DATA: Patients with metastases to the spine represent a particularly vulnerable patient group that may encounter frequent readmissions. However, the 30- and 90-day rates for readmission following surgery for spine metastases have not been well described. METHODS: The Nationwide Readmission Database years 2013 to 2015 was queried. Patients were grouped by no readmission (non-R), readmission within 30 days (30-R), and readmission within 31 to 90 days (90-R). Weighted multivariate analysis assessed impact of treatment approach and clinical factors associated with 30- and 90-day readmissions. RESULTS: There were a total of 4423 patients with a diagnosis of spine metastases identified who underwent spine surgery, of which 1657 (37.5%) encountered either a 30-or 90-day unplanned readmission (30-R: n = 1068 [24-.1%]; 90-R: n = 589 [13.3%]; non-R: n = 2766). The most prevalent inpatient complications observed were postoperative infection (30-R: 16.3%, 90-R: 14.3%, non-R: 11.5%), acute post-hemorrhagic anemia (30-R: 13.4%, 90-R: 14.2%, non-R: 14.5%), and genitourinary complication (30-R: 5.7%, 90-R: 2.9%, non-R: 6.2%). The most prevalent 30-day and 90-day reasons for admission were sepsis (30-R: 10.2%, 90-R: 10.8%), postoperative infection (30-R: 13.7%, 90-R: 6.5%), and genitourinary complication (30-R: 3.9%, 90-R: 4.1%). On multivariate regression analysis, surgery type, age, hypertension, and renal failure were independently associated with 30-day readmission; rheumatoid arthritis/collagen vascular diseases, and coagulopathy were independently associated with 90-day readmission. CONCLUSION: In this study, we demonstrate several patient-level factors independently associated with unplanned hospital readmissions after surgical treatment intervention for spine metastases. Furthermore, we find that the most common reasons for readmission are sepsis, postoperative infection, and genitourinary complications.Level of Evidence: 3.
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: The aim of this study was to investigate differences in 30- and 90-day readmissions for spine metastases treated with decompression and/or fusion spine surgery in a nationwide readmission database. SUMMARY OF BACKGROUND DATA: Patients with metastases to the spine represent a particularly vulnerable patient group that may encounter frequent readmissions. However, the 30- and 90-day rates for readmission following surgery for spine metastases have not been well described. METHODS: The Nationwide Readmission Database years 2013 to 2015 was queried. Patients were grouped by no readmission (non-R), readmission within 30 days (30-R), and readmission within 31 to 90 days (90-R). Weighted multivariate analysis assessed impact of treatment approach and clinical factors associated with 30- and 90-day readmissions. RESULTS: There were a total of 4423 patients with a diagnosis of spine metastases identified who underwent spine surgery, of which 1657 (37.5%) encountered either a 30-or 90-day unplanned readmission (30-R: n = 1068 [24-.1%]; 90-R: n = 589 [13.3%]; non-R: n = 2766). The most prevalent inpatient complications observed were postoperative infection (30-R: 16.3%, 90-R: 14.3%, non-R: 11.5%), acute post-hemorrhagic anemia (30-R: 13.4%, 90-R: 14.2%, non-R: 14.5%), and genitourinary complication (30-R: 5.7%, 90-R: 2.9%, non-R: 6.2%). The most prevalent 30-day and 90-day reasons for admission were sepsis (30-R: 10.2%, 90-R: 10.8%), postoperative infection (30-R: 13.7%, 90-R: 6.5%), and genitourinary complication (30-R: 3.9%, 90-R: 4.1%). On multivariate regression analysis, surgery type, age, hypertension, and renal failure were independently associated with 30-day readmission; rheumatoid arthritis/collagen vascular diseases, and coagulopathy were independently associated with 90-day readmission. CONCLUSION: In this study, we demonstrate several patient-level factors independently associated with unplanned hospital readmissions after surgical treatment intervention for spine metastases. Furthermore, we find that the most common reasons for readmission are sepsis, postoperative infection, and genitourinary complications.Level of Evidence: 3.
Authors: Serge Marbacher; Anne F Mannion; Jan-Karl Burkhardt; Ralph T Schär; François Porchet; Frank Kleinstück; Dezsö Jeszenszky; Tamás F Fekete; Daniel Haschtmann Journal: Spine (Phila Pa 1976) Date: 2016-05 Impact factor: 3.468
Authors: William W Schairer; Alexandra Carrer; David C Sing; Dean Chou; Praveen V Mummaneni; Serena S Hu; Sigurd H Berven; Shane Burch; Bobby Tay; Vedat Deviren; Christopher Ames Journal: Spine (Phila Pa 1976) Date: 2014-10-01 Impact factor: 3.468
Authors: Bita A Kash; Juha Baek; Elise Davis; Tiffany Champagne-Langabeer; James R Langabeer Journal: Int J Med Inform Date: 2017-05-20 Impact factor: 4.046
Authors: M Burhan Janjua; Sumanth Reddy; Amer F Samdani; William C Welch; Ali K Ozturk; Angela V Price; Bradley E Weprin; Dale M Swift Journal: World Neurosurg Date: 2019-04-01 Impact factor: 2.104
Authors: Blake E S Taylor; Brett E Youngerman; Hannah Goldstein; Daniel H Kabat; Geoffrey Appelboom; William E Gold; Edward Sander Connolly Journal: Neurosurgery Date: 2016-09 Impact factor: 4.654
Authors: Andrew J Schoenfeld; Paul A Carey; Andrew W Cleveland; Julia O Bader; Christopher M Bono Journal: Spine J Date: 2013-04-09 Impact factor: 4.166
Authors: Peter Försth; Gylfi Ólafsson; Thomas Carlsson; Anders Frost; Fredrik Borgström; Peter Fritzell; Patrik Öhagen; Karl Michaëlsson; Bengt Sandén Journal: N Engl J Med Date: 2016-04-14 Impact factor: 91.245
Authors: Zoher Ghogawala; James Dziura; William E Butler; Feng Dai; Norma Terrin; Subu N Magge; Jean-Valery C E Coumans; J Fred Harrington; Sepideh Amin-Hanjani; J Sanford Schwartz; Volker K H Sonntag; Fred G Barker; Edward C Benzel Journal: N Engl J Med Date: 2016-04-14 Impact factor: 91.245
Authors: Kevin Mo; Arjun Gupta; Humaid Al Farii; Micheal Raad; Farah Musharbash; Britni Tran; Ming Zheng; Sang Hun Lee Journal: J Spine Surg Date: 2022-06