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Thirty- and 90-day readmissions after spinal surgery for spine metastases: A national trend analysis of 4423 patients

Spine May 31, 2021

Elsamadicy AA, Koo AB, David WB, et al. - Researchers used the Nationwide Readmission Database (2013 to 2015) to determine disparities in 30- and 90-day readmissions for spine metastases managed with decompression and/or fusion spine surgery. Participants were categorized by no readmission, readmission within 30 days, and readmission within 31 to 90 days. Of 4423 patients who had spine surgery for spine metastases, 1657 (37.5%) had either a 30-or 90-day unplanned readmission. In multivariate regression analysis, an independent link with 30-day readmission was demonstrated by factors such as surgery type, age, hypertension, and kidney failure; factors that were shown to be independently related to 90-day readmission included rheumatoid arthritis/collagen vascular diseases, and coagulopathy. Herein, various patient-level factors independently related to unplanned hospital readmissions following surgical intervention for spine metastases were unveiled. Sepsis, postoperative infection, and genitourinary complications were most commonly responsible for readmission.

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