Rates and risk factors associated with 90-day readmission following cervical spine fusion surgery: analysis of the Michigan Spine Surgery Improvement Collaborative (MSSIC) registry

Schafer, Eric S.; Bazydlo, Michael; Schultz, Lonni; Park, Paul; Chang, Victor; Easton, Richard; Schwalb, Jason M.; Khalil, Jad G.; Perez-Cruet, Miguelangelo; Abdulhak, Muwaffak; Aleem, Ilyas

doi:10.1016/j.spinee.2020.01.003

Cited by 19 publications

(35 citation statements)

References 12 publications

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“…Previous studies have shown that older age and male sex are statistically significant risk factors related to unplanned readmission after ACDF, which concur with the findings of our meta-analysis. 7 17 We also found that patients who were older in age were more likely to be readmitted. Smoking history is known to be associated with postoperative complications, such as surgical site infection, which can affect the incidence of readmission secondarily.…”

Section: Discussionmentioning

confidence: 64%

“…Many studies have shown that the payer status of patients is significantly associated with readmission. 7 8 17 20 21 22 Furthermore, insurance status is associated with adverse medical events. While Dial, et al 20 reported that possessing Medicare insurance and no insurance are associated with extended length of hospital stay, Tanenbaum, et al 23 found that having Medicaid insurance is related to increased adverse events after ACDF.…”

Section: Discussionmentioning

confidence: 99%

“…The ASA classification is commonly used to assess the overall comorbidities in patients. 26 27 Schafer, et al 17 reported that ASA grade >2 is associated with increased likelihood of readmission, while Dial, et al 20 demonstrated that the ASA score is related to 90-day readmission. Patients with ASA grade 4 tend to be readmitted more frequently than those with lower ASA grade.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors of Unplanned Readmission after Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis

et al. 2022

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Purpose With an increasing number of anterior cervical discectomy and fusion (ACDF) being conducted for degenerative cervical disc disease, there is a rising interest in the related quality of management and healthcare costs. Unplanned readmission after ACDF affects both the quality of management and medical expenses. This meta-analysis was performed to evaluate the risk factors of unplanned readmission after ACDF to improve the quality of management and prevent increase in healthcare costs. Materials and Methods We searched the databases of PubMed, EMBASE, Web of Science, and Cochrane Library to identify eligible studies using the searching terms, “readmission” and “ACDF.” A total of 10 studies were included. Results Among the demographic risk factors, older age [weighted mean difference (WMD), 3.93; 95% confidence interval (CI), 2.30–5.56; p <0.001], male [odds ratio (OR), 1.23; 95% CI, 1.10–1.36; p <0.001], and private insurance (OR, 0.34; 95% CI, 0.17–0.69; p <0.001) were significantly associated with unplanned readmission. Among patient characteristics, hypertension (HTN) (OR, 2.14; 95% CI, 1.41–3.25; p <0.001), diabetes mellitus (DM) (OR, 1.59; 95% CI, 1.20–2.11; p =0.001), coronary artery disease (CAD) (OR, 2.87; 95% CI, 2.13–3.86; p <0.001), American Society of Anesthesiologists (ASA) physical status grade >2 (OR, 2.13; 95% CI, 1.68–2.72; p <0.001), and anxiety and depression (OR, 1.39; 95% CI, 1.29–1.51; p <0.001) were significantly associated with unplanned readmission. Among the perioperative factors, pulmonary complications (OR, 22.52; 95% CI, 7.21–70.41; p <0.001) was significantly associated with unplanned readmission. Conclusion Male, older age, HTN, DM, CAD, ASA grade >2, anxiety and depression, pulmonary complications were significantly associated with an increased occurrence of unplanned readmission after ACDF.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Risk Factors of Unplanned Readmission after Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis

et al. 2022

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“…Four articles provided age data [ 12 , 14 , 16 , 17 ]. Meta-analysis presented that the heterogeneity between included studies was high ( I 2 = 64%).…”

Section: Resultsmentioning

confidence: 99%

“…However, potential risk factors for readmission are not analyzed in depth. Other studies on ninety-day readmission after cervical surgery are mostly focused on a single disease or surgical approach [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for ninety-day readmission following cervical surgery: a meta-analysis

Wang

Liao

et al. 2022

J Orthop Surg Res

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Background As an important evaluation index after cervical surgery, ninety-day readmission is gradually being valued. Our study collected the latest published relevant studies, analyzed the risk factors of ninety-day readmission after cervical surgery, and continuously improved the postoperative rehabilitation plan. This study focuses on two research hotspots: (1) What is the rate of ninety-day readmission after cervical surgery? (2) What are the risk factors affecting the ninety-day readmission? Methods Based on the Cochrane Library, PubMed, Web of Science, and Embase databases, this study searched for studies about ninety-day readmission after cervical surgery, from the establishment of the database to August 1, 2022. The evaluation indicators are as follows: age, American Society of Anesthesiology physical status (ASA) class, diabetes, hypertension, chronic heart diseases, chronic lung diseases, income, and payments for hospitalization. The meta-analysis was performed using Review Manager 5.4. Results Seven studies with 222,490 participants were eligible for our meta-analysis. The analysis displayed that there were statistically significant differences in the age (MD = − 4.60, 95%CI − 4.89–4.31, p < 0.001), diabetes (OR = 0.60, 95%CI 0.56–0.64, p < 0.00001), hypertension (OR = 0.40, 95%CI 0.30–0.54, p < 0.00001), chronic heart diseases (OR = 0.05, 95%CI 0.01–0.19, p < 0.00001), chronic lung diseases (OR = 0.46, 95%CI 0.43–0.49, p < 0.00001), income (OR = 2.85, 95%CI 1.82–4.46, p < 0.00001), and payments for hospitalization (OR = 2.29, 95%CI 1.14–4.59, p = 0.02) between readmission and no readmission groups. In terms of the ASA, there was no difference on the ninety-day readmission (p = 0.78). Conclusion Age, diabetes, hypertension, chronic heart diseases, chronic lung diseases, income, and payments for hospitalization are the risk factors of ninety‐day readmission following cervical surgery.

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Analysis of short- and delayed unplanned readmission rates after anterior discectomy and fusion for CSM

Elsamadicy,

Sayeed,

Sadeghzadeh

et al. 2025

Journal of Clinical Neuroscience

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Rates and risk factors associated with 90-day readmission following cervical spine fusion surgery: analysis of the Michigan Spine Surgery Improvement Collaborative (MSSIC) registry

Cited by 19 publications

References 12 publications

Risk Factors of Unplanned Readmission after Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis

Risk Factors of Unplanned Readmission after Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis

Risk factors for ninety-day readmission following cervical surgery: a meta-analysis

Analysis of short- and delayed unplanned readmission rates after anterior discectomy and fusion for CSM

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