Risk Factors Associated with 90-Day Readmissions Following Occipitocervical Fusion—A Nationwide Readmissions Database Study

Elia, Christopher; Takayanagi, Ariel; Arvind, Varun; Goodmanson, Ryan; Glinski, Alexander von; Pierre, Clifford; Sung, Jeanju; Qutteineh, Bilal; Jung, Edward; Oskouian, Rod J.

doi:10.1016/j.wneu.2020.12.031

Cited by 2 publications

(8 citation statements)

References 25 publications

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“…Compared to the younger patients, elderly population may have hidden diseases such as diabetes, lower immunity, higher postoperative infection rate, and longer recovery period [ 21 , 22 ]. Our meta-analysis presented that the patient age in the no readmission group within ninety days after cervical surgery was younger than that in the ninety-day readmission group, and the difference was consistent with the previous conclusion [ 17 ].…”

Section: Discussionsupporting

confidence: 91%

“…Five articles submitted chronic lung diseases data [ 9 , 12 , 13 , 15 , 17 ]. Meta-analysis demonstrated that the heterogeneity between studies was high ( I 2 = 92%).…”

Section: Resultsmentioning

confidence: 99%

“…The incidence of postoperative complications is gradually being incorporated into the evaluation system of surgical treatment. Physicians’ observation of postoperative complications in patients is limited by the length of the patient’s hospital stay [ 17 ]. However, the promotion of the concept of fast recovery has shortened the average hospital stay of patients.…”

Section: Discussionmentioning

confidence: 99%

“…We meticulously implemented the inclusion and exclusion criteria after reviewing the titles and abstracts. Finally, seven articles were collected after thoroughly reading the full articles [9,[12][13][14][15][16][17]. The screening steps are displayed in Fig.…”

Section: Document Screeningmentioning

confidence: 99%

“…This meta-analysis included seven studies with 222,490 patients. Of all the included studies, four articles provided age [12,14,16,17], two articles provided ASA [9,12], six articles provided diabetes [9,[12][13][14][15]17], four articles provided hypertension [9,13,15,17], three articles provided chronic heart diseases [9,13,15], five articles provided chronic lung diseases [9,12,13,15,17], three articles provided income [13,15,16], and four articles provided payments for hospitalization [13,[15][16][17]. The characteristics of the included literature are presented in Table 1.…”

Section: Basic Characteristics Of the Included Literaturementioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 91%

“…Five articles submitted chronic lung diseases data [ 9 , 12 , 13 , 15 , 17 ]. Meta-analysis demonstrated that the heterogeneity between studies was high ( I 2 = 92%).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Document Screeningmentioning

confidence: 99%

Section: Basic Characteristics Of the Included Literaturementioning

confidence: 99%

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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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Occipitocervical fusion as treatment of instability in Chiari malformation

Zagorac

Mijalcic

Vasić³

et al. 2022

Srp Arh Celok Lek

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Introduction. Occipitocervical (OC) fusion is a method for fixation of the OC junction when there is instability of that segment. Arnold Chiari malformation is a congenital disorder where cerebellar tonsils descend through the foramen magnum, which can lead to cervicomedular compression and formation of syrinx. While treating this condition, for the purpose of decompression, the foramen magnum is expanded which can potentially harm the stability of the OC junction. Case outline. We are presenting the case of a 16 year old female who was surgically treated (suboccipital craniectomy and decompression) because of Arnold Chiari malformation type I. One-year post-op multislice computed tomography verified a slight enlargement of basion-axial and basion-dens intervals, with signs of spinal cord compression. Surgery was performed - occipitocervical fusion, canal decompression on C1 and C2 levels with a plate on occipital bone and screws placed in the third, fourth, and fifth cervical vertebra. Conclusion. Occipitocervical fusion is a complex surgical procedure (vital neurovascular structures), but it is a reliable method for treatment of instability of the OC junction.

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Risk Factors Associated with 90-Day Readmissions Following Occipitocervical Fusion—A Nationwide Readmissions Database Study

Cited by 2 publications

References 25 publications

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

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

Occipitocervical fusion as treatment of instability in Chiari malformation

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