What are the Rates, Reasons, and Risk Factors of 90-day Hospital Readmission After Lumbar Discectomy?

Kohls, Morgan; Jain, Nikhil; Khan, Safdar N.

doi:10.1097/bsd.0000000000000672

Cited by 13 publications

(11 citation statements)

References 44 publications

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“…Some studies have investigated reoperation and readmission rates after certain surgical procedures. Kohls 13 focused on microscopic discectomy and found a 90-day readmission rate of 5.3%. Patients who underwent spinal fusion seem to be more likely to be readmitted (9.7–24.8%).…”

Section: Discussionmentioning

confidence: 99%

“…However, some scholars believe that the records of single-center analyses are more detailed and accurate than those of multicenter or nationwide analyses. 13 , 24 Second, socioeconomic factors were not considered in this study because the coverage rate of social medical insurance in the area where our institution is located has reached >95%. However, additional factors, such as commercial insurance, deserve further investigation.…”

Section: Discussionmentioning

confidence: 99%

“… 10 , 11 Thus, they have become important measures of quality of care. 12 , 13 Many studies have investigated early reoperation and readmission rates after elective lumbar surgery. Identifying their incidence rates and risk factors is important in predicting patient prognosis and optimizing perioperative management.…”

Section: Introductionmentioning

confidence: 99%

“…Most early readmissions and reoperations are attributed to spine-related indications. 13 , 15 Thus, preoperative evaluation of imaging parameters is valuable for predicting early adverse outcomes. 16 …”

Section: Introductionmentioning

confidence: 99%

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Early Readmission and Reoperation After Percutaneous Transforaminal Endoscopic Decompression for Degenerative Lumbar Spinal Stenosis: Incidence and Risk Factors

Wang¹,

Si²,

Wang³

et al. 2022

RMHP

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Purpose To identify the incidence rates and risk factors for early readmission and reoperation after percutaneous transforaminal endoscopic decompression (PTED) for degenerative lumbar spinal stenosis (DLSS). Patients and Methods A total of 1011 DLSS patients who underwent PTED were retrospectively evaluated. Of them, 58 were readmitted, and 31 underwent reoperation. The patients were matched with 174 control patients to perform case-control analyses. The clinical and preoperative imaging data of each patient were recorded. Univariate analyses were performed using independent sample t -tests and Fisher’s exact tests. Furthermore, the risk factors for early readmission and reoperation were analyzed using multivariate logistic regression analyses. Results The incidence rates of readmission and reoperation within 90 days after PTED were 5.7% and 3.1%, respectively. Age (odds ratio [OR]=1.054, p=0.001), BMI (OR=1.104, p=0.041), a history of lumbar surgery (OR=3.260, p=0.014), and the number of levels with radiological lumbar foraminal stenosis (LFS, OR=2.533, p<0.001) were independent risk factors for early readmission. The number of levels with radiological LFS (OR=5.049, p<0.001), the grade of surgical-level facet joint degeneration (OR=2.010, p=0.023), and a history of lumbar surgery (OR=10.091, p<0.001) were independent risk factors for early reoperation. Conclusion This study confirmed that aging, a higher BMI, a history of lumbar surgery, and more levels with radiological LFS were associated with a higher risk of early readmission. More levels with radiological LFS, a higher grade of surgical-level facet joint degeneration, and a history of lumbar surgery were predictors of early reoperation. These results are helpful in patient counseling and perioperative evaluation of PTED.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Early Readmission and Reoperation After Percutaneous Transforaminal Endoscopic Decompression for Degenerative Lumbar Spinal Stenosis: Incidence and Risk Factors

Wang¹,

Si²,

Wang³

et al. 2022

RMHP

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“…Incidental durotomy, a complication of spine surgery, occurs more frequently in the lumbar spine, especially during revision procedures. Its incidence ranges between 3% and 27% of all spinal operations, [1][2][3] with an apparent predilection for posterior access interventions. 4,5 Posterior spinal arthrodesis, a common procedure, is performed for various indications such as degenerative diseases, trauma, infections, and tumors.…”

Section: Introductionmentioning

confidence: 99%

Incidental Durotomy Following Transforaminal Lumbar Interbody Fusion Performed with the Modified Wiltse Approach

Sheinis

Benharroch

et al. 2020

J Neurol Surg A Cent Eur Neurosurg

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Purpose Incidental durotomy is an intraoperative complication that occurs in 3 to 27% of lumbar spine surgeries. It has been reported more commonly following revision spinal procedures. Study Objectives To investigate the frequency of incidental durotomy while performing transforaminal lumbar interbody fusion (TLIF) using the modified Wiltse approach. A secondary goal was to compare the incidence of durotomy in patients undergoing primary spine surgery with those undergoing revision surgery. Methods A group of consecutive patients who had undergone (TLIF) in the last 10 years ending in 2015 were enrolled in the study. All patients underwent TLIF via the modified Wiltse approach that included a central midline skin incision, followed by a paravertebral blunt dissection of the paraspinal muscles to reach the transverse processes. The deep paravertebral dissection was done conservatively, one side at a time. Demographic and clinical data were collected when relevant to the comparison. Results The study cohort encompassed 257 patients: 200 primary cases and 57 revisions. The frequency of incidental durotomy was equal in both groups: 3.5% each (7/200 and 2/57). All durotomies were repaired primarily. No other immediate or late complications were observed during follow-up. Conclusion The present study displays a limited incidence of durotomy in the primary interventions and to a lesser degree in the revisions, all of which had used a TLIF performed with the modified Wiltse approach. This procedure probably circumvented the need for further revisions.

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Predictors of postoperative complications after selective dorsal rhizotomy

et al. 2020

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What are the Rates, Reasons, and Risk Factors of 90-day Hospital Readmission After Lumbar Discectomy?

Cited by 13 publications

References 44 publications

Early Readmission and Reoperation After Percutaneous Transforaminal Endoscopic Decompression for Degenerative Lumbar Spinal Stenosis: Incidence and Risk Factors

Early Readmission and Reoperation After Percutaneous Transforaminal Endoscopic Decompression for Degenerative Lumbar Spinal Stenosis: Incidence and Risk Factors

Incidental Durotomy Following Transforaminal Lumbar Interbody Fusion Performed with the Modified Wiltse Approach

Predictors of postoperative complications after selective dorsal rhizotomy

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