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Identification of high-risk patients reduces unplanned readmission after lumbar decompression
Identifying patients who are at high risk for, and appropriately allocating resources to reduce postoperative incidence of, readmission may help reduce the rate of unplanned readmission in patients undergoing lumbar decompression surgery.
In a multicenter, retrospective study, researchers identified all patients who underwent lumbar decompression procedures in 2011 using The National Surgical Quality Improvement Program database. In all, 7,016 patients were analyzed as part of the study. The researchers used risk-adjusted multivariate logistic regression analysis to determine the independent risk factors for unplanned readmission.
Anemia, dependent functional status, total operative duration and American Society of Anesthesiologists Physical Status Class 4 were found to be independent predictors of unplanned readmission. Postoperatively, factors such as overall complications, unplanned reoperation and pulmonary embolism were identified as significant risk factors for readmission.
Disclosure: The authors have no relevant financial disclosures.
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Kim BD. J Neurosurg Spine. 2014;doi:10.3171/2014.3.SPINE13699