July 11, 2014
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Avoiding certain surgical complications critical to quality improvement

Several specific complications have been linked to the rate at which patients are readmitted to the hospital within 30 days of a major neurological procedure, according to study results.

Researchers retrospectively identified patients discharged from the UCLA Medical Center during a 3-year period after a major neurological procedure who were then readmitted within 30 days. The researchers categorized the reasons for readmission as surgical, medical diagnosis/complication, problem associated with the original diagnosis, neurological decompensation, pain management and miscellaneous.

During the 3-year period studied, there were 5,569 neurological procedures performed and 365 subsequent readmissions. Surgical complications were the most common reason for readmission at 50.1%. Medical diagnosis and complications were the second most common at 28.2%, according to the researchers.

Specifically, the largest group of patients with surgical complications requiring readmission were those who had cerebrospinal fluid shunt-related problems; surgical site infection and cerebrospinal fluid leakage were the second and third most common complications, respectively.

Disclosure: The authors have no relevant financial disclosures.