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Study cites factors correlated with hospital readmission following fusion for pediatric spinal deformity
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Results from this study indicated patient-related factors drive the short-term readmission rate for pediatric spine deformity surgery and modifiable risk factors may reduce this rate.
Researchers retrospectively identified 13,287 patients with a primary diagnosis of spinal deformity and a primary lumbar or thoracic fusion of three or more levels. The median patient age was 14 years. Investigators calculated 30-day and 90-day readmission rates, and determined complication rates and whether diagnosis correlated with readmission.
Findings showed readmission rates at 30 days and 90 days were 4.7% and 6.1%, respectively. Investigators noted infection, wound dehiscence and pulmonary complications were among the most common factors leading to readmission.
According to results from a multivariate analysis, male sex, neuromuscular or congenital scoliosis, Scheuermann kyphosis, Medicare insurance, length of stay and surgery at teaching hospital were identified as predictors for 30-day readmission. Researchers also found a correlation between hospital volume and readmission rates in that centers in the top quintile for pediatric spine fusions had a 34% decreased risk for readmission vs. hospital volumes in the lowest quintile. ‒ by Monica Jaramillo
Disclosures: Roddy reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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