Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2021 Jul;9(4):1041-1048.
doi: 10.1007/s43390-021-00294-7. Epub 2021 May 3.

Early and late hospital readmissions in adolescent idiopathic scoliosis

Akul Patel  1 , Joshua M Pahys  2 , Amer F Samdani  2 , Peter O Newton  3 , Tracey P Bastrom  3 , Suken A Shah  4 , Firoz Miyanji  5 , Steven W Hwang  6 ; Harms Study Group
Collaborators, Affiliations
Multicenter Study

Early and late hospital readmissions in adolescent idiopathic scoliosis

Akul Patel et al. Spine Deform. 2021 Jul.

Abstract

Study design: Retrospective review of a prospectively collected multicenter database.

Objectives: To identify risk factors for early and late readmission of surgically treated patients with adolescent idiopathic scoliosis (AIS). Specific risk factors associated with readmission in patients with AIS remain poorly understood.

Methods: Patients with AIS who were operatively treated from 19 centers specializing in the treatment of pediatric spinal deformity were studied. Data from a minimum 2 years of clinical follow-up and any readmission were available for analysis. Characteristics of patients with no readmission, early readmission (< 90 days), and late readmission (> 90 days) were evaluated. Both univariate and multivariate analyses of risk factors for readmission were performed.

Results: 2049 patients were included in our cohort, with 1.6% requiring early readmission and 3.3% late readmission. In the multivariate analysis, greater preoperative coronal imbalance was associated with early readmission. Longer operative time was associated with late readmission. Finally, greater preoperative pain (SRS-22 pain scale) was associated with both early and late readmission. GI complications accounted for a higher proportion of early readmissions than previously reported in the literature.

Conclusions: Preoperative counseling of patients with higher levels of pain and coronal imbalance and the implementation of a thorough postoperative bowel regimen may help optimize patient outcomes.

Level of evidence: 3.

Keywords: Adolescent idiopathic scoliosis; Complications; Readmission.

PubMed Disclaimer

References

    1. Orszag PR, Emanuel EJ (2010) Health care reform and cost control. N Engl J Med 363:601–603 - DOI
    1. Adogwa O, Elsamadicy AA, Han JL, Karikari IO, Cheng J, Bagley CA (2017) 30-Day readmission after spine surgery: an analysis of 1400 consecutive spine surgery patients. Spine (Phila Pa 1976) 42:520–524 - DOI
    1. Jencks SF, Williams MV, Coleman EA (2009) Rehospitalizations among patients in the medicare fee-for-service program. N Engl J Med 360:1418–1428 - DOI
    1. Van Walraven C, Bennett C, Jennings A, Austin PC, Forster AJ (2011) Proportion of hospital readmissions deemed avoidable: a systematic review. CMAJ 183:E391-402 - DOI
    1. Abu-Bonsrah N, Goodwin CR, Ortega G, Abdullah F, Cornwell E, De La Garza-Ramos R, Groves ML, Ain M, Sponseller PD, Sciubba DM (2017) Risk factors associated with short-term complications and mortality after pediatric spinal arthrodesis. Neurosurg Focus 43:E7 - DOI

Publication types

LinkOut - more resources