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Risk Factors for Unexpected Admission Following Lumbar Spine Laminectomy: A National Database Study – Lumbar Fusion

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The article investigates the demographics and risk factors associated with unplanned 30-day readmission following a laminectomy, one of the most common orthopedic spine surgeries in the United States. The study, which analyzed data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database, found that increasing age, female sex, steroid use, current smokers, bleeding disorders, diabetes, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), a higher ASA classification, and longer operative times are independent risk factors for readmission after laminectomy. The research highlights the importance of identifying and addressing these factors to reduce the occurrence of unplanned readmissions in patients undergoing laminectomies

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Introduction Laminectomy is one of the most common orthopedic spine surgeries performed in the United States. Compared to other spine operations such as fusions, laminectomies in isolation are of lower morbidity. However, complications may arise that result in readmission to an inpatient healthcare facility. The purpose of this study is to identify the demographics and risk factors associated with unplanned 30-day readmission following a laminectomy. Methods The American College of Surgeons…

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Cureus. 2024 Mar 4;16(3):e55507. doi: 10.7759/cureus.55507. eCollection 2024 Mar. ABSTRACT Introduction Laminectomy is one of the most common orthopedic spine surgeries performed in the United States. Compared to other spine operations such as fusions, laminectomies in isolation are of lower morbidity. However, complications may arise that result in readmission to an inpatient healthcare facility. The,

Cureus. 2024 Mar 4;16(3):e55507. doi: 10.7759/cureus.55507. eCollection 2024 Mar.

ABSTRACT

Introduction Laminectomy is one of the most common orthopedic spine surgeries performed in the United States. Compared to other spine operations such as fusions, laminectomies in isolation are of lower morbidity. However, complications may arise that result in readmission to an inpatient healthcare facility. The purpose of this study is to identify the demographics and risk factors associated with unplanned 30-day readmission following a laminectomy. Methods The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried for patients who underwent a laminectomy procedure from 2015 to 2019 using CPT code 63030. This query yielded 61,708 cases. Demographic, lifestyle, comorbidity, and peri-operative factors were recorded. Independent samples Student’s t-tests, chi-squared, and, where appropriate, Fisher’s exact tests were used in univariate analyses to identify demographic, lifestyle, and peri-operative variables related to 30-day readmission following a laminectomy procedure. Multivariate logistic regression modeling was subsequently performed. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated and reported. Results Of the 61,708 patients included in our sample, 2,359 were readmitted within 30 days of surgery, corresponding to a readmission rate of 3.82%. Results of the univariate analysis revealed statistically significant relationships between readmission status and the following patient variables: patient age, sex, BMI, ASA classification, race, bleeding disorder, chronic obstructive pulmonary disease (COPD), diabetes, hypertension, congestive heart failure (CHF), chronic steroid use, total operative time, and tobacco use (p < 0.05). Multivariate logistic regression modeling confirmed that the following patient variables were associated with statistically significantly increased odds of readmission: age greater than 65 (p < 0.05), female sex (p = 0.013), bleeding disorder (p = 0.011), diabetes (p = 0.006), current smoker (p = 0.010), COPD (p < 0.001), steroid use (p = 0.006), ASA Class II or above (p < 0.05), and total operative time (p < 0.001). Unplanned 30-day readmission after laminectomy is infrequent. However, increasing age, female sex, steroid use, current smokers, bleeding disorders, diabetes, COPD, CHF, a higher ASA classification, and longer operative times are independent risk factors for readmission following laminectomy.

PMID:38571866 | PMC:PMC10990575 | DOI:10.7759/cureus.55507

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Risk Factors for Unexpected Admission Following Lumbar Spine Laminectomy: A National Database Study

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Cureus. 2024 Mar 4;16(3):e55507. doi: 10.7759/cureus.55507. eCollection 2024 Mar. ABSTRACT Introduction Laminectomy is one of the most common orthopedic spine surgeries performed in the United States. Compared to other spine operations such as fusions, laminectomies in isolation are of lower morbidity. However, complications may arise that result in readmission to an inpatient healthcare facility. The

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