Race as a predictor of postoperative hospital readmission after spine surgery
•Black race and total length of hospital stay greater than 7days were associated with greater odds of readmission after spine surgery.•Cervical spine surgery was associated with decreased odds of readmission after spine surgery.•Studies such as ours will aid in identifying patients with postoperativ...
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| Veröffentlicht in: | Journal of clinical neuroscience 2017-12, Vol.46, p.21-25 |
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| container_title | Journal of clinical neuroscience |
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| creator | Martin, Joel R. Wang, Timothy Y. Loriaux, Daniel Desai, Rupen Kuchibhatla, Maragatha Karikari, Isaac O. Bagley, Carlos A. Gottfried, Oren N. |
| description | •Black race and total length of hospital stay greater than 7days were associated with greater odds of readmission after spine surgery.•Cervical spine surgery was associated with decreased odds of readmission after spine surgery.•Studies such as ours will aid in identifying patients with postoperative readmission risk and help elucidate the underlying factors that may be contributing to disparities in readmission after surgery.
Hospital readmission after surgery results in a substantial economic burden, and several recent studies have investigated the impact of race and ethnicity on hospital readmission rates, with the goal to identify hospitals and patients with high readmission risk. This single-institution, retrospective cohort study assesses the impact of race, along with other risk factors, on 30-day readmission rates following spinal surgery. This study is a single-institution retrospective cohort study with accrual from January 1, 2008, to December 31, 2010. Inclusion criteria included adult patients who underwent anterior and/or posterior spinal surgery. The primary aim of this study was to assess the impact of patient race and other risk factors for postoperative hospital readmission within 30days following spine surgery. A total of 1346 patients (654 male, 692 female) were included in the study. Overall, 159 patients (11.8%) were readmitted in the 30days following their surgery. Multivariate logistic regression found significant risk factors for 30-day readmission, including Black race (OR: 2.20, C.I. 95% (1.04, 4.64)) and total length of stay greater than 7days (OR: 4.73, C.I. 95% (1.72, 12.98)). Cervical surgery was associated with decreased odds of readmission (OR: 0.27, C.I. 95% (0.08, 0.91)). Our study demonstrates that race and length of hospital stay influence the incidence of 30-day readmission rates after spinal surgery. Studies such as ours will aid in identifying patients with postoperative readmission risk and help elucidate the underlying factors that may be contributing to disparities in readmission after surgery. |
| doi_str_mv | 10.1016/j.jocn.2017.08.015 |
| format | Article |
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Hospital readmission after surgery results in a substantial economic burden, and several recent studies have investigated the impact of race and ethnicity on hospital readmission rates, with the goal to identify hospitals and patients with high readmission risk. This single-institution, retrospective cohort study assesses the impact of race, along with other risk factors, on 30-day readmission rates following spinal surgery. This study is a single-institution retrospective cohort study with accrual from January 1, 2008, to December 31, 2010. Inclusion criteria included adult patients who underwent anterior and/or posterior spinal surgery. The primary aim of this study was to assess the impact of patient race and other risk factors for postoperative hospital readmission within 30days following spine surgery. A total of 1346 patients (654 male, 692 female) were included in the study. Overall, 159 patients (11.8%) were readmitted in the 30days following their surgery. Multivariate logistic regression found significant risk factors for 30-day readmission, including Black race (OR: 2.20, C.I. 95% (1.04, 4.64)) and total length of stay greater than 7days (OR: 4.73, C.I. 95% (1.72, 12.98)). Cervical surgery was associated with decreased odds of readmission (OR: 0.27, C.I. 95% (0.08, 0.91)). Our study demonstrates that race and length of hospital stay influence the incidence of 30-day readmission rates after spinal surgery. Studies such as ours will aid in identifying patients with postoperative readmission risk and help elucidate the underlying factors that may be contributing to disparities in readmission after surgery.</description><identifier>ISSN: 0967-5868</identifier><identifier>EISSN: 1532-2653</identifier><identifier>DOI: 10.1016/j.jocn.2017.08.015</identifier><identifier>PMID: 28893507</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adult ; Aged ; Cohort Studies ; Continental Population Groups ; Female ; Health expenditures ; Health status disparities ; Healthcare Disparities - ethnology ; Hospital readmission ; Humans ; Incidence ; Length of Stay ; Male ; Middle Aged ; Neurosurgical Procedures ; Outcomes ; Patient Readmission ; Postoperative Complications - ethnology ; Retrospective Studies ; Risk Factors ; Spine - surgery</subject><ispartof>Journal of clinical neuroscience, 2017-12, Vol.46, p.21-25</ispartof><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-a2a8611b6d855db1aad600742731f5b781fa9777e766d82cbe2f77f20e3e3f0b3</citedby><cites>FETCH-LOGICAL-c356t-a2a8611b6d855db1aad600742731f5b781fa9777e766d82cbe2f77f20e3e3f0b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jocn.2017.08.015$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28893507$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martin, Joel R.</creatorcontrib><creatorcontrib>Wang, Timothy Y.</creatorcontrib><creatorcontrib>Loriaux, Daniel</creatorcontrib><creatorcontrib>Desai, Rupen</creatorcontrib><creatorcontrib>Kuchibhatla, Maragatha</creatorcontrib><creatorcontrib>Karikari, Isaac O.</creatorcontrib><creatorcontrib>Bagley, Carlos A.</creatorcontrib><creatorcontrib>Gottfried, Oren N.</creatorcontrib><title>Race as a predictor of postoperative hospital readmission after spine surgery</title><title>Journal of clinical neuroscience</title><addtitle>J Clin Neurosci</addtitle><description>•Black race and total length of hospital stay greater than 7days were associated with greater odds of readmission after spine surgery.•Cervical spine surgery was associated with decreased odds of readmission after spine surgery.•Studies such as ours will aid in identifying patients with postoperative readmission risk and help elucidate the underlying factors that may be contributing to disparities in readmission after surgery.
Hospital readmission after surgery results in a substantial economic burden, and several recent studies have investigated the impact of race and ethnicity on hospital readmission rates, with the goal to identify hospitals and patients with high readmission risk. This single-institution, retrospective cohort study assesses the impact of race, along with other risk factors, on 30-day readmission rates following spinal surgery. This study is a single-institution retrospective cohort study with accrual from January 1, 2008, to December 31, 2010. Inclusion criteria included adult patients who underwent anterior and/or posterior spinal surgery. The primary aim of this study was to assess the impact of patient race and other risk factors for postoperative hospital readmission within 30days following spine surgery. A total of 1346 patients (654 male, 692 female) were included in the study. Overall, 159 patients (11.8%) were readmitted in the 30days following their surgery. Multivariate logistic regression found significant risk factors for 30-day readmission, including Black race (OR: 2.20, C.I. 95% (1.04, 4.64)) and total length of stay greater than 7days (OR: 4.73, C.I. 95% (1.72, 12.98)). Cervical surgery was associated with decreased odds of readmission (OR: 0.27, C.I. 95% (0.08, 0.91)). Our study demonstrates that race and length of hospital stay influence the incidence of 30-day readmission rates after spinal surgery. Studies such as ours will aid in identifying patients with postoperative readmission risk and help elucidate the underlying factors that may be contributing to disparities in readmission after surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Cohort Studies</subject><subject>Continental Population Groups</subject><subject>Female</subject><subject>Health expenditures</subject><subject>Health status disparities</subject><subject>Healthcare Disparities - ethnology</subject><subject>Hospital readmission</subject><subject>Humans</subject><subject>Incidence</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurosurgical Procedures</subject><subject>Outcomes</subject><subject>Patient Readmission</subject><subject>Postoperative Complications - ethnology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Spine - surgery</subject><issn>0967-5868</issn><issn>1532-2653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1rGzEQhkVpaJy0fyCHoGMvux1J1sdCLyXkC1wCpT0LrXbUyNirjbQO-N9Hxk6PPc1hnvdl5iHkikHLgKlv63ad_NhyYLoF0wKTH8iCScEbrqT4SBbQKd1Io8w5uShlDQDdUsAncs6N6YQEvSA_fzmP1BXq6JRxiH5OmaZAp1TmNGF2c3xF-pzKFGe3oRndsI2lxDRSF2bMtC5GpGWX_2LefyZnwW0KfjnNS_Ln7vb3zUOzerp_vPmxaryQam4cd0Yx1qvBSDn0zLlBAegl14IF2WvDguu01qhVRbjvkQetAwcUKAL04pJ8PfZOOb3ssMy2HuVxs3Ejpl2xrBOGddDJZUX5EfU5lZIx2CnHrct7y8AeNNq1PWi0B40WjK0aa-j61L_rtzj8i7x7q8D3I4D1y9eI2RYfcfTVYEY_2yHF__W_AXizhEs</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Martin, Joel R.</creator><creator>Wang, Timothy Y.</creator><creator>Loriaux, Daniel</creator><creator>Desai, Rupen</creator><creator>Kuchibhatla, Maragatha</creator><creator>Karikari, Isaac O.</creator><creator>Bagley, Carlos A.</creator><creator>Gottfried, Oren N.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201712</creationdate><title>Race as a predictor of postoperative hospital readmission after spine surgery</title><author>Martin, Joel R. ; Wang, Timothy Y. ; Loriaux, Daniel ; Desai, Rupen ; Kuchibhatla, Maragatha ; Karikari, Isaac O. ; Bagley, Carlos A. ; Gottfried, Oren N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-a2a8611b6d855db1aad600742731f5b781fa9777e766d82cbe2f77f20e3e3f0b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cohort Studies</topic><topic>Continental Population Groups</topic><topic>Female</topic><topic>Health expenditures</topic><topic>Health status disparities</topic><topic>Healthcare Disparities - ethnology</topic><topic>Hospital readmission</topic><topic>Humans</topic><topic>Incidence</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurosurgical Procedures</topic><topic>Outcomes</topic><topic>Patient Readmission</topic><topic>Postoperative Complications - ethnology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Spine - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martin, Joel R.</creatorcontrib><creatorcontrib>Wang, Timothy Y.</creatorcontrib><creatorcontrib>Loriaux, Daniel</creatorcontrib><creatorcontrib>Desai, Rupen</creatorcontrib><creatorcontrib>Kuchibhatla, Maragatha</creatorcontrib><creatorcontrib>Karikari, Isaac O.</creatorcontrib><creatorcontrib>Bagley, Carlos A.</creatorcontrib><creatorcontrib>Gottfried, Oren N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martin, Joel R.</au><au>Wang, Timothy Y.</au><au>Loriaux, Daniel</au><au>Desai, Rupen</au><au>Kuchibhatla, Maragatha</au><au>Karikari, Isaac O.</au><au>Bagley, Carlos A.</au><au>Gottfried, Oren N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Race as a predictor of postoperative hospital readmission after spine surgery</atitle><jtitle>Journal of clinical neuroscience</jtitle><addtitle>J Clin Neurosci</addtitle><date>2017-12</date><risdate>2017</risdate><volume>46</volume><spage>21</spage><epage>25</epage><pages>21-25</pages><issn>0967-5868</issn><eissn>1532-2653</eissn><abstract>•Black race and total length of hospital stay greater than 7days were associated with greater odds of readmission after spine surgery.•Cervical spine surgery was associated with decreased odds of readmission after spine surgery.•Studies such as ours will aid in identifying patients with postoperative readmission risk and help elucidate the underlying factors that may be contributing to disparities in readmission after surgery.
Hospital readmission after surgery results in a substantial economic burden, and several recent studies have investigated the impact of race and ethnicity on hospital readmission rates, with the goal to identify hospitals and patients with high readmission risk. This single-institution, retrospective cohort study assesses the impact of race, along with other risk factors, on 30-day readmission rates following spinal surgery. This study is a single-institution retrospective cohort study with accrual from January 1, 2008, to December 31, 2010. Inclusion criteria included adult patients who underwent anterior and/or posterior spinal surgery. The primary aim of this study was to assess the impact of patient race and other risk factors for postoperative hospital readmission within 30days following spine surgery. A total of 1346 patients (654 male, 692 female) were included in the study. Overall, 159 patients (11.8%) were readmitted in the 30days following their surgery. Multivariate logistic regression found significant risk factors for 30-day readmission, including Black race (OR: 2.20, C.I. 95% (1.04, 4.64)) and total length of stay greater than 7days (OR: 4.73, C.I. 95% (1.72, 12.98)). Cervical surgery was associated with decreased odds of readmission (OR: 0.27, C.I. 95% (0.08, 0.91)). Our study demonstrates that race and length of hospital stay influence the incidence of 30-day readmission rates after spinal surgery. Studies such as ours will aid in identifying patients with postoperative readmission risk and help elucidate the underlying factors that may be contributing to disparities in readmission after surgery.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>28893507</pmid><doi>10.1016/j.jocn.2017.08.015</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of clinical neuroscience, 2017-12, Vol.46, p.21-25 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Cohort Studies Continental Population Groups Female Health expenditures Health status disparities Healthcare Disparities - ethnology Hospital readmission Humans Incidence Length of Stay Male Middle Aged Neurosurgical Procedures Outcomes Patient Readmission Postoperative Complications - ethnology Retrospective Studies Risk Factors Spine - surgery |
| title | Race as a predictor of postoperative hospital readmission after spine surgery |
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