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Research ArticleArticles

Ninety-day readmissions after degenerative cervical spine surgery: A single-center administrative database study

Chibuikem Akamnonu, Thomas Cheriyan, Jeffrey A. Goldstein, Thomas J. Errico and John A. Bendo
International Journal of Spine Surgery January 2015, 9 19; DOI: https://doi.org/10.14444/2019
Chibuikem Akamnonu
1Division of Spine Surgery, Hospital for Joint Diseases, New York Langone Medical Center, New York
MD
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Thomas Cheriyan
1Division of Spine Surgery, Hospital for Joint Diseases, New York Langone Medical Center, New York
MD
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Jeffrey A. Goldstein
1Division of Spine Surgery, Hospital for Joint Diseases, New York Langone Medical Center, New York
MD
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Thomas J. Errico
1Division of Spine Surgery, Hospital for Joint Diseases, New York Langone Medical Center, New York
MD
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John A. Bendo
1Division of Spine Surgery, Hospital for Joint Diseases, New York Langone Medical Center, New York
MD
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    Table 1

    Distribution of patient cohort.

    Mean/ Frequency
    Age51.0±11.3 years (22-89)
    GenderMale416 (54.2)
    Female352 (45.8)
    Length of Stay1.9± 1.6 days(0-20)
    DiagnosisBrachial neuritis or radiculitis NOS14 (1.82)
    Cervical spondylosis with myelopathy177 (23.05)
    Cervical spondylosis without myelopathy54 (7.03)
    Displacement of cervical intervertebraldisc without myelopathy367 (47.79)
    Degeneration of cervical intervertebraldisc28 (3.65)
    cervical intervertebral disc disorder94 (12.24)
    cervical spinal stenosis34 (4.43)
    ApproachAnterior640 (83)
    Posterior128 (17)
    DispositionHome / Self care607 (79.03)
    Home /Health care service128 (16.67)
    Rehabilitation Facility16 (2.08)
    Nursing Facilityy11(1.43)
    Short-term hospital/ Health care facility5 (0.65)
    Expired1(0.13)
    ProceduresAnterior fusion626 (81.51)
    Posterior fusion79 (10.29)
    Spinal canal exploration42 (5.47)
    Cervical disc replacement14 (1.82)
    Atlantoaxial fusion7 (0.91)
    APR-DRG dispositionOne485 (63.48)
    Two259 (33.90)
    Three20 (2.62)
    PayerPrivate526 (67.8)
    Medicare102 (13.1)
    Workers comp148 (19.1)
    • APR-DRG: All Patient Related-Diagnosis Related Groups. Values in parenthesis denote percentage or range depending if categorical or continuous variables respectively.

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    Table 2

    Causes of unplanned readmissions.

    CauseNumber
    Persistent neurological symptoms: Revision surgery3
    Infection2
    Persistent wound drainage1
    Postoperative weakness/ fall1
    Workup for new diagnosis of spine metastasis1
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    Table 3

    Approach-based distribution of patient cohort.

    AnteriorPosteriorP value
    Age49.1±10.3 years (22-81)60.7±11.1 years (38-89)<0.0001
    GenderMale343 (53.6)73 (57.0)0.212
    Female297 (46.4)55 (43.0)
    Length of Stay1.9± 1.6 days (1-20)3.4± 1.8 days (0-10)<0.0001
    DiagnosisBrachial neuritis or radiculitis NOS12 (1.9)2 (1.6)<0.0001
    Cervical spondylosis with myelopathy99 (15.5)78 (61.0)
    Cervical spondylosis without myelopathy43 (6.7)11 (8.6)
    Displacement of cervical intervertebral disc without myelopathy357 (55.8)10 (7.8)
    Degeneration of cervical intervertebral disc24 (3.8)4 (3.1)
    Cervical intervertebral disc disorder85 (13.3)9 (7.0)
    Cervical spinal stenosis20 (3.1)14 (11.0)
    ApproachAnterior640N/AN/A
    PosteriorN/A128
    DispositionHome / Self care556 (86.9)51 (39.8)<0.0001
    Home /Health care service67 (10.4)61 (47.7)
    Rehabilitation Facility6 (0.9)10 (7.8)
    Nursing Facility5(0.8)6 (4.7)
    Short-term hospital/ Health care facility4 (0.6)0 (0)
    Expired1(0.13)0(0)
    ProceduresAnterior fusion626 (97.8)0<0.0001
    Posterior fusion079 (61.7)
    Spinal canal exploration043 9
    Cervical disc replacement14 (2.2)0 (0)
    Atlantoaxial fusion0 (0)7(5.5)
    APR-DRG dispositionOne444 (69.8)41 (32.0)<0.0001
    Two179 (28.1)80 (62.5)
    Three13 (2.0)7 (5.5)
    PayerPrivate439 (68.6)84 (65.6)<0.0001
    Medicare60 (9.3)39 (30.5)
    Workers comp141 (22.0)5 (3.9)
    • APR-DRG: All Patient Related-Diagnosis Related Groups. Values in parenthesis denote percentage or range depending if categorical or continuous variables, respectively.

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International Journal of Spine Surgery
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1 Jan 2015
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Ninety-day readmissions after degenerative cervical spine surgery: A single-center administrative database study
Chibuikem Akamnonu, Thomas Cheriyan, Jeffrey A. Goldstein, Thomas J. Errico, John A. Bendo
International Journal of Spine Surgery Jan 2015, 9 19; DOI: 10.14444/2019

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Ninety-day readmissions after degenerative cervical spine surgery: A single-center administrative database study
Chibuikem Akamnonu, Thomas Cheriyan, Jeffrey A. Goldstein, Thomas J. Errico, John A. Bendo
International Journal of Spine Surgery Jan 2015, 9 19; DOI: 10.14444/2019
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