ArticleSpine2016
Risk Factors for 30-Day Unplanned Readmission and Major Perioperative Complications After Spine Fusion Surgery in Adults: A Review of the National Surgical Quality Improvement Program Database.
Article in Spine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.
- Thirty-day unplanned readmission rates and risk factors in spine surgery: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Short-term surgical outcomes in patients with early- versus average-onset colon adenocarcinoma in the Military Health System.JNCI cancer spectrum · 2025Article
- Short-Term Outcomes of Breast Cancer Surgery by Race-Ethnicity in the Military Health System.Annals of surgical oncology · 2025Article
- Comparative analysis of acute postoperative pain and opioid use between lateral transpsoas, anterior, and transforaminal lumbar interbody fusions.North American Spine Society journal · 2025Article
- Predicting 30-Day Perioperative Outcomes in Adult Spinal Deformity Patients With Baseline Paralysis or Functional Dependence.International journal of spine surgery · 2022Article
- The application of artificial intelligence in spine surgery.Frontiers in surgery · 2022Review
- Effect of Surgical Setting on Cost and Hospital Reported Outcomes for Single-Level Anterior Cervical Discectomy and Fusion.International journal of spine surgery · 2021Article
- Association of Preoperative Hemoglobin A1c and Body Mass Index with Wound Infection Rate in Spinal Surgery.International journal of spine surgery · 2021Article
- Incidence, reasons, and risk factors for 30-day readmission after lumbar spine surgery for degenerative spinal disease.Scientific reports · 2020Article
- Article
- Comparison of Different Insertion Techniques for Lumbosacral Fixation Improvement: A Finite Element Study.Orthopaedic surgery · 2020Article
- Is Asia truly a hotspot of contemporary minimally invasive and endoscopic spinal surgery?Journal of spine surgery (Hong Kong) · 2020Article
- Surgeon training and clinical implementation of spinal endoscopy in routine practice: results of a global survey.Journal of spine surgery (Hong Kong) · 2020Article
- Surgeon motivation, and obstacles to the implementation of minimally invasive spinal surgery techniques.Journal of spine surgery (Hong Kong) · 2020Article
- Regional variations in acceptance, and utilization of minimally invasive spinal surgery techniques among spine surgeons: results of a global survey.Journal of spine surgery (Hong Kong) · 2020Article
- Toward real-time rigid registration of intra-operative ultrasound with preoperative CT images for lumbar spinal fusion surgery.International journal of computer assisted radiology and surgery · 2019Article
- [An age-stratified follow-up of complications and clinical benefit of posterior lumbar intervertebral fusion procedure in middle-aged and older patients].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2019Article
- A validated preoperative score for predicting 30-day readmission after 1-2 level elective posterior lumbar fusion.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019Article
- Development and validation of risk-adjustment models for elective, single-level posterior lumbar spinal fusions.Journal of spine surgery (Hong Kong) · 2019Article
- Incidence, Management, and Cost of Complications After Transforaminal Endoscopic Decompression Surgery for Lumbar Foraminal and Lateral Recess Stenosis: A Value Proposition for Outpatient Ambulatory Surgery.International journal of spine surgery · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
STUDY
designRetrospective review of a prospective cohort.
objectiveThe aim of the study was to determine the patient characteristics and surgical procedure factors related to increased rates of 30-day unplanned readmission and major perioperative complications after spinal fusion surgery, and the association between unplanned readmission and major complications. SUMMARY OF BACKGROUND DATA: Reducing unplanned readmissions can reduce the cost of healthcare. Payers are implementing penalties for 30-day readmissions after discharge. There is limited data regarding the current rates and risk factors for unplanned readmission and major complications related to spinal fusion surgery.
methodsSpine fusion patients were identified using the 2012 and 2013 American College of Surgeons National Surgical Quality Improvement Program Participant User File. Rates of readmissions within 30 days after spine fusion surgery were calculated using the person-years method. Cox proportional hazards models were used to assess the independent associations of spine surgical procedure types, diagnoses, patient profiles, and major perioperative complications with unplanned related readmissions. Independent risk factors for major complications were assessed by multivariable logistic regression.
resultsOf the 18,602 identified patients, there was a 5.2% overall major perioperative complication rate. There was a rate of 4.4% per 30 person-days for unplanned readmissions related to index surgery. Independent risk factors for both readmissions and major perioperative complications included combined anterior and posterior surgery, diagnosis of solitary tumor, older age, and higher American Society of Anesthesiologists class. Patients with deep/organ surgical site infection carried higher risk of having unplanned readmission, followed by pulmonary embolism, acute renal failure, and stroke/cerebral vascular accident with neurological deficit.
conclusionThis study provides benchmark rates of 30-day readmission based on diagnosis and procedure codes from a high-quality database for adult spinal fusion patients and showed increased rates of 30-day unplanned readmission and major perioperative complications for patients with specific risk factors. Targeted preoperative planning on modifiable risk factors with proportional reimbursement may promote higher-quality healthcare. LEVEL OF EVIDENCE: 3.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.