Evidence map›Paper›PMID 34569346›Full record

ArticleGlobal spine journal2023

Retrospective Analysis of Causes and Risk Factors of 30-Day Readmission After Spine Surgery for Thoracolumbar Trauma.

Jael E Camacho, Justin E Kung, Alexandra E Thomson, Ivan B Ye, Nicolas Gonzalez, M F Usmani, Michael J Sokolow, Jacob J Bruckner, Daniel L Cavanaugh, Kendall Buraimoh and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. The incidence and risk factors for unplanned readmission within 90 days after surgical treatment of spinal fractures.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 · 2024
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Jael E CamachoDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-2153-455X
Justin E KungUniversity of Maryland School of Medicine, Baltimore, MD, USA.
Alexandra E ThomsonDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0001-5378-4417
Ivan B YeDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Nicolas GonzalezDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
M F UsmaniDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Michael J SokolowBusiness Intelligence and Regulatory Policy, University of Maryland Medical System, Baltimore, MD, USA.
Jacob J BrucknerDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Daniel L CavanaughDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Kendall BuraimohDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Eugene Y KohDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Daniel E GelbDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-7263-6177
Steven C LudwigDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-3962-5724
University of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective Case Series.

objectiveThis study aims to evaluate readmission rates, risk factors, and reason for unplanned 30-day readmissions after thoracolumbar spine trauma surgery.

methodsA retrospective chart review was conducted for patients undergoing operative treatment for thoracic or lumbar trauma with open or minimally invasive surgical approach at a Level 1 urban trauma center. Patients were divided into two groups based on 30-day readmission status. Reason for readmission, reoperation rates, injury type, trauma severity, and incidence of polytrauma were compared between the two groups.

resultsA total of 312 patients, 69.9% male with an average age of 47 ± 19 years were included. The readmitted group included 16 patients (5.1%) of which 9 (56%) were readmitted for medical complications and 7 for surgical complications. Wound complications (31.3% of readmissions) were the most common cause of readmission, followed by non-wound related sepsis (18.9% of readmissions). A total of 6 patients (37.5%) required reoperation; 2 instrumentation failures underwent revision surgery, and 4 wound complications underwent irrigation and debridement. Patients with higher Injury Severity Scale (ISS) were more likely to be readmitted (27.8% vs 22.1%,

conclusionSpine trauma 30-day readmission rate was 5.1%, comparable to those reported in the elective spine surgery literature. Readmitted patients were more likely to sustain concomitant operative lower limb trauma. Wound complications were the most common cause of readmission, and almost half of the patients were readmitted due to surgery-related complications.

Indexed as

30-day readmissionspinal fracturesspinal traumathoracic traumathoracolumbar trauma

Identifiers

PMID34569346
PMCPMC10448097
OpenAlexW3201704585

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.