Evidence map›Paper›PMID 41717592›Full record

ArticleCureus2026

Hospital Readmissions After Vertebral Fracture in Older Adults: A Comparison of Management Strategies.

Nathan Gilmore, Sebastian Leal, Antonio Da Costa, Joseph Ouslander, Gabriella Engstrom

Erratum issuedAbstract read
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Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Nathan GilmoreMedicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Sebastian LealMedicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Antonio Da CostaMedicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Joseph OuslanderGeriatric Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Gabriella EngstromGeriatric Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoporotic vertebral fractures are common in older adults and are associated with pain, impaired mobility, and increased healthcare utilization. Balloon kyphoplasty and vertebroplasty are minimally invasive treatment options, but their association with short-term hospital utilization is less clear. This study evaluated whether treatment modality, age, and body mass index are associated with 30-day hospital return among adults aged 75 years and older hospitalized with vertebral fractures.

methodsThis retrospective secondary analysis used a quality improvement database from a community-based teaching hospital and included admissions from 2017 to 2023 for patients aged 75 years and older with a primary diagnosis of vertebral fracture. Patients who died during hospitalization or were discharged to hospice were excluded. Patients were grouped by treatment: balloon kyphoplasty, vertebroplasty, or conservative management. The primary outcome was hospital return within 30 days, defined as a post-discharge event resulting in readmission, emergency department visit, or observation stay. Descriptive statistics, chi-square and t-tests, and logistic regression were used to evaluate associations between treatment type, body mass index, age, and 30-day hospital return, with statistical significance set at p < 0.05.

resultsThere was no statistically significant difference in 30-day hospital return between patients treated with balloon kyphoplasty or vertebroplasty and those managed conservatively. Body mass index and age were not significant predictors of 30-day hospital return in this cohort. A subset of admissions had missing body mass index values, including two patients in the balloon kyphoplasty or vertebroplasty group who did not return, and 58 patients in the conservative management group who did not return.

conclusionsAmong adults aged 75 years and older hospitalized with vertebral fracture, balloon kyphoplasty and vertebroplasty were not associated with lower 30-day hospital return compared with conservative management. In this dataset, neither body mass index nor age meaningfully predicted short-term hospital return, suggesting that factors beyond these patient characteristics and initial treatment modality may drive early utilization after discharge.

Indexed as

balloon kyphoplastyconservative managementhospital readmissionvertebral fracturesvertebroplasty

Identifiers

PMID41717592
PMCPMC12916022

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