2018 AANS Annual Scientific Meeting-533. Risk Factors Associated with 90-day Readmissions after Degenerative Lumbar Fusion: An Examination of the Michigan Spine Surgery Improvement Collaborative (MSSIC) Registry

533. Risk Factors Associated with 90-day Readmissions after Degenerative Lumbar Fusion: An Examination of the Michigan Spine Surgery Improvement Collaborative (MSSIC) Registry

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Video Transcription

Video Summary

Dr. Paul Park gave a presentation on the risk factors associated with 90-day readmissions after degenerative lumbar fusion. He discussed the negative impact and high cost of hospital readmissions. Dr. Park presented data from the Michigan Spine Surgery Improvement Collaborative Registry, which analyzed reasons for readmission and identified risk factors. Common reasons for readmission included pain, surgical site infection, and radicular symptoms. Risk factors for readmission were race, more than four levels fused, diabetes, and surgery length. Factors associated with decreased risk of readmission included discharge to home, private insurance, ambulation on the day of surgery, and spinal stenosis. Dr. Park mentioned that postoperative pain management and patient education could potentially be improved to reduce readmissions. He also highlighted the importance of optimizing medical conditions prior to surgery and early ambulation to decrease the likelihood of readmission. The presentation mentioned limitations, such as incomplete data and potential missed readmissions to different institutions. In conclusion, the study findings provide insights into areas of focus for reducing readmissions and optimizing patient outcomes. No credits were granted in the transcript.

Asset Caption

Paul Park, MD, FAANS

Keywords

90-day readmissions

degenerative lumbar fusion

risk factors

reasons for readmission

postoperative pain management