• Robin Deville, Marc Khalifé, Marie-Eva Rollet, Léonard Chatelain, Pierre Guigui, de LoubresseChristian GarreauCGDepartment of Orthopaedic Surgery, Hôpital Européen Georges Pompidou, AP-HP, 20, rue Leblanc, Paris, 75015, France.Université Paris-Cité, Paris, France., and Emmanuelle Ferrero.
• Department of Orthopaedic Surgery, Hôpital Européen Georges Pompidou, AP-HP, 20, rue Leblanc, Paris, 75015, France. robin.deville@aphp.fr.
• Eur Spine J. 2024 Oct 1; 33 (10): 388038863880-3886.

PurposeScoliosis surgery is becoming increasingly frequent. Rate of readmission is little discussed in the literature. It is an interesting data for the patient's information and for public authorities to calculate cost-effectiveness. Aim of the study was to evaluate rate and causes of short and long-term readmissions in patients > 45 years old operated on for a scoliosis primary cases, then to look for predictors of these readmissions.MethodsIn this monocentric retrospective cohort study, over 45 years-old scoliosis primary cases operated on between 2015 and 2018 and with a minimum of 2 years follow-up were included. The number of readmissions and their causes were analyzed. Rehospitalized patients (RH) were then compared to non-rehospitalized patients (NRH). Risk factors were sought using a multivariate analysis by logistic regression.Results105 patients were included (90% female; 64 ± 8 years). 56% were readmitted at least once. Main cause of readmission as pseudarthrosis (70%). Among the RH patients, fifty-eight required at least one revision. We found no significant difference between RH and NRH, apart from the rate of immediate post-operative medical complications which was significantly higher in RH (17% (n = 11) vs. 4% (n = 2), p = 0.04). According to multivariate analysis, BMI and age were found as predictors of readmission of mechanical origin, and BMI for readmissions of septic origin.ConclusionThe readmission rate after scoliosis surgery was 56%. The main cause was pseudarthrosis. Rehospitalized patients had more immediate post-operative medical complications. The elderly and overweight patients are more likely to be readmitted for mechanical or septic reasons.© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

24 keywords...

hide…