Emergency Department Visits After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis
| Autor: | Paul D. Sponseller, Richard L. Skolasky, Andrew B. Harris, Varun Puvanesarajah, Majd Marrache, Micheal Raad, Dolores B. Njoku, Amit Jain |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Constipation Adolescent medicine.medical_treatment Scoliosis Insurance Claim Review 03 medical and health sciences Postoperative Complications 0302 clinical medicine Outcome Assessment Health Care medicine Humans Orthopedics and Sports Medicine Retrospective Studies Asthma 030222 orthopedics business.industry Incidence (epidemiology) Respiratory infection Retrospective cohort study General Medicine Emergency department medicine.disease United States Spinal Fusion Back Pain Spinal fusion Pediatrics Perinatology and Child Health Female medicine.symptom Emergency Service Hospital business |
| Zdroj: | Journal of Pediatric Orthopaedics. 40:e629-e633 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/bpo.0000000000001444 |
| Popis: | BACKGROUND The incidence of emergency department (ED) visits after posterior spinal fusion (PSF) in adolescent idiopathic scoliosis (AIS) patients is not well known. We hypothesize that the majority of ED visits are related to constipation and pain issues, and are not for serious complications. METHODS Using a private insurance claims database, we identified AIS patients aged 10 to 21 years who underwent PSF from 2010 to 2015. Patients were excluded for diagnoses of neuromuscular or syndromic scoliosis. ED visits that occurred within the 6-month postoperative period were identified. The diagnoses present at these visits were pooled and analyzed, in addition to insurance payments associated with these visits. Significance was set at P=0.05. RESULTS A total of 5934 patients met inclusion criteria. Mean age was 14.4±2.2 years, and 75% of the patients were girls. A total of 577 (9.7%) patients had at least 1 ED visit in the 6-month postoperative period, whereas 92 (1.6%) had 2 ED visits and 19 (0.3%) had 3 or more ED visits. The median time to ED visits was 33 days after surgery. Independent risk factors for ED visits were: older age, and greater levels fused (P |
| Databáze: | OpenAIRE |
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