کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8685392 | 1580269 | 2018 | 5 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Complications and 30-Day readmission rates after craniotomy/craniectomy: A single Institutional study of 243 consecutive patients
ترجمه فارسی عنوان
عوارض و نرخ پذیرش 30 روزه پس از کرانیوتومی / کرانیکتومی: یک مطالعه نهادی 243 بیمار متوالی
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موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
عصب شناسی
چکیده انگلیسی
Early hospital readmission has become a proxy for quality of care and contributes significantly to high health care costs in the United States, with more than $20â¯billion health care dollars are spent on 30-day readmission annually. Cranial neurosurgical procedures (i.e., craniotomy, craniectomy) are associated with high readmission rates; however, studies examining readmission after cranial procedures are limited and relatively unknown. The aim of this study is to identify the drivers of 30-day unplanned readmission in consecutive patients undergoing craniotomies and craniectomies. The medical records of 243 consecutive patients undergoing either craniotomy or craniectomy at a major academic institution in 2011 were reviewed. Patient demographics, comorbidities, intra- and post-operative complication rates were collected for each patient. We identified all unplanned readmissions within 30â¯days of discharge. A total of 10 (4.1%) unplanned 30-day readmissions were identified. The meanâ¯Â±â¯SD age was 58.58â¯Â±â¯15.12â¯years. The most common indication for surgery was malignancy (63.4%) followed by Chiari malformation (10.3%), epilepsy (5.3%), and skull lesion/deformity (2.9%). The majority of patients presented to the emergency department from home (80%), while 10% were readmitted from a skilled nursing facility and 10% were readmitted from an acute rehabilitation institution. The most common presented symptoms for readmitted patients were fever/presumed infection (40%) and altered mental status (40%), followed by new sensory/motor deficits (30%). This study suggests that infection, altered mental status, and new sensory/motor deficits were the primary complications leading to unplanned 30-day readmission after cranial neurosurgery.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Neuroscience - Volume 47, January 2018, Pages 178-182
Journal: Journal of Clinical Neuroscience - Volume 47, January 2018, Pages 178-182
نویسندگان
Aladine A. Elsamadicy, Amanda Sergesketter, Owoicho Adogwa, Michael Ongele, Oren N. Gottfried,