{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T06:09:48Z","timestamp":1793945388901,"version":"4.8.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T00:00:00Z","timestamp":1632528000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective Case Series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to evaluate readmission rates, risk factors, and reason for unplanned 30-day readmissions after thoracolumbar spine trauma surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review was conducted for patients undergoing operative treatment for thoracic or lumbar trauma with open or minimally invasive surgical approach at a Level 1 urban trauma center. Patients were divided into two groups based on 30-day readmission status. Reason for readmission, reoperation rates, injury type, trauma severity, and incidence of polytrauma were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 312 patients, 69.9% male with an average age of 47 \u00b1 19\u00a0years were included. The readmitted group included 16 patients (5.1%) of which 9 (56%) were readmitted for medical complications and 7 for surgical complications. Wound complications (31.3% of readmissions) were the most common cause of readmission, followed by non-wound related sepsis (18.9% of readmissions). A total of 6 patients (37.5%) required reoperation; 2 instrumentation failures underwent revision surgery, and 4 wound complications underwent irrigation and debridement. Patients with higher Injury Severity Scale (ISS) were more likely to be readmitted (27.8% vs 22.1%, P = .045). Concomitant lower limb surgery increased odds of readmission (OR, 4.40; 95% CI, 1.10\u201317.83; P = .037).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Spine trauma 30-day readmission rate was 5.1%, comparable to those reported in the elective spine surgery literature. Readmitted patients were more likely to sustain concomitant operative lower limb trauma. Wound complications were the most common cause of readmission, and almost half of the patients were readmitted due to surgery-related complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682211041045","type":"journal-article","created":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T09:19:52Z","timestamp":1632561592000},"page":"1558-1565","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Retrospective Analysis of Causes and Risk Factors of 30-Day Readmission After Spine Surgery for Thoracolumbar Trauma"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2153-455X","authenticated-orcid":false,"given":"Jael E.","family":"Camacho","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin E.","family":"Kung","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5378-4417","authenticated-orcid":false,"given":"Alexandra E.","family":"Thomson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan B.","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M F.","family":"Usmani","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J","family":"Sokolow","sequence":"additional","affiliation":[{"name":"Business Intelligence and Regulatory Policy, University of Maryland Medical System, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob J","family":"Bruckner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel L.","family":"Cavanaugh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendall","family":"Buraimoh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene Y","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7263-6177","authenticated-orcid":false,"given":"Daniel E","family":"Gelb","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3962-5724","authenticated-orcid":false,"given":"Steven C","family":"Ludwig","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,9,25]]},"reference":[{"key":"bibr1-21925682211041045","unstructured":"Systems MHI. Potentially Preventable Readmissions Classification System: Methodology Overview, 5\/08. https:\/\/multimedia.3m.com\/mws\/media\/1042610O\/resources-and-references-his-2015.pdf."},{"key":"bibr2-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2012.09.051"},{"key":"bibr3-21925682211041045","unstructured":"Services USCfMM. Hospital Readmissions Reduction Program (HRRP). Baltimore, MD: Centers for Medicare and Medicaid Services."},{"key":"bibr4-21925682211041045","doi-asserted-by":"publisher","DOI":"10.3171\/2015.7.FOCUS1534"},{"key":"bibr5-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002535"},{"key":"bibr6-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000270"},{"key":"bibr7-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000916"},{"key":"bibr8-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.03.032"},{"key":"bibr9-21925682211041045","doi-asserted-by":"publisher","DOI":"10.3171\/2018.1.SPINE171064"},{"key":"bibr10-21925682211041045","doi-asserted-by":"publisher","DOI":"10.3171\/2012.10.SPINE12559"},{"key":"bibr11-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.6148"},{"key":"bibr12-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.05.007"},{"key":"bibr13-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1177\/095148489000300101"},{"key":"bibr14-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1001\/jama.299.23.2789"},{"key":"bibr15-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.08.046"},{"key":"bibr16-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.19232"},{"key":"bibr17-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0123593"},{"key":"bibr18-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000094"},{"key":"bibr19-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31828b0fae"},{"key":"bibr20-21925682211041045","doi-asserted-by":"publisher","DOI":"10.1016\/s1072-7515(02)01211-5"}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682211041045","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21925682211041045","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682211041045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:17:47Z","timestamp":1777447067000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21925682211041045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,25]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1177\/21925682211041045"],"URL":"https:\/\/doi.org\/10.1177\/21925682211041045","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,25]]}}}