{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T05:34:55Z","timestamp":1767850495129,"version":"3.49.0"},"reference-count":39,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec>\n<jats:title>OBJECT<\/jats:title>\n<jats:p>Thirty-day readmission has been cited as an important indicator of the quality of care in several fields of medicine. The aim of this systematic review was to examine rate of readmission and factors relevant to readmission after neurosurgery of the spine.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>The authors carried out a systematic review using several databases, searches of cited reference lists, and a manual search of the JNS Publishing Group journals <jats:italic>(Journal of Neurosurgery<\/jats:italic>; <jats:italic>Journal of Neurosurgery: Spine<\/jats:italic>; <jats:italic>Journal of Neurosurgery: Pediatrics<\/jats:italic>; and <jats:italic>Neurosurgical Focus), Neurosurgery, Acta Neurochirurgica,<\/jats:italic> and <jats:italic>Canadian Journal of Neurological Sciences.<\/jats:italic> A quality review was performed using STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) criteria and reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>A systematic review of 1136 records published between 1947 and 2014 revealed 31 potentially eligible studies, and 5 studies met inclusion criteria for content and quality. Readmission rates varied from 2.54% to 14.7%. Sequelae that could be traced back to complications that arose during neurosurgery of the spine were a prime reason for readmission after discharge. Increasing age, poor physical status, and comorbid illnesses were also important risk factors for 30-day readmission.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Readmission rates have predictable factors that can be addressed. Strategies to reduce readmission that relate to patient-centered factors, complication avoidance during neurosurgery, standardization with system-wide protocols, and moving toward a culture of nonpunitive system-wide error and \u201cnear miss\u201d investigations and quality improvement are discussed.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2015.4.spine15445","type":"journal-article","created":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T14:02:43Z","timestamp":1444399363000},"page":"281-290","source":"Crossref","is-referenced-by-count":16,"title":["Causes of 30-day readmission after neurosurgery of the spine"],"prefix":"10.3171","volume":"24","author":[{"given":"Michael D.","family":"Cusimano","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Keenan Research Centre and Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital; and"},{"name":"Dalla Lana School of Public Health and Department of Surgery, University of Toronto, Ontario, 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