Association Between Baseline Affective Disorders and 30-Day Readmission Rates in Patients Undergoing Elective Spine Surgery

Owoicho Adogwa, Aladine A. Elsamadicy, Ankit I. Mehta, Raul A. Vasquez, Joseph Cheng, Isaac O. Karikari, Carlos A. Bagley

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background There is a growing understanding of the prevalence and impact of affective disorders on perception of health status in patients undergoing elective spine surgery. However, the role of these disorders in early readmission is unclear. The aim of this study is to investigate the influence of psychiatric comorbidities on 30-day all-cause readmissions after elective spine surgery. Methods The medical records of 400 patients undergoing elective spine surgery at a major academic medical center were reviewed, of which 107 patients had comprehensive 1- and 2-year patient-reported outcomes data. We identified all unplanned readmissions within 30 days of discharge. The prevalence of affective disorders, such as depression and anxiety, were also assessed. All-cause readmissions within 30 days of discharge was the primary outcome variable. Results Baseline characteristics were similar between groups. Approximately 6% of patients in this study were readmitted within 30 days of discharge. The rate of readmission was 3-fold more for individuals with a psychiatric comorbidity compared with those without a psychiatric comorbidity (10.34% vs. 3.84%, P = 0.03). In a univariate analysis, race, body mass index, gender, patient age, smoking, diabetes, and fusion levels were associated with increased 30-day readmission rates. However, in a multivariate logistic regression model, depression was an independent predictor of readmission within 30 days of discharge. In addition, there was no significant difference in baseline, 1- and 2-year patient-reported outcomes measures between groups. Conclusions Our study suggests that psychologic disorders, like depression and anxiety, are independently associated with higher all-cause 30-day readmission rates after elective spine surgery.

Original languageEnglish (US)
Pages (from-to)432-436
Number of pages5
JournalWorld Neurosurgery
Volume94
DOIs
StatePublished - Oct 1 2016

Fingerprint

Mood Disorders
Spine
Psychiatry
Comorbidity
Depression
Anxiety
Logistic Models
Health Status
Medical Records
Body Mass Index
Smoking
Patient Reported Outcome Measures

Keywords

  • 30-Day readmission
  • Affective disorder
  • Anxiety
  • Depression
  • Spine surgery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Association Between Baseline Affective Disorders and 30-Day Readmission Rates in Patients Undergoing Elective Spine Surgery. / Adogwa, Owoicho; Elsamadicy, Aladine A.; Mehta, Ankit I.; Vasquez, Raul A.; Cheng, Joseph; Karikari, Isaac O.; Bagley, Carlos A.

In: World Neurosurgery, Vol. 94, 01.10.2016, p. 432-436.

Research output: Contribution to journalArticle

Adogwa, Owoicho ; Elsamadicy, Aladine A. ; Mehta, Ankit I. ; Vasquez, Raul A. ; Cheng, Joseph ; Karikari, Isaac O. ; Bagley, Carlos A. / Association Between Baseline Affective Disorders and 30-Day Readmission Rates in Patients Undergoing Elective Spine Surgery. In: World Neurosurgery. 2016 ; Vol. 94. pp. 432-436.
@article{27f554a7b0c14a2cba78eac5f0845d2b,
title = "Association Between Baseline Affective Disorders and 30-Day Readmission Rates in Patients Undergoing Elective Spine Surgery",
abstract = "Background There is a growing understanding of the prevalence and impact of affective disorders on perception of health status in patients undergoing elective spine surgery. However, the role of these disorders in early readmission is unclear. The aim of this study is to investigate the influence of psychiatric comorbidities on 30-day all-cause readmissions after elective spine surgery. Methods The medical records of 400 patients undergoing elective spine surgery at a major academic medical center were reviewed, of which 107 patients had comprehensive 1- and 2-year patient-reported outcomes data. We identified all unplanned readmissions within 30 days of discharge. The prevalence of affective disorders, such as depression and anxiety, were also assessed. All-cause readmissions within 30 days of discharge was the primary outcome variable. Results Baseline characteristics were similar between groups. Approximately 6{\%} of patients in this study were readmitted within 30 days of discharge. The rate of readmission was 3-fold more for individuals with a psychiatric comorbidity compared with those without a psychiatric comorbidity (10.34{\%} vs. 3.84{\%}, P = 0.03). In a univariate analysis, race, body mass index, gender, patient age, smoking, diabetes, and fusion levels were associated with increased 30-day readmission rates. However, in a multivariate logistic regression model, depression was an independent predictor of readmission within 30 days of discharge. In addition, there was no significant difference in baseline, 1- and 2-year patient-reported outcomes measures between groups. Conclusions Our study suggests that psychologic disorders, like depression and anxiety, are independently associated with higher all-cause 30-day readmission rates after elective spine surgery.",
keywords = "30-Day readmission, Affective disorder, Anxiety, Depression, Spine surgery",
author = "Owoicho Adogwa and Elsamadicy, {Aladine A.} and Mehta, {Ankit I.} and Vasquez, {Raul A.} and Joseph Cheng and Karikari, {Isaac O.} and Bagley, {Carlos A.}",
year = "2016",
month = "10",
day = "1",
doi = "10.1016/j.wneu.2016.07.045",
language = "English (US)",
volume = "94",
pages = "432--436",
journal = "World Neurosurgery",
issn = "1878-8750",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Association Between Baseline Affective Disorders and 30-Day Readmission Rates in Patients Undergoing Elective Spine Surgery

AU - Adogwa, Owoicho

AU - Elsamadicy, Aladine A.

AU - Mehta, Ankit I.

AU - Vasquez, Raul A.

AU - Cheng, Joseph

AU - Karikari, Isaac O.

AU - Bagley, Carlos A.

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Background There is a growing understanding of the prevalence and impact of affective disorders on perception of health status in patients undergoing elective spine surgery. However, the role of these disorders in early readmission is unclear. The aim of this study is to investigate the influence of psychiatric comorbidities on 30-day all-cause readmissions after elective spine surgery. Methods The medical records of 400 patients undergoing elective spine surgery at a major academic medical center were reviewed, of which 107 patients had comprehensive 1- and 2-year patient-reported outcomes data. We identified all unplanned readmissions within 30 days of discharge. The prevalence of affective disorders, such as depression and anxiety, were also assessed. All-cause readmissions within 30 days of discharge was the primary outcome variable. Results Baseline characteristics were similar between groups. Approximately 6% of patients in this study were readmitted within 30 days of discharge. The rate of readmission was 3-fold more for individuals with a psychiatric comorbidity compared with those without a psychiatric comorbidity (10.34% vs. 3.84%, P = 0.03). In a univariate analysis, race, body mass index, gender, patient age, smoking, diabetes, and fusion levels were associated with increased 30-day readmission rates. However, in a multivariate logistic regression model, depression was an independent predictor of readmission within 30 days of discharge. In addition, there was no significant difference in baseline, 1- and 2-year patient-reported outcomes measures between groups. Conclusions Our study suggests that psychologic disorders, like depression and anxiety, are independently associated with higher all-cause 30-day readmission rates after elective spine surgery.

AB - Background There is a growing understanding of the prevalence and impact of affective disorders on perception of health status in patients undergoing elective spine surgery. However, the role of these disorders in early readmission is unclear. The aim of this study is to investigate the influence of psychiatric comorbidities on 30-day all-cause readmissions after elective spine surgery. Methods The medical records of 400 patients undergoing elective spine surgery at a major academic medical center were reviewed, of which 107 patients had comprehensive 1- and 2-year patient-reported outcomes data. We identified all unplanned readmissions within 30 days of discharge. The prevalence of affective disorders, such as depression and anxiety, were also assessed. All-cause readmissions within 30 days of discharge was the primary outcome variable. Results Baseline characteristics were similar between groups. Approximately 6% of patients in this study were readmitted within 30 days of discharge. The rate of readmission was 3-fold more for individuals with a psychiatric comorbidity compared with those without a psychiatric comorbidity (10.34% vs. 3.84%, P = 0.03). In a univariate analysis, race, body mass index, gender, patient age, smoking, diabetes, and fusion levels were associated with increased 30-day readmission rates. However, in a multivariate logistic regression model, depression was an independent predictor of readmission within 30 days of discharge. In addition, there was no significant difference in baseline, 1- and 2-year patient-reported outcomes measures between groups. Conclusions Our study suggests that psychologic disorders, like depression and anxiety, are independently associated with higher all-cause 30-day readmission rates after elective spine surgery.

KW - 30-Day readmission

KW - Affective disorder

KW - Anxiety

KW - Depression

KW - Spine surgery

UR - http://www.scopus.com/inward/record.url?scp=84981344709&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84981344709&partnerID=8YFLogxK

U2 - 10.1016/j.wneu.2016.07.045

DO - 10.1016/j.wneu.2016.07.045

M3 - Article

C2 - 27450978

AN - SCOPUS:84981344709

VL - 94

SP - 432

EP - 436

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

ER -