Readmission Clinical Trial
Official title:
Early Discharged Lumbar Spine Fusion Reduced Postoperative Readmissions: A Follow-up Study in a National Cohort
This study undertake to determine the effects of ED on readmissions and reoperations in lumbar fusion. The study enrolled patients who underwent lumbar fusion surgery at age 50-70 years from a national database, and grouped them into an ED group or a comparison group. All patients were then followed-up for 180 days after the indexed surgery of lumbar fusion.
Surgery for lumbar fusion is one of the most commonly performed spinal arthrodesis procedures
worldwide. In recent years, there has been the emerging popularity of strategies aimed at
early discharge (ED) in such a field of spinal surgery. However, more data are required to
corroborate the adaptation of ED in spinal surgery. The benefits of ED in lumbar fusion have
not yet been validated by large cohort studies. This study undertake to determine the effects
of ED on readmissions and reoperations in lumbar fusion.
This population-based retrospective cohort study used admission records of Taiwan's National
Health Insurance Research Database (NHIRD). The NHIRD comprehensively contains de-identified
claim data of Taiwan's National Health Insurance (NHI) program which covers 99% of the
Taiwanese population and contracts with 97% of the providers of healthcare services in
Taiwan. In order to protect privacy, the National Health Research Institute (NHRI)
re-compiled, validated and de-identified the medical claims and finally made the data
publicly available for medical researchers in Taiwan. In the admission database, the
investigators are able to trace comprehensive information on the insured subjects, including
gender, date of birth, dates of clinical visits and hospitalization, the International
Classification of Diseases (Ninth Revision) Clinical Modification (ICD-9-CM) codes of
diagnoses, ICD codes of surgical procedures, etc.
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