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April 24, 2026Journal of the American Academy of Orthopaedic Surgeons0 citations

Factors Associated With Readmission to the Hospital Within 90-Days Following Elective Lumbar Fusion Surgery

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SLStevin LuWVWyatt Vander VoortASAziz Saade

Key Result

Patients discharged to a skilled nursing or inpatient rehabilitation facility after elective lumbar fusion surgery had markedly higher odds of hospital readmission within 90 days.

Key Points

  • This research aims to identify factors related to hospital readmissions within 90 days after elective lumbar fusion surgery.
  • Patients discharged to skilled nursing facilities (SNF) or inpatient rehabilitation facilities (IRF) were analyzed.
  • Data were adjusted for patient and surgical variables.
  • Examined readmission rates within 90 days postoperatively.
  • Patients discharged to SNF or IRF had significantly higher odds of readmission within 3 months.
  • No increased odds for emergency department visits were noted post-discharge.
  • Emphasizes the importance of effective discharge planning to enhance recovery.

Structured PICO

Does discharge to a SNF or IRF increase the risk of hospital readmission within 90 days following elective lumbar fusion surgery?

P
Population
Patients who underwent Elective Lumbar Fusion Surgery (ELFS)
I
Intervention
Discharge to a Skilled Nursing Facility (SNF) or Inpatient Rehabilitation Facility (IRF)
O
Outcome
Readmission to the hospital within 90 days postoperativelyhard clinical

Discharge to a SNF or IRF after elective lumbar fusion surgery is associated with higher odds of 90-day hospital readmission, highlighting the importance of discharge planning.

Abstract

Patients discharged to a SNF or IRF after ELFS had markedly higher odds of readmission within 3 months postoperatively, even after adjusting for patient and surgical factors. However, this association was not observed for ED visits. These findings underscore the need for careful consideration of discharge planning to optimize postoperative outcomes and reduce healthcare utilization following ELFS.

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Cite This Study

Lu et al. (2026) studied this question. Patients discharged to a skilled nursing or inpatient rehabilitation facility after elective lumbar fusion surgery had markedly higher odds of hospital readmission within 90 days.

synapsesocial.com/papers/69eb0cb2553a5433e34b5ac0https://doi.org/10.5435/jaaos-d-25-00561
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