Objective To investigate the influence of determinants of social health(DSH)on 30 and 90 day readmission rates of patients after spinal surgery.Methods Seventy-three patients who were readmitted within 90 days after lumbar degenerative surgery in our hospital from January2016 to December2021 were included in the readmission group within 90 days after surgery;among them,47 cases were readmitted within 30 days after operation,and were included in the readmission group 30 days after operation.The patients who received surgery in our hospital at the same time and did not have unplanned readmission within 30 days and 31-90 days were se-lected as the control group according to the ratio of 1 ∶3.The differences in DSH factors(marital status,education level,payment method,occupational status,family income,residence)between groups were analyzed.After removing confounding factors,the influ-ence of DSH factors on the 30 d and 90 d readmission rates was observed.Results There was no significant difference in education level,marital status,monthly family income and residence between 30 day readmission and non 30 day readmission patients(P＞0.05),but there was significant difference in payment mode and occupational status(P＜0.05).There was no significant difference in the level of education,marital status,monthly family income and residence of patients hospitalized for 90 days(P＞0.05),and there was significant difference in the payment method and occupational status of patients hospitalized for 90 days(P＜0.05).Exclu-ding other clinical data,the way of postpaid payment(medical insurance or new rural cooperative medical system)was not a risk factor for 30 d readmission and 90 d readmission(P＞0.05),and occupational status(on-the-job)was a protective factor for 30 d readmis-sion and 90 d readmission(P＜0.05).Conclusion DSH may affect the readmission rate of patients with lumbar degenerative disea-ses,and there is a significant correlation between on-the-job status at 30 days and readmission at 90 days.
关键词
脊柱手术/腰椎退行性疾病/术后30天再入院/术后90天再入院/社会因素
Key words
spinal surgery/lumbar degenerative disease/readmission within 30 days/readmission within 90 days/social factors
万方数据