30-Day Readmission Rates Following Traumatic Spinal Cord Injury: A Systematic Review and Meta-Analyses

Marjan Hesari (1) , Seyed Danial Alizadeh (2) , Hamid Malekzadeh (3) , Mohammad-Rasoul Jalalifar (4) , Alireza Shahmohammadi (5) , Reza Tabrizi (6) , Zahra Eskandari (7) , Zahra Ghodsi (8) , Vafa Rahimi-Movaghar (9)
(1) a:1:{s:5:"en_US";s:52:"Tabriz University of Medical Sciencese, Tabriz, Iran";} , Iran, Islamic Republic of
(2) Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran , Iran, Islamic Republic of
(3) Tehran University of Medical Sciences, Tehran, Iran , Iran, Islamic Republic of
(4) , Iran, Islamic Republic of
(5) Tehran University of Medical Sciences, Tehran, Iran , Iran, Islamic Republic of
(6) 6. Noncommunicable Diseases Research Center, Fasa University of Medical Science, Fasa, Iran , Iran, Islamic Republic of
(7) 9. Department of Management, Faculty of Social Sciences and Economics, Alzahra University, Tehran, Iran , Iran, Islamic Republic of
(8) Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran , Iran, Islamic Republic of
(9) Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran , Iran, Islamic Republic of

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Vol. 7 No. 6 (2024)
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Abstract

Abstract


Study design: a systematic review


Objectives: The 30-Day readmission and reoperation rates after traumatic spinal cord injury (SCI) is reviewed systematically.


Methods: We systematically reviewed the literature published from Jan. 1990 to July. 2021 via PubMed, Cochrane, and EMBASE. Our primary outcomes were the overall proportion of 30-day readmission following traumatic SCI during the index admission, and inpatient rehabilitation facilities.


Results: A two-phase screening process was conducted by independent reviewers; eight articles met the eligibility criteria for our study. The findings showed that the proportion of readmission following index admission was 15% (95% CI, 13 - 18). Furthermore, 30-day readmission rates following rehabilitation facilities were 7% (95% CI, 3 - 15). There was no difference between the pre-and post-sensitivity pooled readmission proportion. There was no evidence of potential small-study effects based on Egger's test.


Conclusions: There is no doubt that readmission is an adverse health outcome. The outcome is also complex and multifaceted, which makes it difficult to predict. Injury level is one of the predictors that affect readmission, making it essential to consider factors during discharge planning for high-risk people to reduce 30-day readmission rates.

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Authors

Marjan Hesari
a:1:{s:5:"en_US";s:52:"Tabriz University of Medical Sciencese, Tabriz, Iran";}
hesarimarjan1992@gmail.com (Primary Contact)
Seyed Danial Alizadeh
Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
Hamid Malekzadeh
Tehran University of Medical Sciences, Tehran, Iran
Mohammad-Rasoul Jalalifar
Alireza Shahmohammadi
Tehran University of Medical Sciences, Tehran, Iran
Reza Tabrizi
6. Noncommunicable Diseases Research Center, Fasa University of Medical Science, Fasa, Iran
Zahra Eskandari
9. Department of Management, Faculty of Social Sciences and Economics, Alzahra University, Tehran, Iran
Zahra Ghodsi
Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
https://orcid.org/0000-0001-8662-2342
Vafa Rahimi-Movaghar
Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
https://orcid.org/0000-0001-7347-8767
Hesari, M., Alizadeh, S. D., Malekzadeh, H., Jalalifar, M.-R., Shahmohammadi, A., Tabrizi, R., Eskandari, Z., Ghodsi, Z., & Rahimi-Movaghar, V. (2024). 30-Day Readmission Rates Following Traumatic Spinal Cord Injury: A Systematic Review and Meta-Analyses. Journal of Medical Case Reports and Reviews, 7(6). Retrieved from http://jmcrr.info/index.php/jmcrr/article/view/294
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