IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i3p1687-d740429.html
   My bibliography  Save this article

Factors Associated with Postoperative Rehospitalization in Patients with Cervical Disc Herniation

Author

Listed:
  • Pei-I Lin

    (Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan)

  • Tai-Hsiang Chen

    (Administrative Office, Weihope Clinic, Kaohsiung 804, Taiwan
    College of Management, Yuan Ze University, Taoyuan 320, Taiwan)

  • Hsien-Hui Chung

    (Department of Pharmacy and Master Program, College of Pharmacy and Health Care, Tajen University, Pingtung County 907, Taiwan)

  • Tsung-Ming Su

    (Department of Neurosurgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan
    College of Medicine, Chang Gung University, Kaohsiung 833, Taiwan)

  • Chen-Chung Ma

    (Department of Healthcare Administration, I-Shou University, Kaohsiung 824, Taiwan
    These authors contributed equally to this work.)

  • Tzu-Chi Ou

    (Department of Medical Education, New Taipei Municipal TuCheng Hospital (Built and Operated by Chang Gung Medical Foundation), New Taipei 236, Taiwan
    These authors contributed equally to this work.)

Abstract

Cervical disc herniation (CDH) is a prevalent disease because of the poor living habits of and great pressure in modern society. Patients experience hand numbness, neck stiffness, soreness, and weakness due to neck nerve root compression, which leads to a gradual increase of neurosurgery outpatients. Although poor posture by the overuse of computers is possibly the origin of CDH, analysis of related factors causing the rehospitalization for CDH patients after surgery in Taiwan is not commonly reported. Thus, the present study focused on the demographics and surgery-related treatment on the relevance of rehospitalization for CDH patients after surgery. The design of the study was retrospective, and we collected data by medical record review, which was derived from the inpatient surgery data of patients at a medical center in southern Taiwan. The study lasted two years from 1 January 2017 to 31 December 2018, and a total of 248 patients underwent surgery for intervertebral disc protrusion in the neck. The retrospective study adopted narrative statistics, the chi-squared test, and binary logistic regression analysis to identify factors affecting postoperative rehospitalization. Among 248 postoperative patients with intervertebral disc protrusion, 178 underwent cervical fusion surgery, and 32 were rehospitalized after surgery for one-year follow up, accounting for an overall prevalence rate of 12.9%. There were no significant differences in sex, age, occupation, hypertension, anterior cervical discectomy and fusion, artificial disc replacement, hybrid surgery, and postoperative cervical coil use ( p > 0.05). The results of binary logistic regression analysis showed statistically significant differences in abnormal body mass index ( p = 0.0187, 95% CI = 1.238–10.499), diabetes ( p = 0.0137, 95% CI = 1.288–9.224) and cervical vertebral surgery hospital days ( p = 0.0004, 95% CI = 1.028–1.102), predicting the outcome of rehospitalization for CDH patients after surgery. The above results showed that abnormal body mass index, diabetes, and cervical vertebral surgery hospitalization days impacted rehospitalization in CDH patients after surgery. Thus, to prevent diabetes, weight control must be monitored, and maintaining correct posture can reduce CDH and decrease the rate of rehospitalization after surgery, which provides a critical reference for hospital managers and clinical staff.

Suggested Citation

  • Pei-I Lin & Tai-Hsiang Chen & Hsien-Hui Chung & Tsung-Ming Su & Chen-Chung Ma & Tzu-Chi Ou, 2022. "Factors Associated with Postoperative Rehospitalization in Patients with Cervical Disc Herniation," IJERPH, MDPI, vol. 19(3), pages 1-8, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1687-:d:740429
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/3/1687/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/3/1687/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Young-Ki Kim & Dongmug Kang & Ilho Lee & Se-Yeong Kim, 2018. "Differences in the Incidence of Symptomatic Cervical and Lumbar Disc Herniation According to Age, Sex and National Health Insurance Eligibility: A Pilot Study on the Disease’s Association with Work," IJERPH, MDPI, vol. 15(10), pages 1-9, September.
    2. Binwu Sheng & Chaoling Feng & Donglan Zhang & Hugh Spitler & Lu Shi, 2017. "Associations between Obesity and Spinal Diseases: A Medical Expenditure Panel Study Analysis," IJERPH, MDPI, vol. 14(2), pages 1-11, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Peter Šagát & Peter Bartík & Pablo Prieto González & Dragoș Ioan Tohănean & Damir Knjaz, 2020. "Impact of COVID-19Quarantine on Low Back Pain Intensity, Prevalence, and Associated Risk Factors among Adult Citizens Residing in Riyadh (Saudi Arabia): A Cross-Sectional Study," IJERPH, MDPI, vol. 17(19), pages 1-13, October.
    2. Kapo Wong & Alan Hoi Shou Chan, 2018. "Emerging Issues in Occupational Safety and Health," IJERPH, MDPI, vol. 15(12), pages 1-4, December.
    3. Philipp Näther & Jan Felix Kersten & Ingmar Kaden & Kemal Irga & Albert Nienhaus, 2022. "Distribution Patterns of Degeneration of the Lumbar Spine in a Cohort of 200 Patients with an Indication for Lumbar MRI," IJERPH, MDPI, vol. 19(6), pages 1-14, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1687-:d:740429. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.