Butler et al reported risk factors for 90-day readmission after hip surgery for a child with cerebral palsy. The authors are from Icahn School of Medicine at Mount Sinai in New York City.
Patient selection: hip surgery in a patient with cerebral palsy
Rate of 90-day readmission: 14%
Risk factors for readmission:
(1) Medicaid insurance (OR 1.7)
(2) medical complications including UTI, sepsis pneumonia, organ failure, etc (OR 2.7)
(3) cardiac arrhythmias (OR 1.8)
(4) chronic pulmonary disease (OR 2.1)
(5) iron deficiency anemia (OR 6)
(6) fluid and electrolyte disorder (OR 3.7)
(7) weight loss (OR 2.4), time frame not specified
Most common causes of readmission:
(1) gastrostomy status
(2) gastro-esophageal reflux disease
(3) epilepsy
(4) asthtma
(5) constipation
(6) posthemorrhagic anemia
(7) postoperative pain
(8) CSF fluid drainage device issue
(9) disorder of psychological development
