Investigating the Impact of Home Care Services After Lumbar Fusion on Readmission, Reoperation, and Patient-Reported Outcomes
Patients receiving HC were older, sicker, and had longer surgeries. Patients with HC experienced more readmissions and reoperations particularly for wound and medical issues. HC independently predicted further postoperative health care utilization through office calls/visits and ED visits. These findings suggest that patients requiring HC are a particularly vulnerable population and that HC does not exert a protective effect against additional health care utilization. Further research is needed to identify proactive interventions that can decrease cost and improve outcomes.
Authors
- Akshay Khanna (ORCID: https://orcid.org/0009-0008-4384-2693)
- Ian David Kaye (ORCID: https://orcid.org/0000-0002-0797-8760)
- Rajkishen Narayanan (ORCID: https://orcid.org/0000-0002-2921-3857)
- Avi A. Gajjar (ORCID: https://orcid.org/0000-0003-3686-9413)
- Alan S. Hilibrand (ORCID: https://orcid.org/0000-0001-8811-9687)
- Jarod Olson (ORCID: https://orcid.org/0000-0002-3523-1680)
- Michael T. McCurdy (ORCID: https://orcid.org/0000-0001-5319-0475)
- Barrett I. Woods (ORCID: https://orcid.org/0000-0002-4136-3612)
- Jeremy C. Heard (ORCID: https://orcid.org/0000-0001-5181-3966)
- Robert J. Oris (ORCID: https://orcid.org/0000-0001-8743-0860)
- Jonathan Dalton (ORCID: https://orcid.org/0000-0002-7452-2712)
- James Kim (ORCID: https://orcid.org/0000-0001-7123-2413)
- Mina Ebrahimi
- Christopher K. Kepler
- Gregory D. Schroeder
- Daniel Thomas (ORCID: https://orcid.org/0000-0003-4295-9765)
- Jose A. Canseco
- Mark F. Kurd
- Alexander R. Vaccaro
- Abbey Glover
Institutions
- Thomas Jefferson University (US)
- Institute for Conflict Research (GB)
- Rothman Institute (US)
- State Board of Education (US)
Publication Details
- Journal
- Spine
- Published
- 2025-06-09
- DOI
- https://doi.org/10.1097/brs.0000000000005422
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00