Thirty-Day Readmission Rates Following Deep Brain Stimulation Surgery.

摘要: BACKGROUND Deep brain stimulation (DBS) has emerged as a safe and efficacious surgical intervention for several movement disorders; however, the 30-day all-cause readmission rate associated with this procedure not previously been documented. OBJECT To perform retrospective cohort study to estimate DBS. METHODS We reviewed medical records of patients over age 18 who underwent DBS surgery at Pennsylvania Hospital University between 2009 2014. identified were readmitted an inpatient facility within 30 days from their initial discharge. RESULTS Over period, 23 (6.6%) 347 procedures resulted in hospital days. Causes broadly categorized into surgery-related (3.7%): intracranial lead infection (0.6%), battery-site hematoma along electrode tract (0.9%), seizures (1.2%); nonsurgery-related (2.9%): altered mental status (1.8%), nonsurgical-site infections malnutrition poor wound healing (0.3%), pulse generator malfunction requiring reprogramming (0.3%). Readmissions could be predicted by presence comorbidities ( P .15). CONCLUSION All-cause is 6.6%. This compares favorably studied neurosurgical procedures. frequently complications, particularly infection, seizures, hematomas, significantly < .001).