Readmission in elective spine surgery: Will short stays be beneficial to patients

Avery E. Brown, Hesham Saleh, Sara Naessig, Katherine E. Pierce, Waleed Ahmad, Cole A. Bortz, Haddy Alas, Irene Chern, Dennis Vasquez-Montes, Rivka C. Ihejirika, Frank A. Segreto, Jonathan Haskel, Daniel James Kaplan, Bassel G. Diebo, Michael C. Gerling, Carl B. Paulino, Alekos Theologis, Virginie Lafage, Muhammad B. Janjua, Peter G. Passias

Research output: Contribution to journalArticlepeer-review

Abstract

There has been limited discussion as to whether spine surgery patients are benefiting from shorter in-patient hospital stays or if they are incurring higher rates of readmission and complications secondary to shortened length of stays. Included in this study were 237,446 spine patients >18yrs and excluding infection. Patients with Clavien Grade 5 complications in 2015 had the lowest mean time to readmission after initial surgery in all years at 12.44 ± 9.03 days. Pearson bivariate correlations between LOS ≤ 1 day and decreasing days to readmission was the strongest in 2016.). Logistic regression analysis found that LOS ≤ 1 day showed an overall increase in the odds of hospital readmission from 2012 to 2016 (2.29 [2.00–2.63], 2.33 [2.08–2.61], 2.35 [2.11–2.61], 2.27 [2.06–2.49], 2.33 [2.14–2.54], all p < 0.001).

Original languageEnglish
Pages (from-to)170-174
Number of pages5
JournalJournal of Clinical Neuroscience
Volume78
DOIs
StatePublished - Aug 2020

Keywords

  • Elective spine
  • Hospital stay
  • Readmsision

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