Identification of complications that have a significant effect on length of stay after spine surgery and predictive value of 90-day readmission rate

Journal of Neurosurgery. Spine
Sanjay YadlaAshwini D Sharan

Abstract

Complications after spine surgery have an impact on overall outcome and health care expenditures. The increased cost of complications is due in part to associated prolonged hospital stays. The authors propose that certain complications have a greater impact on length of stay (LOS) than others and that those complications should be the focus of future targeted prevention efforts. They conducted a retrospective analysis of a prospectively maintained database to identify complications with the greatest impact on LOS as well as the predictive value of these complications with respect to 90-day readmission rates. Data on 249 patients undergoing spine surgery at Thomas Jefferson University from May to December 2008 were collected by a study auditor. Any complications occurring within 30 days of surgery were recorded as was overall LOS for each patient. Stepwise regression analysis was performed to determine whether specific complications had a statistically significant effect on LOS. For correlation, all readmissions within 90 days were recorded and organized by complication for comparison with those complications affecting LOS. The mean LOS for patients without postoperative complications was 6.9 days. Patients who developed pulmona...Continue Reading

References

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Citations

Sep 14, 2016·The Journal of Surgical Research·Courtney J PokrzywaGregory D Kennedy
Jun 29, 2016·The Spine Journal : Official Journal of the North American Spine Society·Symeon Missios, Kimon Bekelis
Jul 15, 2016·Current Reviews in Musculoskeletal Medicine·Peter A ChristiansenJustin S Smith
Jun 12, 2018·Clinical Spine Surgery : a Spine Publication·Morgan R KohlsSafdar N Khan
Jan 11, 2019·Clinical Spine Surgery : a Spine Publication·Nikhil JainSafdar N Khan
Mar 14, 2020·Journal of Neurosurgery. Spine·Haariss IlyasMichael P Steinmetz
May 26, 2018·Global Spine Journal·Peter G PassiasVirginie Lafage
Jan 19, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Naresh KumarHee Kit Wong
May 11, 2021·The Spine Journal : Official Journal of the North American Spine Society·Haddy AlasUNKNOWN International Spine Study Group
Apr 26, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Samantha R HornPeter G Passias

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Software Mentioned

R
R package “ MASS ”

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