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Readmission in elective spine surgery: Will short stays be beneficial to patients.
Brown, Avery E; Saleh, Hesham; Naessig, Sara; Pierce, Katherine E; Ahmad, Waleed; Bortz, Cole A; Alas, Haddy; Chern, Irene; Vasquez-Montes, Dennis; Ihejirika, Rivka C; Segreto, Frank A; Haskel, Jonathan; Kaplan, Daniel James; Diebo, Bassel G; Gerling, Michael C; Paulino, Carl B; Theologis, Alekos; Lafage, Virginie; Janjua, Muhammad B; Passias, Peter G.
Affiliation
  • Brown AE; Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
  • Saleh H; Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
  • Naessig S; Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
  • Pierce KE; Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
  • Ahmad W; Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
  • Bortz CA; Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
  • Alas H; Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
  • Chern I; Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
  • Vasquez-Montes D; Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
  • Ihejirika RC; Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
  • Segreto FA; Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
  • Haskel J; Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
  • Kaplan DJ; Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
  • Diebo BG; Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
  • Gerling MC; Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
  • Paulino CB; Department of Orthopaedic Surgery, SUNY Downstate, New York, NY, USA.
  • Theologis A; Department of Orthopaedic Surgery, UCSF, San Francisco, CA, USA.
  • Lafage V; Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
  • Janjua MB; Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
  • Passias PG; Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA. Electronic address: peter.passias@nyumc.org.
J Clin Neurosci ; 78: 170-174, 2020 Aug.
Article in En | MEDLINE | ID: mdl-32360160
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).
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Patient Readmission / Postoperative Complications / Spinal Diseases / Neurosurgical Procedures Type of study: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: En Journal: J Clin Neurosci Journal subject: NEUROLOGIA Year: 2020 Document type: Article Affiliation country: United States
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Patient Readmission / Postoperative Complications / Spinal Diseases / Neurosurgical Procedures Type of study: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: En Journal: J Clin Neurosci Journal subject: NEUROLOGIA Year: 2020 Document type: Article Affiliation country: United States