Late-Week Spinal Surgeries Tied to Longer Hospital Stays
WEDNESDAY, April 21, 2021 -- Late-week spinal surgeries are associated with a prolonged length of stay (LOS) in the hospital, according to a study published online April 6 in the Journal of Neurosurgery: Spine.
Sebastian Salas-Vega, Ph.D., from the London School of Economics and Political Science, and colleagues examined clinical and nonclinical drivers of patient LOS in the hospital following elective lumbar laminectomy. The analysis included 1,359 patients undergoing laminectomy surgery for degenerative lumbar spinal stenosis within a single health system between March 1, 2016, and Feb. 1, 2019.
The researchers found that the mean LOS ranged from 2.01 to 2.47 days for Monday and Friday cases, respectively, and was also notably longer for patients ultimately discharged to a skilled nursing facility or rehabilitation center. Longer LOS for procedures occurring later in the week was not associated with greater underlying health risks yet resulted in greater costs of care, with the average total surgical costs for lumbar laminectomy being 20 percent greater for Friday cases versus Monday cases. Comorbidity burden, surgery at a tertiary care center versus a community hospital, and the incidence of any postoperative complication were associated with significantly longer LOS. Significant nonclinical predictors of LOS prolongation included discharge to home health care, skilled nursing facilities, or rehabilitation centers and late-week surgery, even after adjusting for underlying patient health risks and insurance.
"Interventions to optimize surgical scheduling and perioperative care coordination could help reduce prolonged LOSs, lower costs, and, ultimately, give service line management personnel greater flexibility over how to use existing resources as they remain ahead of health care reforms," the authors write.
Several authors disclosed financial ties to medical technology and publishing companies.
© 2021 HealthDay. All rights reserved.
Posted: April 2021
Read this next
WEDNESDAY, May 5, 2021 -- At the current rate of change, it will take more than 200 years for orthopedic surgery to achieve gender parity with the overall medical profession,...
THURSDAY, April 29, 2021 -- Percutaneous peripheral nerve stimulation reduces acute pain and opioid requirements in the week following orthopedic surgery, according to a pilot...
WEDNESDAY, April 28, 2021 -- Cannabis abuse appears to be associated with worse spine surgery outcomes, according to a study published online March 23 in Spine. Ryan G. Chiu,...
More News Resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our Newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.