Variations in LOS and its main determinants overtime at an academic spinal care center from 2006–2019

Objectives Efforts to safely reduce hospital LOS while maintaining quality outcomes and patient satisfaction are paramount. The primary goal of this study was to assess trends in LOS at a high-volume quaternary care spine center. Secondary goals were to assess trends in factors most associated with...

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Bibliographic Details
Published in:European spine journal 2022-03, Vol.31 (3), p.702-709
Main Authors: Charlotte, Dandurand, Mathew, N. Hindi, Tamir, Ailon, Michael, Boyd, Raphaële, Charest-Morin, Nicolas, Dea, Marcel, Dvorak, Charles, Fisher, Brian, K. Kwon, Scott, Paquette, John, Street
Format: Article
Language:English
Subjects:
Aged
Demography
Elective Surgical Procedures
Epidemiology
Humans
Length of Stay
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Oncology
Original
Original Article
Patient Discharge
Patient satisfaction
Patients
Prospective Studies
Retrospective Studies
Spine
Spine - surgery
Surgery
Surgical Orthopedics
Trauma
Trends
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Summary:Objectives Efforts to safely reduce hospital LOS while maintaining quality outcomes and patient satisfaction are paramount. The primary goal of this study was to assess trends in LOS at a high-volume quaternary care spine center. Secondary goals were to assess trends in factors most associated with prolonged LOS. Methods This is a prospective study of all consecutive patients admitted from January 2006 to December 2019. Data included demographics, diagnostic category (degenerative, oncology, deformity, trauma, other), LOS (mean, median, interquartile range, standard deviation, defined as days from admission to discharge), and in-hospital adverse events. Results A total of 13,493 patients were included. Overall LOS has not changed over time with an overall median of 6.3 days ( p  = 0.451). Median LOS significantly increased for patients treated for degenerative pathology from 2.2 days in 2006 to 3.2 days in 2019 ( p  = 0.019). LOS has not changed for patients treated for deformity (overall median 6.8 days, p  = 0.411), oncology (overall median 11.0 days, p  = 0.051), or trauma (overall median 11.8 days, p  = 0.582). Emergency admissions increased 3.2%/year for degenerative pathologies ( p  =  
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-021-07086-7