Patient Factors Affecting Hospital Length of Stay for Adolescent Idiopathic Scoliosis Patients Undergoing Posterior Spinal Instrumentation and Fusion in a Rapid Recovery Protocol

OrthoMedia ◽  
2022 ◽  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Length Of Stay ◽  
Idiopathic Scoliosis ◽  
Spinal Instrumentation ◽  
Hospital Length ◽  
Rapid Recovery ◽  
Hospital Length Of Stay ◽  
Patient Factors ◽  
Factors Affecting

scholarly journals The independent patient factors that affect length of stay following hip fractures

2018 ◽  
Vol 100 (7) ◽  
pp. 556-562 ◽  
Author(s):  
T Richards ◽  
A Glendenning ◽  
D Benson ◽  
S Alexander ◽  
S Thati
Keyword(s):  
Hip Fracture ◽  
Length Of Stay ◽  
Hospital Stay ◽  
Hip Fractures ◽  
Length Of Hospital Stay ◽  
Hospital Length ◽  
Acute Hospital ◽  
Hospital Length Of Stay ◽  
Patient Factors ◽  
Mobility Status

Introduction Management of hip fractures has evolved over recent years to drive better outcomes including length of hospital stay. We aimed to identify and quantify the effect that patient factors influence acute hospital and total health service length of stay. Methods A retrospective observational study based on National Hip Fracture Database data was conducted from 1 January 2014 to 31 December 2015. A multiple regression analysis of 330 patients was carried out to determine independent factors that affect acute hospital and total hospital length of stay. Results American Society of Anesthesiologists (ASA) grade 3 or above, Abbreviated Mental Test Score (AMTS) less than 8 and poor mobility status were independent factors, significantly increasing length of hospital stay in our population. Acute hospital length of stay can be predicted as 8.9 days longer when AMTS less than 8, 4.2 days longer when ASA grade was 3 or above and 20.4 days longer when unable to mobilise unaided (compared with independently mobile individuals). Other factors including total hip replacement compared with hemiarthroplasty did not independently affect length of stay. Conclusions Our analysis in a representative and generalisable population illustrates the importance of identifying these three patient characteristics in hip fracture patients. When recognised and targeted with orthogeriatric support, the length of hospital stay for these patients can be reduced and overall hip fracture care improved. Screening on admission for ASA grade, AMTS and mobility status allows prediction of length of stay and tailoring of care to match needs.

scholarly journals Surgical treatment of adolescent idiopathic scoliosis in the United States from 1997 to 2012: an analysis of 20, 346 patients

2015 ◽  
Vol 16 (3) ◽  
pp. 322-328 ◽  
Author(s):  
Hari T. Vigneswaran ◽  
Zachary J. Grabel ◽  
Craig P. Eberson ◽  
Mark A. Palumbo ◽  
Alan H. Daniels
Keyword(s):  
Surgical Treatment ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
The United States ◽  
Hospital Length ◽  
Operative Approach ◽  
Hospital Length Of Stay ◽  
Hospital Charges ◽  
Average Hospital ◽  
The Mean

OBJECT Adolescent idiopathic scoliosis (AIS) can cause substantial morbidity and may require surgical intervention. In this study, the authors aimed to evaluate US trends in operative AIS as well as patient comorbidities, operative approach, in-hospital complications, hospital length of stay (LOS), and hospital charges in the US for the period from 1997 to 2012. METHODS Patients with AIS (ICD-9-CM diagnosis codes 737.30) who had undergone spinal fusion (ICD-9-CM procedure codes 81.xx) from 1997 to 2012 were identified from the Kids' Inpatient Database. Parameters of interest included patient comorbidities, operative approach (posterior, anterior, or combined anteroposterior), in-hospital complications, hospital LOS, and hospital charges. RESULTS The authors identified 20, 346 patients in the age range of 0–21 years who had been admitted for AIS surgery in the defined study period. Posterior fusions composed 63.4% of procedures in 1997 and 94.1% in 2012 (r = 0.95, p < 0.01). The mean number of comorbidities among all fusion groups increased from 3.0 in 1997 to 4.2 in 2012 (r = 0.92, p = 0.01). The percentage of patients with complications increased from 15.6% in 1997 to 22.3% in 2012 (r = 0.78, p = 0.07). The average hospital LOS decreased from 6.5 days in 1997 to 5.6 days in 2012 (r = -0.86, p = 0.03). From 1997 to 2012, the mean hospital charges (adjusted to 2012 US dollars) for surgical treatment of AIS more than tripled from $55,495 in 1997 to $177,176 in 2012 (r = 0.99, p < 0.01). CONCLUSIONS Over the 15-year period considered in this study, there was an increasing trend toward using posterior-based techniques for AIS corrective surgery. The number of comorbid conditions per patient and thus the medical complexity of patients treated for AIS have increased. The mean charges for the treatment of AIS have increased, with a national bill over $1.1 billion per year in 2012.

Use of a Clustered Model to Identify Factors Affecting Hospital Length of Stay

1999 ◽  
Vol 52 (11) ◽  
pp. 1031-1036 ◽  
Author(s):  
Yael C Cohen ◽  
Haya R Rubin ◽  
Laurence Freedman ◽  
Benjamin Mozes
Keyword(s):  
Length Of Stay ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Factors Affecting

scholarly journals Factors affecting hospital length of stay and hospital charges associated with road traffic-related injuries in Iran

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Hassan Haghparast-Bidgoli ◽  
Soheil Saadat ◽  
Lennart Bogg ◽  
Mohammad Hossein Yarmohammadian ◽  
Marie Hasselberg
Keyword(s):  
Length Of Stay ◽  
Road Traffic ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Hospital Charges ◽  
Factors Affecting

scholarly journals 1129: Factors affecting hospital length of stay after cesarean delivery

2020 ◽  
Vol 222 (1) ◽  
pp. S694-S695
Author(s):  
Kathy C. Matthews ◽  
Rebkah Tesfamariam ◽  
Stephen T. Chasen ◽  
Robin B. Kalish
Keyword(s):  
Length Of Stay ◽  
Cesarean Delivery ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Factors Affecting

Factors affecting length of stay after posterior spinal fusion for adolescent idiopathic scoliosis

2020 ◽  
Author(s):  
Benjamin D. Martin ◽  
Sophie R. Pestieau ◽  
Jessica Cronin ◽  
Heather Gordish-Dressman ◽  
Karen Thomson ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Length Of Stay ◽  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Posterior Spinal Fusion ◽  
Factors Affecting
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