Predictors of length of hospital stay after spine surgery ID'd

Predictors of length of hospital stay after spine surgery ID'd
A variety of pre-, intra-, and postoperative factors contribute to increased length of stay for patients who undergo level 1 minimally invasive transforaminal interbody fusions spine surgery, according to a study published online May 8 in Spine.

(HealthDay) -- A variety of pre-, intra-, and postoperative factors contribute to increased length of stay (LOS) for patients who undergo level 1 minimally invasive (MIS) transforaminal interbody fusions (TLIF) spine surgery, according to a study published online May 8 in Spine.

Krzysztof Siemionow, M.D., of the University of Illinois in Chicago, and colleagues conducted a of 104 patients undergoing a MIS TLIF procedure to identify pre-, intra-, and immediate postoperative parameters that predict discharge 24 hours or more after surgery.

The researchers found that, of the patients with an LOS of more than 24 hours, 75 percent had significantly higher estimated , higher total fluids, longer surgical time, lower end of case temperature, and lower hemoglobin during hospitalization; they also had lower preoperative narcotic use and received more crystalloids. In a multiple regression analysis, significant predictors of increased LOS included postoperative creatinine, visual analogue scale score, oxycontin use, fluid input at the end of surgery, fluid balance, intraoperative colloids, crystalloid:colloid ratio, mean percentage of fraction of inspired oxygen, and preoperative hemoglobin.

"Length of stay is an important factor in determining in patients undergoing spine surgery," the authors write. "Proper fluid management, preoperative narcotic use, and careful management of creatinine may lead to a shorter length of hospital stay in patients undergoing spine surgery."

One or more of the authors received a benefit from a commercial entity related to the subject matter of this study.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Study tests unilateral versus bilateral lumbar fusion

date Apr 09, 2012

(HealthDay) -- For patients with degenerative lumbar diseases, the unilateral pedicle screw (PS) instrumented transforaminal lumbar interbody fusion (TLIF) procedure results in shorter operative time, less ...

Recommended for you

New software helps improve surgical safety

date Apr 13, 2015

Because the spine is made up of repeating elements that look alike, surgeons can mistakenly operate on the wrong vertebra. To avoid this, Johns Hopkins researchers have developed a software program that works ...

Can facial plastic surgery make you more likeable?

date Apr 09, 2015

Facial plastic surgery may do more than make you look youthful. It could change—for the better—how people perceive you. The first study of its kind to examine perception after plastic surgery finds that ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.