Weekend spine surgery linked to longer stays, higher costs

Weekend spine surgery linked to longer stays, higher costs

(HealthDay)—Patients admitted to the hospital on weekends for cervical spine fusion resulting from trauma have a greater length of stay and total hospital costs than their weekday counterparts, according to a study published in the Dec. 1 issue of Spine.

Sreeharsha V. Nandyala, from Rush University Medical Center in Chicago, and colleagues analyzed data for 34,122 patients undergoing cervical fusion (anterior [ACF], posterior [PCF], or both [APCF]) for the treatment of cervical spine trauma from the Nationwide Inpatient Sample (2002 to 2011). Patients were characterized based on the day of admission (weekday versus ), and outcomes were assessed.

The researchers found that, for all surgical approaches, compared with weekday admits, weekend admits were younger, tended to include more males, and had fewer comorbidities. Hospital stays for ACF-treated, PCF-treated, and APCF-treated weekend admits were significantly longer (4.4, 2.6, and 4.2 days, respectively) than similarly-treated weekday admits. Total costs were also significantly higher for weekend versus weekday admits for all ($10,045, $10,227, and $11,301, respectively). Mortality rates were similar between the two groups, but ACF-treated weekend patients had significantly greater incidence of complications (postoperative infection, cardiac complications, and ) than their weekday admit counterparts.

"Further research is warranted to further evaluate hospital utilization, costs, and patient outcomes based on the admission day," the authors conclude.

Relevant financial activities outside the submitted work were disclosed.

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

Related Stories

Fewer reoperations seen with cervical disc replacement

date Jun 25, 2013

(HealthDay)—Total disc replacement (TDR) is associated with a lower reoperation rate and longer time to reoperation compared with anterior cervical fusion (ACF), according to a study published in the June ...

Recommended for you

Level I trauma experience prepares surgeons for battle

date 18 hours ago

Soldiers injured during the conflicts in Iraq and Afghanistan have the highest survival rates in history, thanks to the availability of surgeons skilled in combat care. But combat-ready surgical skills are hard to sustain ...

Surgery may help adolescents with frequent migraines

date Jun 29, 2015

(HealthDay)—Migraine surgery may be an effective choice for adolescents who haven't gotten relief from standard treatment, a small study suggests. The findings were published in the June issue of Plastic an ...

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.