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)

add to favorites email to friend print save as pdf

Related Stories

Fewer reoperations seen with cervical disc replacement

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

Study seeks to sharpen surgery systems

Feb 27, 2015

Communication and coordination are important aspects of any workplace - but arguably more important in operating theatres than anywhere else, according to Professor Sharon Parker from The University of Western Australia's ...

Italian teen gets titanium pelvis in world first

Feb 25, 2015

An Italian teenager suffering from bone cancer has had half his pelvis replaced by a titanium transplant in what medics at Turin's university hospital centre said Wednesday was a world first.

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.