Weekend spine surgery linked to longer stays, higher costs

December 11, 2013
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.

Explore further: No 'weekend effect' seen following appendix removal operations

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

Related Stories

No 'weekend effect' seen following appendix removal operations

October 7, 2013
Patients who undergo surgical removal of the appendix on a weekend do not experience more postoperative complications than those who undergo the same operation on weekdays, but they do pay slightly more in hospital charges, ...

Fewer reoperations seen with cervical disc replacement

June 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 15 issue of Spine.

Incidence of cardiac events in lumbar spine surgery ID'd

July 23, 2013
(HealthDay)—The overall incidence of cardiac complications is 6.7 per 1,000 lumbar spine surgical procedures, and complications are more frequent with lumbar fusion versus decompression, according to a study published in ...

Morbid obesity ups complication rate in spinal fusion surgery

June 5, 2012
(HealthDay) -- Morbid obesity increases the risk of multiple complications in spinal fusion surgery, particularly in patients undergoing anterior cervical or posterior lumbar procedures, according to research published in ...

Differences in outcomes of cervical spine surgery at teaching versus non-teaching hospitals

June 12, 2013
For patients undergoing surgery on the cervical (upper) spine, overall rates of complications and death are higher at teaching hospitals than at non-teaching hospitals, reports a study in the June 1 issue of Spine.

Some prostate cancer patients more likely to die after weekend ER visits

May 5, 2013
Patients with prostate cancer that has metastasized, or spread, to other parts of the body face a significantly higher risk of dying when visiting a hospital emergency department on the weekend instead of on a weekday, according ...

Recommended for you

World's first child hand transplant a 'success'

July 19, 2017
The first child in the world to undergo a double hand transplant is now able to write, feed and dress himself, doctors said Tuesday, declaring the ground-breaking operation a success after 18 months.

Knee surgery—have we been doing it wrong?

July 18, 2017
A team of University at Buffalo medical doctors have published a study that challenges a surgical practice used for decades during arthroscopic knee surgery.

New tools help surgeons find liver tumors, not nick blood vessels

July 17, 2017
The liver is a particularly squishy, slippery organ, prone to shifting both deadly tumors and life-preserving blood vessels by inches between the time they're discovered on a CT scan and when the patient is lying on an operating ...

Researchers discover indicator of lung transplant rejection

July 13, 2017
Research by scientists at Dignity Health St. Joseph's Hospital and Medical Center's Norton Thoracic Institute was published in the July 12, 2017 issue of Science Translational Medicine titled "Zbtb7a induction in alveolar ...

New device could make closing surgical incisions a cinch

July 7, 2017
Like many surgeons, Dr. Jason Spector is often faced with the challenge of securely closing the abdominal wall without injuring the intestines. If the process goes awry, there can be serious consequences for patients, including ...

Success with first 20 patients undergoing minimally invasive pancreatic transplant surgery

June 29, 2017
Surgeons at Johns Hopkins Medicine report that their first series of a minimally invasive procedure to treat chronic pancreas disease, known as severe pancreatitis, resulted in shorter hospital stays, less need for opioids ...

0 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.