Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
J Clin Neurosci. 2020 Aug;78:170-174. doi: 10.1016/j.jocn.2020.04.083. Epub 2020 Apr 29.
There has been limited discussion as to whether spine surgery patients are benefiting from shorter in-patient hospital stays or if they are incurring higher rates of readmission and complications secondary to shortened length of stays. Included in this study were 237,446 spine patients >18yrs and excluding infection. Patients with Clavien Grade 5 complications in 2015 had the lowest mean time to readmission after initial surgery in all years at 12.44 ± 9.03 days. Pearson bivariate correlations between LOS ≤ 1 day and decreasing days to readmission was the strongest in 2016.). Logistic regression analysis found that LOS ≤ 1 day showed an overall increase in the odds of hospital readmission from 2012 to 2016 (2.29 [2.00-2.63], 2.33 [2.08-2.61], 2.35 [2.11-2.61], 2.27 [2.06-2.49], 2.33 [2.14-2.54], all p < 0.001).
关于脊柱手术患者是否受益于缩短住院时间，或者是否因住院时间缩短而导致更高的再入院率和并发症发生率，目前讨论有限。本研究纳入了 237446 名年龄>18 岁且无感染的脊柱患者。2015 年出现 Clavien 5 级并发症的患者在所有年份的初次手术后再入院的平均时间最短，为 12.44±9.03 天。LOS≤1 天与再入院天数减少之间的 Pearson 双变量相关性在 2016 年最强。logistic 回归分析发现，LOS≤1 天与 2012 年至 2016 年的再入院风险总体增加有关（2.29[2.00-2.63]、2.33[2.08-2.61]、2.35[2.11-2.61]、2.27[2.06-2.49]、2.33[2.14-2.54]，均 p<0.001）。
