Tristan Blase Fried, Yunsoo Lee, Jeremy C Heard, Nicholas S Siegel, Tariq Z Issa, Mark J Lambrechts, Caroline Zaworski, Jasmine Wang, Taylor D'Amore, Amit Syal, Charles Lawall, John J Mangan, Jose A Canseco, Barrett I Woods, Ian David Kaye, Alan S Hilibrand, Alexander R Vaccaro, Christopher K Kepler, Gregory D Schroeder
{"title":"在骨科专科医院接受选择性脊柱手术的患者的转移原因和后续结果。","authors":"Tristan Blase Fried, Yunsoo Lee, Jeremy C Heard, Nicholas S Siegel, Tariq Z Issa, Mark J Lambrechts, Caroline Zaworski, Jasmine Wang, Taylor D'Amore, Amit Syal, Charles Lawall, John J Mangan, Jose A Canseco, Barrett I Woods, Ian David Kaye, Alan S Hilibrand, Alexander R Vaccaro, Christopher K Kepler, Gregory D Schroeder","doi":"10.4103/jcvjs.jcvjs_17_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the reasons for transfer as well as the 90-day outcomes of patients who were transferred from a high-volume orthopedic specialty hospital (OSH) following elective spine surgery.</p><p><strong>Materials and methods: </strong>All patients admitted to a single OSH for elective spine surgery from 2014 to 2021 were retrospectively identified. Ninety-day complications, readmissions, revisions, and mortality events were collected and a 3:1 propensity match was conducted.</p><p><strong>Results: </strong>Thirty-five (1.5%) of 2351 spine patients were transferred, most commonly for arrhythmia (<i>n</i> = 7; 20%). Thirty-three transferred patients were matched to 99 who were not transferred, and groups had similar rates of complications (18.2% vs. 10.1%; <i>P</i> = 0.228), readmissions (3.0% vs. 4.0%; <i>P</i> = 1.000), and mortality (6.1% vs. 0%; <i>P</i> = 0.061).</p><p><strong>Conclusion: </strong>Overall, this study demonstrates a low transfer rate following spine surgery. Risk factors should continue to be optimized in order to decrease patient risks in the postoperative period at an OSH.</p>","PeriodicalId":51721,"journal":{"name":"Journal of Craniovertebral Junction and Spine","volume":"14 2","pages":"159-164"},"PeriodicalIF":1.4000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/90/JCVJS-14-159.PMC10336892.pdf","citationCount":"0","resultStr":"{\"title\":\"Reasons for transfer and subsequent outcomes among patients undergoing elective spine surgery at an orthopedic specialty hospital.\",\"authors\":\"Tristan Blase Fried, Yunsoo Lee, Jeremy C Heard, Nicholas S Siegel, Tariq Z Issa, Mark J Lambrechts, Caroline Zaworski, Jasmine Wang, Taylor D'Amore, Amit Syal, Charles Lawall, John J Mangan, Jose A Canseco, Barrett I Woods, Ian David Kaye, Alan S Hilibrand, Alexander R Vaccaro, Christopher K Kepler, Gregory D Schroeder\",\"doi\":\"10.4103/jcvjs.jcvjs_17_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the reasons for transfer as well as the 90-day outcomes of patients who were transferred from a high-volume orthopedic specialty hospital (OSH) following elective spine surgery.</p><p><strong>Materials and methods: </strong>All patients admitted to a single OSH for elective spine surgery from 2014 to 2021 were retrospectively identified. Ninety-day complications, readmissions, revisions, and mortality events were collected and a 3:1 propensity match was conducted.</p><p><strong>Results: </strong>Thirty-five (1.5%) of 2351 spine patients were transferred, most commonly for arrhythmia (<i>n</i> = 7; 20%). Thirty-three transferred patients were matched to 99 who were not transferred, and groups had similar rates of complications (18.2% vs. 10.1%; <i>P</i> = 0.228), readmissions (3.0% vs. 4.0%; <i>P</i> = 1.000), and mortality (6.1% vs. 0%; <i>P</i> = 0.061).</p><p><strong>Conclusion: </strong>Overall, this study demonstrates a low transfer rate following spine surgery. Risk factors should continue to be optimized in order to decrease patient risks in the postoperative period at an OSH.</p>\",\"PeriodicalId\":51721,\"journal\":{\"name\":\"Journal of Craniovertebral Junction and Spine\",\"volume\":\"14 2\",\"pages\":\"159-164\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2023-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/90/JCVJS-14-159.PMC10336892.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Craniovertebral Junction and Spine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jcvjs.jcvjs_17_23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/6/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Craniovertebral Junction and Spine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jcvjs.jcvjs_17_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/6/13 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Reasons for transfer and subsequent outcomes among patients undergoing elective spine surgery at an orthopedic specialty hospital.
Objective: To evaluate the reasons for transfer as well as the 90-day outcomes of patients who were transferred from a high-volume orthopedic specialty hospital (OSH) following elective spine surgery.
Materials and methods: All patients admitted to a single OSH for elective spine surgery from 2014 to 2021 were retrospectively identified. Ninety-day complications, readmissions, revisions, and mortality events were collected and a 3:1 propensity match was conducted.
Results: Thirty-five (1.5%) of 2351 spine patients were transferred, most commonly for arrhythmia (n = 7; 20%). Thirty-three transferred patients were matched to 99 who were not transferred, and groups had similar rates of complications (18.2% vs. 10.1%; P = 0.228), readmissions (3.0% vs. 4.0%; P = 1.000), and mortality (6.1% vs. 0%; P = 0.061).
Conclusion: Overall, this study demonstrates a low transfer rate following spine surgery. Risk factors should continue to be optimized in order to decrease patient risks in the postoperative period at an OSH.
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