Universität zu Köln

Herren, C., Aghayev, E., Kaulhausen, T., Roeder, C., Meyer, F., Siewe, J. and Sobottke, R. (2014). Influencing factors on the length of stay in lumbar spine surgery. Analysis of the German spine registry. Orthopade, 43 (12). S. 1043 - 1052. NEW YORK: SPRINGER. ISSN 1433-0431

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Abstract

Spinal disc herniation, lumbar spinal stenosis and spondylolisthesis are known to be leading causes of lumbar back pain. The cost of low back pain management and related operations are continuously increasing in the healthcare sector. There are many studies regarding complications after spine surgery but little is known about the factors predicting the length of stay in hospital. The purpose of this study was to identify these factors in lumbar spine surgery in order to adapt the postoperative treatment. The current study was carried out as a post hoc analysis on the basis of the German spine registry. Patients who underwent lumbar spine surgery by posterior surgical access and with posterior fusion and/or rigid stabilization, whereby procedures with dynamic stabilization were excluded. Patient characteristics were tested for association with length of stay (LOS) using bivariate and multivariate analyses. A total of 356 patients met the inclusion criteria. The average age of all patients was 64.6 years and the mean LOS was 11.9 +/- 6.0 days with a range of 2-44 days. Independent factors that were influencing LOS were increased age at the time of surgery, higher body mass index, male gender, blood transfusion of 1-2 erythrocyte concentrates and the presence of surgical complications. Identification of predictive factors for prolonged LOS may allow for estimation of patient hospitalization time and for optimization of postoperative care. In individual cases this may result of a reduction in the LOS.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Herren, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Aghayev, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaulhausen, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Roeder, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Siewe, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sobottke, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-422793
DOI:	10.1007/s00132-014-3033-4
Journal or Publication Title:	Orthopade
Volume:	43
Number:	12
Page Range:	S. 1043 - 1052
Date:	2014
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0431
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BACK-PAIN; RISK-FACTORS; HOSPITAL STAY; COMPLICATIONS; AGE; OUTCOMES; DECOMPRESSION; ASSOCIATION; LAMINECTOMY; PREVALENCE Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42279