Document Type
Article
Publication Date
6-13-2023
Abstract
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.
Recommended Citation
Fried, Tristan B.; Lee, Yunsoo; Heard, Jeremy C.; Siegel, Nicholas S.; Issa, Tariq Z.; Lambrechts, Mark J.; Zaworski, Caroline; Wang, Jasmine; D'Amore, Taylor; Syal, Amit; Lawall, Charles; Mangan, John J.; Canseco, Jose A.; Woods, Barrett I.; Hilibrand, Alan S.; Vaccaro, Alex R.; Kepler, Christopher K.; and Schroeder, Gregory D., "Reasons for Transfer and Subsequent Outcomes Among Patients Undergoing Elective Spine Surgery at an Orthopedic Specialty Hospital" (2023). Rothman Institute Faculty Papers. Paper 225.
https://jdc.jefferson.edu/rothman_institute/225
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.
Language
English
Comments
This article is the author's final published version in the Journal of Craniovertebral Junction & Spine, Volume 14, Issue 2, Apr-Jun 2023, Pg. 159 - 164.
The published version is available at https://doi.org/10.4103/jcvjs.jcvjs_17_23. Copyright © 2023 Journal of Craniovertebral Junction and Spine | Published by Wolters Kluwer ‑ Medknow