Factors affecting length of stay after posterior spinal fusion for adolescent idiopathic scoliosis
| Autor: | Benjamin D. Martin, Jessica A Cronin, Karen Thomson, Sophie R. Pestieau, Heather Gordish-Dressman, Matthew E. Oetgen |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Blood management Adolescent medicine.medical_treatment Operative Time Length of hospitalization Idiopathic scoliosis Perioperative Care 03 medical and health sciences Sex Factors 0302 clinical medicine Humans Pain Management Medicine Orthopedics and Sports Medicine Lead (electronics) Pain Postoperative 030222 orthopedics business.industry Racial Groups Crystalloid Solutions Length of Stay Spinal Fusion Treatment Outcome Morphine use Scoliosis Spinal fusion Anesthesia Orthopedic surgery Critical Pathways Level iii business 030217 neurology & neurosurgery |
| Zdroj: | Spine Deformity. 8:51-56 |
| ISSN: | 2212-1358 2212-134X |
| Popis: | Retrospective review of prospectively collected data. Determine factors that influence hospital length of stay after posterior spinal fusion for adolescent idiopathic scoliosis. Standardized care pathways decrease variability in care, improve patient outcomes, and decrease cost. Specifically, global care pathway development using Lean process mapping for patients undergoing posterior spinal fusion for adolescent idiopathic scoliosis (AIS) has been shown to lead to a significant decrease in postoperative length of stay. Assessment of variables that affect length of stay after pathway implementation may identify opportunities for additional process refinement to further decrease postoperative length of stay and improve pathway efficiency. A standardized care pathway was implemented at our institution for all patients undergoing posterior spinal fusion for AIS. This pathway was developed using the Lean process mapping technique to create evidence-based protocols for the preoperative, operative, postoperative, and postdischarge care. Patient and care-related variables in these time periods were assessed to determine those factors that significantly affected postoperative length of stay. Preoperative factors associated with a prolonged postoperative length of stay included patient ethnicity (non-Hispanic > Hispanic, p = 0.035) and gender (female > male, p = 0.039). Significant intraoperative factors included longer surgical time (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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