Why does patients’ discharge delay after vertebral augmentation? A factor analysis of 1,442 patients
ObjectiveVertebral augmentation techniques are widely used to treat osteoporotic vertebral compression fractures (OVCFs). Superior analgesic effects and shortened bed rest time means patients recover quickly, but prolonged unscheduled hospitalization can increase medical expenses and the risk of bed...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.987500/full |
| _version_ | 1798001465561710592 |
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| author | He Zhao Zhengping Zhang Yanjun Wang Bing Qian Xinhao Cao Ming Yang Yangjin Liu Qinpeng Zhao |
| author_facet | He Zhao Zhengping Zhang Yanjun Wang Bing Qian Xinhao Cao Ming Yang Yangjin Liu Qinpeng Zhao |
| author_sort | He Zhao |
| collection | DOAJ |
| description | ObjectiveVertebral augmentation techniques are widely used to treat osteoporotic vertebral compression fractures (OVCFs). Superior analgesic effects and shortened bed rest time means patients recover quickly, but prolonged unscheduled hospitalization can increase medical expenses and the risk of bed rest complications. The aim of this study was to investigate the reasons for prolonged hospitalization after vertebral augmentation surgery and to determine the relative risk factors.MethodsA single-center retrospective study was conducted to enroll patients with OVCFs and accepted vertebral augmentation surgery from January 2017 to December 2017. Clinical information was collected from the Hospital Information System (HIS). The criterion of delayed discharge was postoperative hospitalization more than 3 days. Telephone interviews and medical history evaluations were conducted to confirm the exact reason for retention. The risk factors were analyzed by multiple logistic regression.ResultsOverall, 1,442 patients were included, and 191 (13.2%) stayed in the hospital for more than 3 days postoperatively. The reasons for delayed discharge were psychological factors (37.2%), residual pain (32.5%), cardiopulmonary complications (15.7%), nonspecific symptoms (8.4%), incision abnormalities (2.6%), thrombosis (2.1%), and postanesthesia reactions (1.6%). The multiple logistic model was significant; age (OR 1.028; 95% CI 1.009–1.046), preoperative stay (OR 1.192; 95% CI 1.095–1.298), operation type (OR 1.494; 95% CI 1.019–2.189), and the number of surgical segments (OR 2.238; 95% CI 1.512–3.312) showed statistical significance. In contrast, gender (P > 0.1) and chronic comorbidities (P > 0.1) were not predictors in this model.ConclusionOverall, 13.2% of OVCF patients who underwent vertebral augmentation surgery were not discharged within 3 days postoperatively, and several predictors were found. Preoperative communication and comprehensive evaluations are calling for more attention; physicians should adopt an appropriate medical process to enhance rehabilitation in geriatric orthopedics. |
| first_indexed | 2024-04-11T11:36:39Z |
| format | Article |
| id | doaj.art-48c574d4f5dd42b0b62fd5b526bda6bc |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T11:36:39Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-48c574d4f5dd42b0b62fd5b526bda6bc2022-12-22T04:25:56ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-09-01910.3389/fsurg.2022.987500987500Why does patients’ discharge delay after vertebral augmentation? A factor analysis of 1,442 patientsHe Zhao0Zhengping Zhang1Yanjun Wang2Bing Qian3Xinhao Cao4Ming Yang5Yangjin Liu6Qinpeng Zhao7Department of Emergency Medicine, Honghui Hospital, Xi’an Jiaotong University, Xi’an, ChinaDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, ChinaDepartment of Emergency Medicine, Honghui Hospital, Xi’an Jiaotong University, Xi’an, ChinaDepartment of Emergency Medicine, Honghui Hospital, Xi’an Jiaotong University, Xi’an, ChinaDepartment of Emergency Medicine, Honghui Hospital, Xi’an Jiaotong University, Xi’an, ChinaDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, ChinaDepartment of Emergency Medicine, Honghui Hospital, Xi’an Jiaotong University, Xi’an, ChinaDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, ChinaObjectiveVertebral augmentation techniques are widely used to treat osteoporotic vertebral compression fractures (OVCFs). Superior analgesic effects and shortened bed rest time means patients recover quickly, but prolonged unscheduled hospitalization can increase medical expenses and the risk of bed rest complications. The aim of this study was to investigate the reasons for prolonged hospitalization after vertebral augmentation surgery and to determine the relative risk factors.MethodsA single-center retrospective study was conducted to enroll patients with OVCFs and accepted vertebral augmentation surgery from January 2017 to December 2017. Clinical information was collected from the Hospital Information System (HIS). The criterion of delayed discharge was postoperative hospitalization more than 3 days. Telephone interviews and medical history evaluations were conducted to confirm the exact reason for retention. The risk factors were analyzed by multiple logistic regression.ResultsOverall, 1,442 patients were included, and 191 (13.2%) stayed in the hospital for more than 3 days postoperatively. The reasons for delayed discharge were psychological factors (37.2%), residual pain (32.5%), cardiopulmonary complications (15.7%), nonspecific symptoms (8.4%), incision abnormalities (2.6%), thrombosis (2.1%), and postanesthesia reactions (1.6%). The multiple logistic model was significant; age (OR 1.028; 95% CI 1.009–1.046), preoperative stay (OR 1.192; 95% CI 1.095–1.298), operation type (OR 1.494; 95% CI 1.019–2.189), and the number of surgical segments (OR 2.238; 95% CI 1.512–3.312) showed statistical significance. In contrast, gender (P > 0.1) and chronic comorbidities (P > 0.1) were not predictors in this model.ConclusionOverall, 13.2% of OVCF patients who underwent vertebral augmentation surgery were not discharged within 3 days postoperatively, and several predictors were found. Preoperative communication and comprehensive evaluations are calling for more attention; physicians should adopt an appropriate medical process to enhance rehabilitation in geriatric orthopedics.https://www.frontiersin.org/articles/10.3389/fsurg.2022.987500/fullvertebral compression fracturevertebral augmentationvertebroplastydelayed dischargeresidual pain |
| spellingShingle | He Zhao Zhengping Zhang Yanjun Wang Bing Qian Xinhao Cao Ming Yang Yangjin Liu Qinpeng Zhao Why does patients’ discharge delay after vertebral augmentation? A factor analysis of 1,442 patients Frontiers in Surgery vertebral compression fracture vertebral augmentation vertebroplasty delayed discharge residual pain |
| title | Why does patients’ discharge delay after vertebral augmentation? A factor analysis of 1,442 patients |
| title_full | Why does patients’ discharge delay after vertebral augmentation? A factor analysis of 1,442 patients |
| title_fullStr | Why does patients’ discharge delay after vertebral augmentation? A factor analysis of 1,442 patients |
| title_full_unstemmed | Why does patients’ discharge delay after vertebral augmentation? A factor analysis of 1,442 patients |
| title_short | Why does patients’ discharge delay after vertebral augmentation? A factor analysis of 1,442 patients |
| title_sort | why does patients discharge delay after vertebral augmentation a factor analysis of 1 442 patients |
| topic | vertebral compression fracture vertebral augmentation vertebroplasty delayed discharge residual pain |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.987500/full |
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