Factors associated with extended length of stay in patients undergoing posterior spinal fusion for adolescent idiopathic scoliosis

摘要: Cross-sectional study. To investigate whether certain patient, surgical, and recovery-related factors may be associated with extended LOS following posterior spinal fusion for Adolescent Idiopathic Scoliosis (AIS). Understanding determinants of hospital length stay (LOS) surgical procedures is important perioperative planning improvements in quality care. Using a private insurance claims database, AIS patients ages 10–21 that underwent from 2010 to 2016 the United States were identified. Extended was defined as > 7.2 days (+ 1 standard deviation mean). Univariate multivariate analyses performed identify LOS. Significance set at p < 0.05. 5864 met inclusion criteria (mean age 14.4 ± 2.2 years; 75% girls). Mean 4.7 ± 2.5 days (median 4 days). 69% had 7–12 levels fused, 25% 13+ fused. On analysis, were: longer construct (13+ fused) (OR 2.1, p = 0.020), thoracoplasty 3.8, p < 0.001), postoperative complications: wound problems 13, respiratory 7.9, urinary tract infection 6.0, constipation 2.4, p < 0.001). Postoperative ICU admission, female gender, surgery on Wednesday significant univariate analysis but not analysis. an increase $50,494 net payments (p < 0.001). Patient, recovery are who undergo surgery. significantly increases healthcare spending. Level III.