Asset Details
Do you wish to reserve the book?
Postoperative Fever Discharge Guidelines Increase Hospital Charges Associated With Spine Surgery
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Postoperative Fever Discharge Guidelines Increase Hospital Charges Associated With Spine Surgery
Do you wish to request the book?
Postoperative Fever Discharge Guidelines Increase Hospital Charges Associated With Spine Surgery
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Postoperative Fever Discharge Guidelines Increase Hospital Charges Associated With Spine Surgery
2011
Overview
Abstract
BACKGROUND:
Postoperative fever is a common sequel of spine surgery. In the presence of rigid nationally mandated clinical guidelines, fever management may consume more health care resources than is reasonably appropriate.
OBJECTIVE:
To study the relationship between postoperative fever, infection rate, and hospital charges in a cohort of spine surgery patients.
METHODS:
We retrospectively reviewed 578 spine surgery patients (lumbar microdiskectomy [LMD], anterior cervical decompression and fusion [ACDF], and lumbar decompression and fusion [LDF]). Differences in length of stay and hospital charges as well as risk factors and correlation with infection and readmission rates were studied.
RESULTS:
Postoperative fever occurred in 41.7% of all spine surgery patients and more often in LDF patients (77.2%). Type of surgery was the most important variable affecting the prevalence of postoperative fever. Significant differences in length of stay were elicited between patients with and without postoperative fever in the ACDF and LMD groups and in hospital cost in the LMD group. The average length of stay was 2.41 vs 4.47 (P < .01) in the LMD group, 1.67 vs 2.80 (P < .05) in the ACDF group, and 5.03 vs 5.65 (P > .05) in the LDF group. The average hospital charges were $16 261 vs $22 166 (P < .01) in the LMD group, $26 021 vs $29 125 (P > .05) in the ACDF group, and $53 627 vs $53 210 (P > .05) in the LDF group. Obesity, female sex, and ≥102°F postoperative temperature were the most significant predictors of infection. Delayed discharge referable to postoperative fever did not seem to influence the infection readmission rate.
CONCLUSION:
Postoperative fever in spine surgery patients is associated with a delay in patient discharge and increases in hospital charges. Postoperative fever discharge guidelines should be regularly and publicly subjected to appropriate cost-benefit analysis.
Publisher
Oxford University Press,Lippincott Williams & Wilkins,Wolters Kluwer Health, Inc
Subject
/ Biological and medical sciences
/ Female
/ Humans
/ Male
/ Neurosurgical Procedures - adverse effects
/ Neurosurgical Procedures - economics
/ Patient Discharge - economics
/ Patient Discharge - standards
/ Postoperative Complications - economics
/ Postoperative Complications - etiology
/ Postoperative Complications - therapy
/ Practice Guidelines as Topic - standards
/ Spine
/ Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
