Please login to view this media
- Talk
- 15/06/2021
- Canada
Patient Factors Affecting Hospital Length of Stay for Adolescent Idiopathic Scoliosis Patients Undergoing Posterior Spinal Instrumentation and Fusion in a Rapid Recovery Protocol
Description
This presentation by Zachary Devries discusses the factors influencing the hospital length of stay for adolescent idiopathic scoliosis patients undergoing posterior spinal instrumentation and fusion within a rapid recovery pathway. He begins by acknowledging the support of Dr. Jarvis and the orthopedic team from CHEO. Devries explains that scoliosis, characterized by an abnormal spine curvature, is primarily treated with surgical procedures, the decision for which relies on the patient's age, growth potential, curve severity, and comorbidities. Recent evidence suggests that rapid recovery protocols improve patient recovery times and reduce hospital stays.
He outlines the main patient characteristics associated with prolonged hospital stays, including female sex, obesity, multiple fused vertebrae, longer surgical times, blood transfusion needs, and higher pain scores post-surgery. The study focuses on evaluating these factors within a specific cohort of 161 patients treated between March 2015 and August 2020 at a children's hospital, under rapid recovery protocols, yielding a mean hospital stay of 3.6 days.
The analysis identifies significant correlations between hospital length of stay and certain factors, notably an elevated ASA score, location of spinal fusion, and perioperative blood transfusions. He notes that the study's findings align with previous research regarding blood transfusions impacting recovery lengths, but also highlight new associations such as the influence of ASA scores and the use of specific post-operative medications like celecoxib, which may shorten recovery time.
Despite being limited by the single-center nature of the data, the study offers valuable insights into the demographic and clinical characteristics that predict hospital stay durations in a context where rapid recovery pathways are becoming the norm, underscoring the need for continual evaluation in managing patient recovery effectively.