Abstract：
:Early discharge (ED) has emerged and gained popularity in spine surgery. However, the benefits of ED in lumbar fusion have not yet been validated by large cohort studies. To evaluate the effects of ED on readmissions and reoperations in lumbar fusion, this study utilized a national database to enroll patients who had undergone lumbar fusion surgery at age 50-70 years, and grouped them into an ED group or a comparison group. In the comprehensive follow-up of 180 days post-operation, the two groups were compared. There were 18,008 patients in the cohort, including 2172 in the ED group and 15,836 in the comparison group. The ED group was slightly younger (59.9 vs. 60.7 years, p < 0.001), more male predominant (44.9% vs. 36.9%, p < 0.001), and had fewer medical comorbidities. The ED group had less incidences of readmission than the comparison group. (Crude hazard ratio = 0.73, and adjusted HR = 0.75, both p < 0.001). Overall, the cumulative incidences of readmission in the ED group (9.5%) were lower than those in the comparison group (12.8%, p < 0.001), whereas reoperations were insignificantly different (1.5% vs. 1.2%, p = 0.189). For patients aged 50-70 years and who require lumbar fusion surgery, ED could yield a 25% reduced risk of readmission for any cause within 180 days post-operation. Since the reoperation rates remained similar, our results suggest that ED may be a promising option for elderly patients undergoing lumbar spinal fusion surgery.
journal_name
Int J Environ Res Public Healthauthors
Huang WC,Wu JC,Chang HK,Chen YCdoi
10.3390/ijerph17041335subject
Has Abstractpub_date
2020-02-19 00:00:00issue
4eissn
1661-7827issn
1660-4601pii
ijerph17041335journal_volume
17pub_type
杂志文章abstract：:A systematic method was used to review the existing epidemiologic literature and determine the state of the scientific evidence for potential adverse health outcomes in populations living near oil and natural gas (ONG) operations in the United States. The review utilized adapted systematic review frameworks from the m...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
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更新日期：2019-06-15 00:00:00
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journal_title：International journal of environmental research and public health
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更新日期：2020-11-13 00:00:00
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journal_title：International journal of environmental research and public health
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更新日期：2020-08-20 00:00:00
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更新日期：2018-04-27 00:00:00
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journal_title：International journal of environmental research and public health
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更新日期：2019-11-11 00:00:00
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更新日期：2019-11-26 00:00:00
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journal_title：International journal of environmental research and public health
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更新日期：2019-08-23 00:00:00
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pub_type： 杂志文章
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更新日期：2020-04-29 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
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更新日期：2020-04-24 00:00:00
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更新日期：2019-03-10 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph7072811
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
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更新日期：2018-08-02 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16245132
更新日期：2019-12-16 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph17197245
更新日期：2020-10-03 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph14060627
更新日期：2017-06-10 00:00:00
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pub_type： 杂志文章
doi：10.3390/ijerph17134692
更新日期：2020-06-30 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph17228650
更新日期：2020-11-21 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章,随机对照试验
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章,随机对照试验
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更新日期：2019-10-21 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章,随机对照试验
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更新日期：2013-09-25 00:00:00
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更新日期：2020-06-24 00:00:00
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journal_title：International journal of environmental research and public health
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
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更新日期：2021-01-10 00:00:00
