Abstract：
OBJECTIVE:This study looks at the various comorbidities and postoperative complications and their impact on readmission rates of patients undergoing outpatient versus inpatient 1- and 2-level anterior cervical discectomy and fusion (ACDF). With increasing costs within the United States medical system, one emerging cost-saving strategy is to evolve traditional inpatient procedures into outpatient same-day surgeries. However, patient safety remains a crucial priority. METHODS:A total of 28,427 patients were analyzed, with 26,368 undergoing inpatient ACDF surgery and 2059 undergoing outpatient ACDF surgery. Age, sex, comorbidities, postoperative complications, readmission rates, and overall financial cost were compared between both cohorts. RESULTS:Data from 28,427 one- and two-level ACDF procedures that were split between inpatient and outpatient were collected. Thirty-day readmission rates were significantly lower in outpatients than inpatients (4% vs. 10.1%, P < 0.001). Inpatients had higher rates of urinary tract infection (2.4% vs. 1.4%), deep vein thrombosis (0.6% vs. 0%), and myocardial infarction (0.2% vs. 0%), whereas outpatients had higher rates of pulmonary embolism (7.7% vs. 0.4%). Outpatients had increased readmission risk with comorbidities of diabetes (odds ratio [OR], 48.93; P < 0.001), smoking (OR, 4.6; P < 0.001), body mass index ≥30 (OR, 2392; P < 0.001). The average cost of outpatient surgery was less than that of inpatient surgery ($7774.8 vs. $7956.75, P = 0.0444). CONCLUSION:This study suggests that in the appropriately selected patients, ACDF can safely be performed in an outpatient setting.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Khalid SI,Carlton A,Wu R,Kelly R,Peta A,Adogwa Odoi
10.1016/j.wneu.2019.03.124subject
Has Abstractpub_date
2019-06-01 00:00:00pages
e1475-e1481eissn
1878-8750issn
1878-8769pii
S1878-8750(19)30802-2journal_volume
126pub_type
杂志文章abstract：BACKGROUND:Therapeutic hypothermia (TH) offers cerebral protection following ischemic stroke and may improve outcomes in conjunction with decompressive hemicraniectomy (DHC). We aimed to assess the effectiveness of TH in patients with malignant ischemic stroke and DHC. METHODS:We performed a meta-analysis in patients ...
journal_title：World neurosurgery
pub_type： 杂志文章,meta分析
doi：10.1016/j.wneu.2020.05.277
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Asymptomatic or minor symptom meningiomas (AMSMs) in the elderly are incidental findings, with no consensus reached on the optimal management strategy. In the present study, we aimed to determine the surgical risk factors for elderly patients with AMSMs using a nationwide registry database in Japan. METHODS...
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pub_type： 杂志文章
doi：10.1016/j.wneu.2021.01.001
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abstract：OBJECTIVE:Several studies have looked for an association between radiologic findings and neurologic outcome after cervical trauma. In the current literature, there is a paucity of evidence proving the prognostic role of soft tissue damage or bony integrity. Our objective is to determine radiologic findings related to n...
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doi：10.1016/j.wneu.2017.02.034
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.12.014
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abstract：BACKGROUND:The Pipeline Embolization Device (PED) has been increasingly used for the treatment of posterior circulation aneurysms. The purpose of the present study was to examine the clinical and angiographic outcomes of patients with vertebrobasilar aneurysms treated with the PED. METHODS:We performed a retrospective...
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doi：10.1016/j.wneu.2018.12.116
更新日期：2019-01-03 00:00:00
abstract：OBJECTIVE:Spinal dural arteriovenous fistulas (SDAVFs) are rare vascular spinal malformations. According to the reported data, surgery seems to result in better occlusion rates than endovascular treatment. However, the post-treatment evolution of neurological symptoms stratified by the treatment remains unknown. The ma...
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doi：10.1016/j.wneu.2019.04.005
更新日期：2019-07-01 00:00:00
abstract：OBJECTIVE:Realistic, safe, and efficient modalities for simulation-based training are highly warranted to enhance the quality of surgical education, and they should be incorporated in resident training. The aim of this study was to develop a patient-specific virtual cerebral aneurysm-clipping simulator with haptic forc...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2018.01.042
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVE:To compare bony spur resection (BR) with bony spur nonresection (BN) treatment in patients with congenital scoliosis and type I split cord malformation. METHODS:Patients with congenital scoliosis and type I split cord malformation who underwent corrective surgery in a single institution from 2008 to 2015 wer...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.01.265
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:White matter injury (WMI) has been observed after experimental intracerebral hemorrhage (ICH). The supporting clinical data have been sparse. We assessed the presence, extent, and progression of WMI in patients with ICH. METHODS:We performed a retrospective review of data from 65 consecutive patients with s...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2019.02.089
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.07.223
更新日期：2018-11-01 00:00:00
abstract：BACKGROUND:Although targeted by radiotherapy, recurrence in glioblastoma occurs mainly periresectionally owing to tumor infiltration. An increase in the apparent diffusion coefficient (ADC) has been shown in the large high-T2 area on magnetic resonance imaging posttreatment; however, until now ADC has not been investig...
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更新日期：2016-08-01 00:00:00
abstract：OBJECTIVE:In patients with intracerebral hematoma (ICH), it is well known that brain atrophy occurs in the hemisphere ipsilateral to the hematoma. The present study aimed to investigate contralateral hemispheric volume changes in patients with ICH as well as related factors. METHODS:Of 112 patients with ICH who were s...
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pub_type： 杂志文章
doi：10.1016/j.wneu.2017.02.105
更新日期：2017-06-01 00:00:00
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doi：10.1016/j.wneu.2019.10.003
更新日期：2020-02-01 00:00:00
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更新日期：2013-11-01 00:00:00
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doi：10.1016/j.wneu.2019.09.039
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Previous reports suggest that patients with Parkinson disease (PD) have elevated rates of complications following spine surgery; however, these reports are limited by small patient series. In this study, we used the National Inpatient Sample (NIS) database to compare in-hospital complications following elect...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.07.006
更新日期：2017-10-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.09.028
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Hemispherectomy is a successful and well-described treatment option for pediatric patients with hemispheric ictal onset, but adult outcomes have been far less studied. We describe the outcomes in adult patients with medically refractory epilepsy and hemispheric disease and the relationship to cerebral pedunc...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.03.034
更新日期：2019-06-01 00:00:00
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doi：10.1016/j.wneu.2017.12.173
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2018.04.212
更新日期：2018-08-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2015.09.041
更新日期：2016-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.04.092
更新日期：2018-07-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2019.12.121
更新日期：2020-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2019.06.158
更新日期：2019-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.03.094
更新日期：2018-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.06.014
更新日期：2017-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.02.058
更新日期：2016-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.08.152
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Rosai-Dorfman disease (RDD) is a rare, benign histiocytosis disorder with only approximately 100 reported central nervous system cases in the literature. Even less common is skull base involvement of RDD, with about 41 reported cases. Radiographically, RDD can appear similar to a meningioma; the true diagnos...
journal_title：World neurosurgery
pub_type：
doi：10.1016/j.wneu.2019.12.032
更新日期：2020-03-01 00:00:00
