Factors affecting the length of hospitalization after elective spinal surgery Length of hospitalization after elective spinal surgery

Abstract

Aim: In this study, it was aimed to investigate the factors affecting the length of hospital stay of patients who underwent elective spinal surgery.

Material and Methods: A total of 120 patients who underwent elective spinal surgery between 2015 and 2018 were included in the study (29 men and 91 women). The mean age of the patients was 62.2 (Mean+/-13.9 SD) years. For each patient, data such as preoperative hemoglobin and albumin levels, age, gender, instrumentation level, revision surgery, preoperative anticoagulant use, duration of surgery, and bleeding volume were recorded.

Results: Among the 120 patients participating in the study, 31 underwent revision surgery and 89, primary surgery. Statistically significant correlation was found between age and length of hospital stay (p=0.001), between instrumentation level and length of stay (p<0.001), between preoperative albumin level, blood loss and length of stay (p<0.001). There was a moderate and statistically significant correlation between the duration of the operation and the length of hospitalization (p<0.001). There was no statistically significant correlation between preoperative hemoglobin levels and length of hospitalization (p=0.247).

Discussion: There are many modifiable and unchangeable factors that affect the length of hospital stay after elective spinal surgery. By evaluating these factors preoperatively, the length of hospitalization can be estimated.