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. 2014 Summer;43(2):88-97.

Predicting discharge placement and health care needs after lumbar spine laminectomy

Saddam F Kanaan  1 , Hung-Wen Yeh, Russell L Waitman, Douglas C Burton, Paul M Arnold, Neena K Sharma
Affiliations

Predicting discharge placement and health care needs after lumbar spine laminectomy

Saddam F Kanaan et al. J Allied Health. 2014 Summer.

Abstract

Objective: To explore factors associated with discharge placement (DP) and need for skilled assistance after patients are discharged from hospital following lumbar laminectomy.

Methods: A retrospective analysis of 339 patients who underwent lumbar laminectomy was conducted. We used multivariable logistic regression analysis to identify significant covariates and to construct two regression models: a primary model to predict DP, home vs inpatient rehabilitation/skilled nursing facility (IR/SNF), and a secondary model to predict the need for skilled assistance once patients are discharged to home.

Results: The sample included 48.7% females, 68.2% married, 56.3% independent in daily activities, and 85.2% discharged to home. Subjects were a mean 56.06 ± 12.75 years old and had a BMI of 31.35 ± 6.2. Of those discharged to home, 17.7% needed skilled assistance. Patients stayed 4.41 ± 3.55 days in the hospital and walked 203.38 ± 144.87 ft during hospital stay. Age, distance walked during hospital stay, and length of hospital stay (LOS) were significant positive predictors for discharge to home vs IR/SNF, whereas single living status, diminished prior level of function, and longer LOS were predictors of need for skilled assistance after discharge to home.

Conclusion: Age, mobility, marital status, prior level of function, and LOS are key variables in determining healthcare needs following lumbar laminectomy.

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Conflict of interest statement

Disclosure/Conflict of Interest

No duality of interest to declare.

Figures

Figure 1
Figure 1
Allocation of cases to groups and subgroups
Figure 2
Figure 2
Forest plot of odds ratios and confidence intervals (CI) of significant factors from multivariable analysis, predicting discharge to home vs. IR/SNF
Figure 3
Figure 3
Forest plot of odds ratios and confidence intervals (CI) of significant factors from multivariable analysis, predicting discharged to home with or without skilled assistance
See this image and copyright information in PMC

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