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. 2023 Apr-Jun;14(2):159-164.
doi: 10.4103/jcvjs.jcvjs_17_23. Epub 2023 Jun 13.

Reasons for transfer and subsequent outcomes among patients undergoing elective spine surgery at an orthopedic specialty hospital

Tristan Blase Fried  1 , Yunsoo Lee  1 , Jeremy C Heard  1 , Nicholas S Siegel  1 , Tariq Z Issa  1 , Mark J Lambrechts  1 , Caroline Zaworski  1 , Jasmine Wang  1 , Taylor D'Amore  1 , Amit Syal  1 , Charles Lawall  1 , John J Mangan  1 , Jose A Canseco  1 , Barrett I Woods  1 , Ian David Kaye  1 , Alan S Hilibrand  1 , Alexander R Vaccaro  1 , Christopher K Kepler  1 , Gregory D Schroeder  1
Affiliations

Reasons for transfer and subsequent outcomes among patients undergoing elective spine surgery at an orthopedic specialty hospital

Tristan Blase Fried et al. J Craniovertebr Junction Spine. 2023 Apr-Jun.

Abstract

Objective: To evaluate the reasons for transfer as well as the 90-day outcomes of patients who were transferred from a high-volume orthopedic specialty hospital (OSH) following elective spine surgery.

Materials and methods: All patients admitted to a single OSH for elective spine surgery from 2014 to 2021 were retrospectively identified. Ninety-day complications, readmissions, revisions, and mortality events were collected and a 3:1 propensity match was conducted.

Results: Thirty-five (1.5%) of 2351 spine patients were transferred, most commonly for arrhythmia (n = 7; 20%). Thirty-three transferred patients were matched to 99 who were not transferred, and groups had similar rates of complications (18.2% vs. 10.1%; P = 0.228), readmissions (3.0% vs. 4.0%; P = 1.000), and mortality (6.1% vs. 0%; P = 0.061).

Conclusion: Overall, this study demonstrates a low transfer rate following spine surgery. Risk factors should continue to be optimized in order to decrease patient risks in the postoperative period at an OSH.

Keywords: Specialty hospital; spine surgery; transfer.

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Conflict of interest statement

There are no conflicts of interest.

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