International Journal of Physical Medicine & Rehabilitation
Open Access
ISSN: 2329-9096
+44 1300 500008
ISSN: 2329-9096
+44 1300 500008
Saddam Kanaan
Jordan University of Science and Technology, Jordan
Posters & Accepted Abstracts: Int J Phys Med Rehabil
Studies are lacking to identify predictors of Length of Hospital Stay (LOS) and Discharge Placement (DP) following Lumbar Spine Surgery (LSS). Identifying these predictors may lead to better utilization of resources and optimization of LSS outcomes. We retrospectively reviewed 593 patients� records who underwent LSS to study the predictors of LOS using structural equation modeling. Also, we reviewd 339 patients� records for patients who underwent LSS to study the predictors of DP using logistic regression. LOS analysis results showed that higher age, diminished prior level of function, needing assistive devices, and low presurgical hemoglobin level were significant indicators of presurgical factors and associated with longer LOS. Secondly, high illness severity, increased complications, and need for intensive care unit stay after surgery were significant indicators of surgical factors and associated with higher LOS. Finally, low sitting and standing balance score, higher dependency in bed mobility, transfer and mobility, and shorter distance walked during physical therapy sessions, were significant indicators of postsurgical factors and associated with longer LOS. DP results showed that younger age, longer distance walked during hospital stay, and shorter length of hospital stay predicted greater likelihood of being discharged to home. Further analysis suggested that those living along, have inferior level of function prior to their surgery, and required longer hospital stay are likely to need skilled assistance (i.e., home health care or outpatient services) after being discharged to home. Prospective studies with more potential variables as predictors should be conducted to confirm these results.
Email: sfkanaan@just.edu.jo