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Updated: Jul 4, 2025

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Factors Associated With Same Day Discharge Post-Spinal Cord Stimulator Placement.

Alexander Beletsky1, Cherry Liu1, Kim Vickery2

  • 1HCA Healthcare, Department of Anesthesiology, Riverside Community Hospital, Riverside, CA.

Pain Physician
|February 7, 2024
PubMed
Summary
This summary is machine-generated.

Men, Medicaid patients, and Midwest/West US hospital locations were linked to higher same-day discharge rates after spinal cord stimulator (SCS) surgery. The open approach, Hispanic ethnicity, and older age were associated with lower rates.

Keywords:
failed back surgery syndromeneuromodulationneuropathic painpain medicineSpinal cord stimulator

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Area of Science:

  • Neurosurgery
  • Pain Management
  • Health Services Research

Background:

  • Spinal cord stimulator (SCS) procedures are increasingly common for neuropathic pain.
  • Limited data exists on factors influencing same-day discharge after SCS placement.

Purpose of the Study:

  • To identify factors associated with same-day discharge following spinal cord stimulator (SCS) placement.
  • To analyze demographic, procedural, and geographic variables impacting discharge disposition.

Main Methods:

  • Retrospective cohort study utilizing a nationwide database from January 1, 2014, to December 31, 2021.
  • Inclusion of patients undergoing percutaneous or open SCS, with exclusion of those with missing data or unlisted indications.
  • Multivariable analysis to determine covariates associated with same-day discharge.

Main Results:

  • Analysis of 18,058 patients revealed that male sex, Medicaid insurance, and hospitals in the Midwest and West US regions were associated with increased same-day discharge rates.
  • Conversely, the open SCS approach, Hispanic ethnicity, and advanced age were linked to decreased same-day discharge rates.
  • Statistical significance (P < 0.001) was observed for all reported factors.

Conclusions:

  • Findings provide insights into factors influencing same-day discharge after SCS implantation.
  • Results can aid in predicting hospital bed needs and optimizing patient flow post-surgery.
  • Highlights the need for patient-centered, evidence-based healthcare delivery strategies.