Related Experiment Video
Updated: Jul 4, 2025
04:42
Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
Published on: June 26, 2018
14.6K
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
Summary
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.
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.
