Hout-02. Variation in Post-operative Length of Stay in Neuro-oncologic Surgery
Year: 2018
Type: conference-abstract
Abstract: Little is known about the predictors of post-operative length of stay (LOS) following brain tumor resection or the influence of LOS on post-operative outcomes. We assessed associations between LOS and 30-day post-operative morbidity, mortality, and readmission in a nationwide retrospective cohort study of Americans who underwent resection of an intracranial tumor. The analysis included data collected from the NSQIP 2006–2015 and NHDS 1970–2010 registries in a multivariable logistic regression. 16,101 craniotomy for tumor cases were identified in NSQIP with a median age of 58 years (IQR 47–67). Median post-operative length of stay was 3 days (IQR 2–6). Patients with LOS of 1–2 days after craniotomy were deemed early discharge (26%), 3–5 days was considered an intermediate LOS (46%), while 6+ days of LOS was considered late discharge (28%). Predictors of early discharge included male sex, white race, young age, functional independence, low chronic disease burden, low ASA score, shorter operative length, supratentorial location, and cranial nerve tumor histology (p Early discharge following craniotomy for tumor resection was associated with decreased likelihood of post-operative medical complications, readmission, and death as compared to late discharge. Select patients may benefit from personalized discharge planning that prioritizes shorter LOS.
Source: Neuro-Oncology
Institutions: Harvard University, Brigham and Women's Hospital
Language: English
Subfield: Genetics
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2900152609