Work

The utilization of a novel Outpatient Appropriateness Fragility Score to predict inpatient stay following biportal lumbar endoscopic decompression

Year: 2025

Type: article

Abstract: Background: Biportal endoscopic spine surgery offers advantages such as reduced postoperative pain and faster recovery, often enabling same-day discharge. However, the patient-specific factors influencing the need for inpatient admission remain unclear. This study evaluates variables contributing to overnight stays following biportal lumbar endoscopic decompression and proposes a predictive fragility score. Methods: statistic and receiver operating characteristic analysis. Results: =-0.130). Conclusions: The proposed Outpatient Appropriateness Fragility Score effectively predicts inpatient admission after biportal lumbar decompression. Factors such as age, comorbidities, and surgical extent are more predictive than BMI or sarcopenia. This tool may guide preoperative planning and optimize resource utilization.

Source: North American Spine Society Journal (NASSJ)

DOI: 10.1016/j.xnsj.2025.100752

Authors: Thomas E. Olson, Carlos Maturana, Christopher D. Hamad, Alex M. Upfill-Brown, William L. Sheppard, Don Young Park

Institutions: University of California, Los Angeles, University of California, Irvine

Language: English

Topic: Spine and Intervertebral Disc Pathology

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,950