Discharge disposition following vertebroplasty

R. E. Harvey, David F Kallmes

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE: A variety of factors, such as pain level at rest and with activity, have been used to assess outcome of the VP procedure. However, few studies have assessed discharge disposition as a reflection of VP efficacy in the inpatient population. The purpose of this study was to compare patient disposition status before and after VP and determine what relationship exists between the treatment and patient discharge status. MATERIALS AND METHODS: We performed a retrospective review of inpatients who underwent consultation for consideration of spinal augmentation for treatment of painful vertebral compression fractures. We gathered data concerning patients' demographics, living arrangements before hospitalization, discharge disposition, quantitative and qualitative pain levels, and length of hospital stay before and following VP. RESULTS: Ninety inpatients underwent VP, 73 (81%) of whom lived independently at home before hospitalization. Of these 73 patients, 31 (42%) returned home after discharge, 9 (12%) returned home with home health care assistance, and 32 (44%) were sent to skilled nursing facilities. Six (7%) of the 90 patients resided in assisted-living centers before hospitalization; all of these patients were discharged to assisted-living or skilled nursing facilities. Eight (9%) of the 90 patients resided at skilled nursing centers before hospitalization, and all returned to nursing centers after their hospital stay. Discharge disposition was not significantly associated with preoperative pain levels at rest or with activity (P = .76 and P = .23, respectively) or with postoperative pain levels at rest or with activity (P =.08 and P = .25, respectively). CONCLUSIONS: This study demonstrates that patients undergoing VP as inpatients are often discharged to rehabilitation centers rather than home, irrespective of their status before hospitalization or their pre- and postoperative pain levels.

Original languageEnglish (US)
Pages (from-to)1614-1616
Number of pages3
JournalAmerican Journal of Neuroradiology
Volume32
Issue number9
DOIs
StatePublished - Oct 2011

Fingerprint

Vertebroplasty
Hospitalization
Inpatients
Skilled Nursing Facilities
Length of Stay
Postoperative Pain
Pain
Nursing
Pyridinolcarbamate
Compression Fractures
Rehabilitation Centers
Patient Discharge
Home Care Services
Referral and Consultation
Demography
Delivery of Health Care
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging

Cite this

Discharge disposition following vertebroplasty. / Harvey, R. E.; Kallmes, David F.

In: American Journal of Neuroradiology, Vol. 32, No. 9, 10.2011, p. 1614-1616.

Research output: Contribution to journalArticle

@article{1b853c25c5d64a70986a3b60cf26b27a,
title = "Discharge disposition following vertebroplasty",
abstract = "BACKGROUND AND PURPOSE: A variety of factors, such as pain level at rest and with activity, have been used to assess outcome of the VP procedure. However, few studies have assessed discharge disposition as a reflection of VP efficacy in the inpatient population. The purpose of this study was to compare patient disposition status before and after VP and determine what relationship exists between the treatment and patient discharge status. MATERIALS AND METHODS: We performed a retrospective review of inpatients who underwent consultation for consideration of spinal augmentation for treatment of painful vertebral compression fractures. We gathered data concerning patients' demographics, living arrangements before hospitalization, discharge disposition, quantitative and qualitative pain levels, and length of hospital stay before and following VP. RESULTS: Ninety inpatients underwent VP, 73 (81{\%}) of whom lived independently at home before hospitalization. Of these 73 patients, 31 (42{\%}) returned home after discharge, 9 (12{\%}) returned home with home health care assistance, and 32 (44{\%}) were sent to skilled nursing facilities. Six (7{\%}) of the 90 patients resided in assisted-living centers before hospitalization; all of these patients were discharged to assisted-living or skilled nursing facilities. Eight (9{\%}) of the 90 patients resided at skilled nursing centers before hospitalization, and all returned to nursing centers after their hospital stay. Discharge disposition was not significantly associated with preoperative pain levels at rest or with activity (P = .76 and P = .23, respectively) or with postoperative pain levels at rest or with activity (P =.08 and P = .25, respectively). CONCLUSIONS: This study demonstrates that patients undergoing VP as inpatients are often discharged to rehabilitation centers rather than home, irrespective of their status before hospitalization or their pre- and postoperative pain levels.",
author = "Harvey, {R. E.} and Kallmes, {David F}",
year = "2011",
month = "10",
doi = "10.3174/ajnr.A2580",
language = "English (US)",
volume = "32",
pages = "1614--1616",
journal = "American Journal of Neuroradiology",
issn = "0195-6108",
publisher = "American Society of Neuroradiology",
number = "9",

}

TY - JOUR

T1 - Discharge disposition following vertebroplasty

AU - Harvey, R. E.

AU - Kallmes, David F

PY - 2011/10

Y1 - 2011/10

N2 - BACKGROUND AND PURPOSE: A variety of factors, such as pain level at rest and with activity, have been used to assess outcome of the VP procedure. However, few studies have assessed discharge disposition as a reflection of VP efficacy in the inpatient population. The purpose of this study was to compare patient disposition status before and after VP and determine what relationship exists between the treatment and patient discharge status. MATERIALS AND METHODS: We performed a retrospective review of inpatients who underwent consultation for consideration of spinal augmentation for treatment of painful vertebral compression fractures. We gathered data concerning patients' demographics, living arrangements before hospitalization, discharge disposition, quantitative and qualitative pain levels, and length of hospital stay before and following VP. RESULTS: Ninety inpatients underwent VP, 73 (81%) of whom lived independently at home before hospitalization. Of these 73 patients, 31 (42%) returned home after discharge, 9 (12%) returned home with home health care assistance, and 32 (44%) were sent to skilled nursing facilities. Six (7%) of the 90 patients resided in assisted-living centers before hospitalization; all of these patients were discharged to assisted-living or skilled nursing facilities. Eight (9%) of the 90 patients resided at skilled nursing centers before hospitalization, and all returned to nursing centers after their hospital stay. Discharge disposition was not significantly associated with preoperative pain levels at rest or with activity (P = .76 and P = .23, respectively) or with postoperative pain levels at rest or with activity (P =.08 and P = .25, respectively). CONCLUSIONS: This study demonstrates that patients undergoing VP as inpatients are often discharged to rehabilitation centers rather than home, irrespective of their status before hospitalization or their pre- and postoperative pain levels.

AB - BACKGROUND AND PURPOSE: A variety of factors, such as pain level at rest and with activity, have been used to assess outcome of the VP procedure. However, few studies have assessed discharge disposition as a reflection of VP efficacy in the inpatient population. The purpose of this study was to compare patient disposition status before and after VP and determine what relationship exists between the treatment and patient discharge status. MATERIALS AND METHODS: We performed a retrospective review of inpatients who underwent consultation for consideration of spinal augmentation for treatment of painful vertebral compression fractures. We gathered data concerning patients' demographics, living arrangements before hospitalization, discharge disposition, quantitative and qualitative pain levels, and length of hospital stay before and following VP. RESULTS: Ninety inpatients underwent VP, 73 (81%) of whom lived independently at home before hospitalization. Of these 73 patients, 31 (42%) returned home after discharge, 9 (12%) returned home with home health care assistance, and 32 (44%) were sent to skilled nursing facilities. Six (7%) of the 90 patients resided in assisted-living centers before hospitalization; all of these patients were discharged to assisted-living or skilled nursing facilities. Eight (9%) of the 90 patients resided at skilled nursing centers before hospitalization, and all returned to nursing centers after their hospital stay. Discharge disposition was not significantly associated with preoperative pain levels at rest or with activity (P = .76 and P = .23, respectively) or with postoperative pain levels at rest or with activity (P =.08 and P = .25, respectively). CONCLUSIONS: This study demonstrates that patients undergoing VP as inpatients are often discharged to rehabilitation centers rather than home, irrespective of their status before hospitalization or their pre- and postoperative pain levels.

UR - http://www.scopus.com/inward/record.url?scp=80054012149&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80054012149&partnerID=8YFLogxK

U2 - 10.3174/ajnr.A2580

DO - 10.3174/ajnr.A2580

M3 - Article

VL - 32

SP - 1614

EP - 1616

JO - American Journal of Neuroradiology

JF - American Journal of Neuroradiology

SN - 0195-6108

IS - 9

ER -