Matches in SemOpenAlex for { <https://semopenalex.org/work/W3105804080> ?p ?o ?g. }
Showing items 1 to 94 of
94
with 100 items per page.
- W3105804080 endingPage "e946" @default.
- W3105804080 startingPage "e940" @default.
- W3105804080 abstract "Anterior cervical discectomy and fusion (ACDF) are increasingly performed at ambulatory surgical centers (ASCs). Academic centers lacking dedicated ASCs must perform these at large university hospitals, which pose unique challenges to cost savings and efficiency. To describe the safety and cost of outpatient ACDF at a major academic medical center without a dedicated ASC. ACDFs performed from 2015 to 2018 were retrospectively reviewed. Cases were performed at the major tertiary university hospital or a satellite university hospital dedicated to outpatient surgery. Patient demographics, surgical characteristics, perioperative complications, fusion at 12 months, and cost were collected. A total of 470 patients were included. The mean age was 56 years, with 255 women (54.3%). When comparing same-day discharge, overnight observation, or inpatient admission, there were no differences in age, gender, or number of levels fused. Same-day and overnight observation cases were associated with shorter procedure duration and less estimated blood loss. There were no differences in perioperative complications, 30-day readmissions, or fusion at 12 months. Direct and total costs were lowest for same-day cases, followed by overnight observation and inpatient admissions (P < 0.001). Academic centers without dedicated ASCs can safely perform ACDF as a same-day or overnight observation procedure with significant reductions in cost. The lack of a dedicated ASC should not preclude academic centers from allocating appropriately selected patients into same-day or overnight observation care pathways. This strategy can improve resource utilization and preserve precious hospital resources for the most critically ill patients while also allowing these centers to build viable outpatient spine practices." @default.
- W3105804080 created "2020-11-23" @default.
- W3105804080 creator A5016221728 @default.
- W3105804080 creator A5018326997 @default.
- W3105804080 creator A5027836303 @default.
- W3105804080 creator A5037583483 @default.
- W3105804080 creator A5038451095 @default.
- W3105804080 creator A5067455861 @default.
- W3105804080 creator A5071236772 @default.
- W3105804080 date "2021-02-01" @default.
- W3105804080 modified "2023-09-24" @default.
- W3105804080 title "Cost Analysis of Outpatient Anterior Cervical Discectomy and Fusion at an Academic Medical Center without Dedicated Ambulatory Surgery Centers" @default.
- W3105804080 cites W1968321210 @default.
- W3105804080 cites W1981325137 @default.
- W3105804080 cites W1998571364 @default.
- W3105804080 cites W2006430573 @default.
- W3105804080 cites W2016114707 @default.
- W3105804080 cites W2036386524 @default.
- W3105804080 cites W2052069354 @default.
- W3105804080 cites W2063310744 @default.
- W3105804080 cites W2183717852 @default.
- W3105804080 cites W2270604549 @default.
- W3105804080 cites W2541771753 @default.
- W3105804080 cites W2545024939 @default.
- W3105804080 cites W2604417747 @default.
- W3105804080 cites W2613955453 @default.
- W3105804080 cites W2790233912 @default.
- W3105804080 cites W2885457547 @default.
- W3105804080 cites W2890931327 @default.
- W3105804080 cites W2935871715 @default.
- W3105804080 cites W2941297542 @default.
- W3105804080 cites W2953504287 @default.
- W3105804080 cites W2980287953 @default.
- W3105804080 doi "https://doi.org/10.1016/j.wneu.2020.11.049" @default.
- W3105804080 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33217594" @default.
- W3105804080 hasPublicationYear "2021" @default.
- W3105804080 type Work @default.
- W3105804080 sameAs 3105804080 @default.
- W3105804080 citedByCount "7" @default.
- W3105804080 countsByYear W31058040802021 @default.
- W3105804080 countsByYear W31058040802022 @default.
- W3105804080 countsByYear W31058040802023 @default.
- W3105804080 crossrefType "journal-article" @default.
- W3105804080 hasAuthorship W3105804080A5016221728 @default.
- W3105804080 hasAuthorship W3105804080A5018326997 @default.
- W3105804080 hasAuthorship W3105804080A5027836303 @default.
- W3105804080 hasAuthorship W3105804080A5037583483 @default.
- W3105804080 hasAuthorship W3105804080A5038451095 @default.
- W3105804080 hasAuthorship W3105804080A5067455861 @default.
- W3105804080 hasAuthorship W3105804080A5071236772 @default.
- W3105804080 hasConcept C141071460 @default.
- W3105804080 hasConcept C144024400 @default.
- W3105804080 hasConcept C149923435 @default.
- W3105804080 hasConcept C194828623 @default.
- W3105804080 hasConcept C2776887337 @default.
- W3105804080 hasConcept C2780084366 @default.
- W3105804080 hasConcept C2781430139 @default.
- W3105804080 hasConcept C2985379065 @default.
- W3105804080 hasConcept C31174226 @default.
- W3105804080 hasConcept C35785553 @default.
- W3105804080 hasConcept C71924100 @default.
- W3105804080 hasConceptScore W3105804080C141071460 @default.
- W3105804080 hasConceptScore W3105804080C144024400 @default.
- W3105804080 hasConceptScore W3105804080C149923435 @default.
- W3105804080 hasConceptScore W3105804080C194828623 @default.
- W3105804080 hasConceptScore W3105804080C2776887337 @default.
- W3105804080 hasConceptScore W3105804080C2780084366 @default.
- W3105804080 hasConceptScore W3105804080C2781430139 @default.
- W3105804080 hasConceptScore W3105804080C2985379065 @default.
- W3105804080 hasConceptScore W3105804080C31174226 @default.
- W3105804080 hasConceptScore W3105804080C35785553 @default.
- W3105804080 hasConceptScore W3105804080C71924100 @default.
- W3105804080 hasFunder F4320309479 @default.
- W3105804080 hasFunder F4320310842 @default.
- W3105804080 hasLocation W31058040801 @default.
- W3105804080 hasOpenAccess W3105804080 @default.
- W3105804080 hasPrimaryLocation W31058040801 @default.
- W3105804080 hasRelatedWork W1994873631 @default.
- W3105804080 hasRelatedWork W2021284112 @default.
- W3105804080 hasRelatedWork W2025193597 @default.
- W3105804080 hasRelatedWork W2068561646 @default.
- W3105804080 hasRelatedWork W2422777849 @default.
- W3105804080 hasRelatedWork W2808005139 @default.
- W3105804080 hasRelatedWork W2995356435 @default.
- W3105804080 hasRelatedWork W3105804080 @default.
- W3105804080 hasRelatedWork W4241920550 @default.
- W3105804080 hasRelatedWork W4286563977 @default.
- W3105804080 hasVolume "146" @default.
- W3105804080 isParatext "false" @default.
- W3105804080 isRetracted "false" @default.
- W3105804080 magId "3105804080" @default.
- W3105804080 workType "article" @default.