Comparing 30-Day Outcomes After Emergent Spine Procedures Performed "During Hours" vs "After Hours".

Publication/Presentation Date

8-1-2023

Abstract

BACKGROUND: Spinal injuries, whether mechanical or neurological, frequently require urgent intervention. Superior outcomes are associated with earlier intervention, which often requires operating overnight and on weekends. However, operating after hours has been associated with increased risks of complications in selected studies. The authors sought to determine whether there are differences in outcomes for "after hours" surgery compared with "during hours" surgery for spinal emergencies.

METHODS: This is a single-center retrospective cohort study of spine surgery patients who underwent urgent surgery within 6 hours, from January 2015 through December 2019. Surgery was considered during hours if it started between 8 am and 5 pm Monday through Friday. After hours was defined as from 5 pm through 8 am on a weekday or Saturday or Sunday. We assessed 30-day outcome measures for differences between operations performed during hours or after hours.

RESULTS: There were 241 spine procedures performed (49 during hours and 192 after hours). There was no significant difference between the length of operation (145.3 vs 129.8 minutes,

CONCLUSIONS: Spine surgery must often be performed after hours. However, the time of day does not significantly impact the 30-day outcomes for emergent spine surgery.

Volume

17

Issue

4

First Page

564

Last Page

569

ISSN

2211-4599

Disciplines

Medicine and Health Sciences

PubMedID

37487672

Department(s)

Department of Surgery

Document Type

Article

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