Glauser et al reported factors impacting discharge location for patients undergoing posterior lumbar fusion. This can help in planning a patient's discharge. The authors are from the University of Pennsylvania and West Chester University.
Patient selection: posterior lumbar surgery, age >= 50 years
Predictors impacting home discharge:
(1) RAPT score of Oldmeadow et al (from 0 to 12)
(2) length of stay (LOS)
(3) age (a component of the RAPT score)
(4) number of levels surgically treated
Predictor
Value
Impact
RAPT score
<= 5
extended rehabilitation
6 to 9
can be discharged home with additional intervention
>= 10
discharge home
length of stay
normal
favors discharge home
increased
decreases chance of home discharge
age
<= 65 years
favors discharge home
> 65 years
decreases chance of home discharge with each year
number of levels
each level decreases chance of home disposition
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