Can anterior cervical diskectomy/fusion (ACDF) be safely performed in ambulatory surgical centers (ASC's)?
Adverse events
Ambulatory surgi-center (ASC)
Anterior cervical diskectomy/fusion (ACDF)
Efficacy
Hospital-based outpatient surgi-center (HBSC)
Inpatient facility
Morbidity
Outcomes
Safety
Single vs multilevel
Journal
Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836
Informations de publication
Date de publication:
2023
2023
Historique:
received:
20
02
2023
accepted:
23
02
2023
medline:
8
5
2023
pubmed:
8
5
2023
entrez:
8
5
2023
Statut:
epublish
Résumé
Can anterior cervical diskectomy/fusion (ACDF) be safely performed in ambulatory surgical centers (ASC's: i.e. discharges 4-7.5 hr. postoperatively) that meet the following stringent "exclusion criteria"; elevated Body Mass Index (BMI), major comorbidities, age > 65, American Society of Anesthesiology (ASA) scores > II, and largely multilevel ACDF. Presently, most ACDF are still being performed in hospital-based outpatient surgical centers (HBSC: utilizing 23-hour stays), or as inpatients. Notably, unreliable disparate study designs involving very different patient populations resulted in nearly comparable, but implausible outcomes for 1-level vs. multilevel ACDF series performed in ASC. A summary of these outcome data included the following rates of; i.e. postoperative hospital transfers (0-6%), 30-day (up to 2.2%), and up to 90 day (2.2%) emergency department (ED) visits, readmissions, and reoperations. Nevertheless, it is just common sense that "less should be less", that 1-level ACDF should involve less risk compared with multilevel ACDF procedures performed in ASC.
Sections du résumé
Background
UNASSIGNED
Can anterior cervical diskectomy/fusion (ACDF) be safely performed in ambulatory surgical centers (ASC's: i.e. discharges 4-7.5 hr. postoperatively) that meet the following stringent "exclusion criteria"; elevated Body Mass Index (BMI), major comorbidities, age > 65, American Society of Anesthesiology (ASA) scores > II, and largely multilevel ACDF.
Materials
UNASSIGNED
Presently, most ACDF are still being performed in hospital-based outpatient surgical centers (HBSC: utilizing 23-hour stays), or as inpatients.
Results
UNASSIGNED
Notably, unreliable disparate study designs involving very different patient populations resulted in nearly comparable, but implausible outcomes for 1-level vs. multilevel ACDF series performed in ASC. A summary of these outcome data included the following rates of; i.e. postoperative hospital transfers (0-6%), 30-day (up to 2.2%), and up to 90 day (2.2%) emergency department (ED) visits, readmissions, and reoperations.
Conclusion
UNASSIGNED
Nevertheless, it is just common sense that "less should be less", that 1-level ACDF should involve less risk compared with multilevel ACDF procedures performed in ASC.
Identifiants
pubmed: 37151427
doi: 10.25259/SNI_175_2023
pii: 10.25259/SNI_175_2023
pmc: PMC10159315
doi:
Types de publication
Editorial
Langues
eng
Pagination
110Informations de copyright
Copyright: © 2023 Surgical Neurology International.
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