To explore factors associated with discharge placement (DP) and need for skilled assistance after patients are discharged from hospital following lumbar laminectomy. METHODS: A retrospective analysis of 339 patients who underwent lumbar laminectomy was conducted. We used multivariable logistic regression analysis to identify significant covariates and to construct two regression models: a primary model to predict DP, home vs inpatient rehabilitation/skilled nursing facility (IR/SNF), and a secondary model to predict the need for skilled assistance once patients are discharged to home. RESULTS: The sample included 48.7% females, 68.2% married, 56.3% independent in daily activities, and 85.2% discharged to home. Subjects were a mean 56.06±12.75 years old and had a BMI of 31.35±6.2. Of those discharged to home, 17.7% needed skilled assistance. Patients stayed 4.41±3.55 days in the hospital and walked 203.38±144.87 ft during hospital stay. Age, distance walked during hospital stay, and length of hospital stay (LOS) were significant positive predictors for discharge to home vs IR/SNF, whereas single living status, diminished prior level of function, and longer LOS were predictors of need for skilled assistance after discharge to home. CONCLUSION: Age, mobility, marital status, prior level of function, and LOS are key variables in determining healthcare needs following lumbar laminectomy.
|Original language||English (US)|
|Number of pages||10|
|Journal||Journal of Allied Health|
|State||Published - 2014|
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health