Table 4
Measures of health care utilization related to surgery for lumbar spinal stenosis, patients aged 66 years or older, 2007
n Mean
Length of
stay,
days(SE)Mean hospital
charges, $ (SE)Nursing home
discharges, n
(percent)Rehospitalization
(any cause) within
30 days, n
(percent)Overall 32,152 3.3 (0.02) $38,476 (123) 4,236 (13.2) 2,936 (9.1) Age 66–70 8,554 3.0 (0.03)* 40,735 (437)* 566 (6.6)* 627 (7.3)* 71–74 7,383 3.2 (0.03) 39,443 (444) 709 (9.6) 601 (8.1) 75–79 8,667 3.3 (0.03) 37,991 (388) 1,258 (14.5) 820 (9.5) 80+ 7,548 3.6 (0.04) 35,526 (382) 1,703 (22.6) 888 (11.8) Sex Female 17,243 3.5 (0.02)* 40,446 (295)* 2,848 (16.5)* 1,643 (9.5)* Male 14,909 3.1 (0.02) 36,196 (288) 1,388 (9.3) 1,293 (8.7) Race White 30,182 3.3 (0.02)* 38,524 (213)* 3,958 (13.1)* 2,754 (9.1) Non-white 1,970 3.8 (0.07) 44,992 (909) 278 (14.1) 182 (9.2) Quan
comorbidity
score0 16,631 3.1 (0.02)* 37,885 (292)* 1,859 (11.2)* 1,263 (7.6)* 1 9,731 3.3 (0.03) 38,552 (361) 1,341 (13.8) 896 (9.2) 2 3,432 3.7 (0.05) 39,446 (648) 547 (16.0) 405 (11.8) 3+ 2,358 4.1 (0.07) 40,912 (805) 489 (20.7) 372 (15.8) Previous
Spine
surgeryYes 2,196 4.1 (0.07)* 59,309
(1,073)*3,957 (12.7) 258 (11.7)* No 29,956 3.2 (0.02) 36,949 (206) 279 (13.2) 2,678 (8.9) Hospital
stays in
previous
year (not for
spine)0 24,597 3.2 (0.02)* 38,008 (235)* 2,897 (11.8)* 1,926 (7.8)* 1 4,836 3.5 (0.04) 39,055 (513) 696 (14.4) 542 (11.2) 2 1,689 3.8 (0.8) 40,370 (973) 350 (20.7) 249 (14.7) 3+ 1030 4.9 (0.15) 43,820 (1403) 293 (28.4) 219 (21.3) Type of
Surgical
procedureDecompression 21,474 2.7 (0.02) 23,724 (129)* 2,063 (9.6)* 1,667 (7.8)* Simple fusion 6,082 4.3 (0.04) 58,511 (506) 1,258 (20.7) 673 (11.1) Complex
fusion4,596 4.6 (0.4) 80,888 (753) 915 (19.9) 596 (13.0) Number of
Disc levels
fusedNone or
unknown21,960 2.8 (0.02)* 25,026 (158)* 2,180 (9.9)* 1,738 (7.9)* 1–2 8,386 4.2 (0.03) 63,506 (429) 1,612 (19.2) 910 (10.9) 3 or more 1,806 5.2 (0.08) 85,793 (1,384) 4,44 (24.6) 288 (15.9) *Differences among subgroups significant at p<0.05