INTRODUCTION: Prior studies have indicated that early decompression of @entity174 can be performed safely and is associated with improved outcomes, though the economic impact of the timing of surgery in the American population has not been studied. After adjusting for @entity1 , hospital, and injury confounders, we performed propensity score modeling (PSM) on a large clinical administrative database to determine associated costs depending upon timing of surgery for acute cervical @entity174 . METHODS: A total of 3,348 @entity1 with surgically treated, traumatic, cervical @entity174 were identified. @entity1 were sorted into early (within 72 hours of admission) and late (beyond 72 hours) surgery groups. PSM was able to match 2,132 early and late surgery @entity1 on age, comorbidity, expected payer, @entity130 severity, hospital type, urgent admission, and surgical approach. Perioperative complications, mortality, and resource utilization were assessed. RESULTS: Late surgery was more frequently associated with increased age, more comorbidities, higher ICISS score, and non-private insurance. Following PSM matching, there were no significant, preoperative differences between early and late surgery groups. Surgery performed after 72 hours was associated with an increase in in-hospital complications (OR=1.3). The early surgery group was associated with decreased length of stay (11 days vs. 16 days, p <0.0001) and hospital charges ( 237,786 v.  282,727, p <0.0001). CONCLUSIONS: After controlling for potential confounding differences through PSM matching and multivariate analyses, we found late surgery independently associated with @entity455 , length of stay, and hospital resource utilization. These data suggest surgery within 72 hours may decrease resource utilization without a corresponding increase in postoperative morbidity.

XXXX Stabilization within 72 Hours of Injury is Associated with Decreased Hospitalization Costs with Comparable Perioperative Outcomes in a Propensity Score-Matched Cohort.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity455 :: ('MESH:D014652', 'Disease') :: ['increased in-hospital complications'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'traumatic cervical fractures', 'fracture']
@entity174 :: (MESH:D050723,Disease) :: ['Cervical Fracture']
