Title : Risk factors for nonroutine discharge in adult patients with spinal tumors?A scoping review
Abstract:
Background: Spinal metastases mostly originate from malignant tumors formed in other organs. Extensive spinal reconstruction followed by surgical therapy for spinal tumors and possible complications associated with this procedure increase the need for rehabilitation required post-surgery.
Objective: To summarize the factors influencing the irregular discharge of patients with spinal tumors and provide a research basis for making discharge plans in the future.
Methods: The research questions were established using the framework for scoping review. Chinese and English literature from the inception of each database to March 2023 were searched and screened, relevant studies selected, and the data from the included studies extracted, collected, summarized, and reported.
Results: Nine studies involving 18 factors affecting the irregular discharge of the patients with spinal tumors were included. Unconventional discharge of patients with spinal neoplasms was associated with sociodemographic (age, race, and marital status), disease (serum albumin level, and body mass index, amongst others), and other factors (comorbidity and weakness indices, amongst others).
Conclusion: The choice of discharge destination for patients with spinal tumors is related to sociodemographic and disease factors, amongst others. Early identification of patients with an irregular discharge risk is crucial for implementing a comprehensive discharge plan to reduce hospitalization time and related complications.
Impact:This scoping review identified some important risk factors for the nonroutine discharge of patients with spinal tumors.Early identification of patients who are at risk of nonroutine discharge is critical for creating a complete discharge plan that will decrease inpatient duration and related consequences.
