Team Integrated Enhanced Recovery (TIGER) Protocol After Adolescent Idiopathic Scoliosis Correction Lowers Direct Cost and Length of Stay While Increasing Daily Contribution Margins

Overview

Journal Mo Med

Specialty General Medicine

Date 2022 Aug 29

PMID 36036030

Authors

Mark J Lambrechts

Melanie E Boeyer

Nicole M Tweedy

Sumit K Gupta

Eric T Kimchi

Daniel G Hoernschemeyer

Affiliations

Soon will be listed here.

Abstract

Introduction: Posterior spinal fusion (PSF) is the gold standard procedure for curve correction in Adolescent Idiopathic Scoliosis (AIS). Enhanced recovery protocols (ERPs) have been found to decrease pain and hospital length of stay (LOS) resulting in decreased total hospital charges.

Methods: We identified all adolescent idiopathic scoliosis patients treated with a posterior spinal fusion at our children's hospital between 2015-2019. Length of stay, pain scores, and hospital direct costs were calculated to determine the pathway's efficacy.

Results: Hospital LOS was reduced by 26% and post-op pain scores did not significantly change when using the Team Integrated Enhanced Recovery (TIGER) protocol (P<0.05). Total hospital costs decreased by 7.9%, daily contribution margins increased 7.9%, and daily net income increased 10.6% after TIGER protocol implementation.

Conclusion: TIGER protocol resulted in decreased hospital LOS as well as direct costs for the hospital without increasing postoperative pain scores.

Citing Articles

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Enhanced recovery after surgery in children with congenital scoliosis.

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