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P79 Is length of stay (LOS) equivalent for elective anterior cervical discectomy (ACD) patients in an NHS hospital and as waiting list initiative cases in a private hospital?
  1. J Meacock,
  2. S Thomson,
  3. C Derham
  1. Leeds General Infirmary, Leeds, UK


Objectives To investigate if there is a significant difference between the LOS for patients admitted as waiting list initiative patients to a private hospital versus standard care in an NHS hospital.

Design Retrospective analysis between 2015 and 2017 of all ACD procedures at the two hospitals.

Subjects 674 elective NHS patients were included, 340 were admitted to the NHS hospital and 334 as waiting list initiative patients to the private hospital. Acute patients were excluded.

Methods Retrospective database search of electronic hospital records for all ACD procedures carried out between 2015 and 2017. The student standard t test analysis was used to compare the difference in LOS.

Results In both groups 100% were admitted on the day of surgery. The mean NHS LOS was 3.3 (SD=6.34) days and the private hospital was 1.1 (SD=0.97) days. (p<0.001) For the patients admitted to the private hospital 96% of the patients went home with 1 night stay, only 61% of the patients went home in the same period in the NHS hospital.

Conclusions We found that length of stay is significantly shorter in the private hospital than in the NHS hospital. This could be due to patient selection, a swifter patient pathway or a combination of the two and these factors will be explored.

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