The utilization of a novel Outpatient Appropriateness Fragility Score to predict inpatient stay following biportal lumbar endoscopic decompression.

ABSTRACT:

Background

Biportal endoscopic spine surgery offers advantages such as reduced postoperative pain and faster recovery, often enabling same-day discharge. However, the patient-specific factors influencing the need for inpatient admission remain unclear. This study evaluates variables contributing to overnight stays following biportal lumbar endoscopic decompression and proposes a predictive fragility score.

Methods

A retrospective analysis of prospectively collected data was conducted on 84 consecutive patients undergoing one- or two-level lumbar endoscopic decompression at a single U.S. academic center. Patients with trauma, tumor, infection, or revision procedures were excluded. Cohorts were divided by discharge status: same-day discharge (outpatient) versus one or more nig

SUBMITTER: Olson TE 

PROVIDER: S-EPMC12284479 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature