{
  "abstract": "Minimally invasive surgery (MIS) may be associated with a more favorable short-term inpatient profile after lumbar fusion, but whether these associations differ by admission status remains unclear. In this retrospective observational analysis of repeated cross-sectional 2016-2022 National Inpatient Sample (NIS) discharge data, hospitalizations of adults undergoing lumbar fusion were identified and stratified as elective or non-elective. The exposure was defined by the International Classification of Diseases, Tenth Revision, Procedure Coding System-coded approach as percutaneous-based (percutaneous/percutaneous-endoscopic) vs. open fusion. Survey-weighted multivariable logistic regression accounted for the NIS's complex design and adjusted for demographics, hospital characteristics, fusion extent, indication/case-mix, and individual Elixhauser comorbidities; formal approach-by-admission interactions were tested. A total of 174,704 hospitalizations met the inclusion criteria. In elective admissions, percutaneous-based fusion was associated with lower odds of blood product transfusion (aOR 0.448, 95% CI 0.311-0.644), acute posthemorrhagic anemia (aOR 0.591, 95% CI 0.475-0.736), and prolonged length of stay (aOR 0.774, 95% CI 0.656-0.914). In non-elective admissions, it was associated with lower odds of acute posthemorrhagic anemia (aOR 0.669, 95% CI 0.491-0.912) and non-home discharge (aOR 0.666, 95% CI 0.502-0.883). Significant approach-by-admission interactions were observed for blood product transfusion (P = 0.037) and non-home discharge (P = 0.022). These findings indicate that the short-term association profile of percutaneous-based vs. open lumbar fusion differs across admission settings and specific in-hospital measures.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Spine Orthopedics, Zhumadian Central Hospital, Zhumadian, China.",
    "Department of Orthopedics, Nanfang Hospital, Southern Medical University, Guangzhou, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Hao Yang"
    },
    {
      "affs": [
        1
      ],
      "name": "Jianlong Li"
    },
    {
      "affs": [
        0
      ],
      "name": "Yu Sun"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dc8zm6sa8rbjs.bib",
  "cited_by": 0,
  "doi": "10.3389/fmed.2026.1906068",
  "fulltext_url": "https://europepmc.org/articles/PMC13683617",
  "id": "dc8zm6sa8rbjs",
  "issns": [
    "2296-858X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42908927",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2734|Spine and Intervertebral Disc Pathology"
    ]
  ],
  "openalex": "W7220851958",
  "pdf_url": "https://europepmc.org/articles/PMC13683617?pdf=render",
  "pmcid": "PMC13683617",
  "pmid": "42908927",
  "published": "2026-10-07",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/dc8zm6sa8rbjs.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42908927",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42908927"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2734|Spine and Intervertebral Disc Pathology",
      "subfield": "general"
    }
  ],
  "title": "In-hospital events and resource utilization associated with percutaneous-based vs. open lumbar fusion, stratified by admission status: a national inpatient sample analysis.",
  "title_text": "In-hospital events and resource utilization associated with percutaneous-based vs. open lumbar fusion, stratified by admission status: a national inpatient sample analysis.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/dc8zm6sa8rbjs",
  "venue": "Frontiers in medicine",
  "versions": []
}