Relationship between race, socioeconomic status, and prolonged hospital length of stay after meningioma resection in the Bronx, New York.
Meningiomas are a common intracranial neoplasm, accounting for the majority of primary brain tumors. Resection of these tumors is a mainstay of treatment; however, the time to discharge from the hospital might vary depending on patient-level factors. In particular, the relationship between race, socioeconomic status, and hospital length of stay (LOS) in this population remains understudied. The aim of this study was to assess the association between demographic and medical characteristics, social vulnerability index (SVI) scores, and LOS after meningioma resection.
A retrospective review of patients who underwent resection of meningiomas at a single tertiary-care academic institution between 2018 and 2023 was completed. Data pertaining to patient demographics, medical comorbidities, tumor grade, postoperative complications, and LOS were recorded. SVI scores were recorded from the Agency for Toxic Substances and Disease Registry.
Ninety-nine patients (68 female, mean age 62.8 years) were included in the analysis. Self-identified race was Black for 37 patients, White for 20 patients, Asian for 3 patients, and other for 31 patients. Twenty-nine patients were Hispanic. The median overall SVI score was 0.943 (IQR 0.575-0.987). The median hospital LOS was 6 days (3.0-11.0 days). Black race was the only demographic variable associated with a prolonged time to discharge in the multiple linear regression analysis. Postoperative intracranial hemorrhage and pneumonia were the only clinical factors associated with a significantly delayed time to discharge after controlling for confounding factors.
These findings demonstrate that Black race is a significant risk factor for delayed hospital discharge among patients undergoing resection of meningiomas. Due to the increased morbidity and mortality rates associated with prolonged hospital stays, continued efforts to understand the relationship between race, socioeconomic status, and LOS is warranted.
A retrospective review of patients who underwent resection of meningiomas at a single tertiary-care academic institution between 2018 and 2023 was completed. Data pertaining to patient demographics, medical comorbidities, tumor grade, postoperative complications, and LOS were recorded. SVI scores were recorded from the Agency for Toxic Substances and Disease Registry.
Ninety-nine patients (68 female, mean age 62.8 years) were included in the analysis. Self-identified race was Black for 37 patients, White for 20 patients, Asian for 3 patients, and other for 31 patients. Twenty-nine patients were Hispanic. The median overall SVI score was 0.943 (IQR 0.575-0.987). The median hospital LOS was 6 days (3.0-11.0 days). Black race was the only demographic variable associated with a prolonged time to discharge in the multiple linear regression analysis. Postoperative intracranial hemorrhage and pneumonia were the only clinical factors associated with a significantly delayed time to discharge after controlling for confounding factors.
These findings demonstrate that Black race is a significant risk factor for delayed hospital discharge among patients undergoing resection of meningiomas. Due to the increased morbidity and mortality rates associated with prolonged hospital stays, continued efforts to understand the relationship between race, socioeconomic status, and LOS is warranted.
Authors
Pecorari Pecorari, Lally Lally, Reynolds Reynolds, Ghosh Ghosh, Agarwal Agarwal
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