414 Competitive Advantage: An Analysis of Matched and Unmatched United States Neurological Surgery Residency Applicants From 2009-2021

Abstract

thousand twenty-five patients were identified that met inclusion criteria, of which 298 (15%) were readmitted within 30 days to the Emergency Department at Thomas Jefferson University Hospital. Of the 15% readmitted, 74% (223/298) were white, while 25% (75/298) were non-white. Non-white LOS was higher compared to the white population (5.7 days vs 4.3 days, p < 0.0001. Non-white readmission rate was higher compared to the white population (22.3% vs 16%) p < 0.001. Non-white DD was higher compared to the white population (61.9% vs 50%) p < 0.001.CONCLUSIONS: Significant disparities exist in the post-operative management of patients with cervical myelopathy, particularly affecting the non-white population. Health disparities exist across multiple aspects of the discharge process for post-cervical spine surgery cases. Future investigations and interventions are required to address this quality gap.