دورية أكاديمية
أعرض في EDS

Patients Follow-up for Spinal Epidural Abscess as a Critical Treatment Plan Consideration.

التفاصيل البيبلوغرافية
العنوان: Patients Follow-up for Spinal Epidural Abscess as a Critical Treatment Plan Consideration.
المؤلفون: MacNeille R; Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, USA., Lay J; Department of Orthopaedics, School of Medicine, California University of Science and Medicine, Colton, USA., Razzouk J; Department of Orthopaedic Surgery, Loma Linda University School of Medicine, Loma Linda, USA., Bogue S; Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, USA., Harianja G; Department of Orthopaedic Surgery, Loma Linda University School of Medicine, Loma Linda, USA., Ouro-Rodrigues E; Department of Orthopaedic Surgery, Loma Linda University School of Medicine, Loma Linda, USA., Ting C; Department of Orthopaedics, School of Medicine, University of California Riverside School of Medicine, Riverside, USA., Ramos O; Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, USA., Veltman J; Department of Infectious Diseases, Loma Linda University Medical Center, Loma Linda, USA., Danisa O; Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, USA.
المصدر: Cureus [Cureus] 2023 Feb 16; Vol. 15 (2), pp. e35058. Date of Electronic Publication: 2023 Feb 16 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Introduction:  Spinal epidural abscess (SEA) is a rare process with significant risk for morbidity and mortality. Treatment includes an extended course of antibiotics with or without surgery depending on the clinical presentation. Both non-operative and surgically treated patients require close follow-up to ensure the resolution of the infection without recurrence and/or progression of neurologic deficits. No previous study has looked specifically at follow-up in the SEA population, but the review of the literature does show evidence of varying degrees of difficulty with follow-up for this patient population.
Methods:  This retrospective review looked at follow-up for 147 patients with SEA at a single institution from 2012 to 2021. Statistical analyses were performed to assess differences between groups of surgical versus non-surgical patients and those with adequate versus inadequate follow-up.
Results: Sixty-two of 147 (42.2%) patients had inadequate follow-up (less than 90 days) with their surgical team, and 112 of 147 (76.2%) patients had inadequate follow-up (less than 90 days) with infectious disease (ID). The primary statistically significant difference between patients with adequate versus inadequate follow-up was found to be surgical status with those treated surgically more likely to have adequate follow-up than those treated non-operatively.
Conclusion: Improved follow-up in surgical patients should be considered as a factor when deciding on surgical versus non-operative treatment in the SEA patient population. Extra efforts coordinating follow-up care should be made for SEA patients.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, MacNeille et al.)
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فهرسة مساهمة: Keywords: infectious disease control; patient follow-up; post-operative care; surgery spine; treatment of spinal epidural abscess
تواريخ الأحداث: Date Created: 20230320 Latest Revision: 20230321
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10023045
DOI: 10.7759/cureus.35058
PMID: 36938240
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.35058