Avoidable Emergency Department Utilization Within 6 Months Following Elective Thoracolumbar Spine Surgery for Degenerative Pathologies
| العنوان: | Avoidable Emergency Department Utilization Within 6 Months Following Elective Thoracolumbar Spine Surgery for Degenerative Pathologies |
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| المؤلفون: | Meghan V. Flood, Erin Bigney, Neil Manson, Alana J. Green, Edward P. Abraham |
| المصدر: | Global Spine Journal. 8:440-445 |
| بيانات النشر: | SAGE Publications, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | musculoskeletal diseases, 030222 orthopedics, medicine.medical_specialty, genetic structures, business.industry, Thoracolumbar spine, Emergency department, musculoskeletal system, humanities, Surgery, body regions, 03 medical and health sciences, 0302 clinical medicine, Spine surgery, medicine, Orthopedics and Sports Medicine, Neurology (clinical), business, 030217 neurology & neurosurgery |
| الوصف: | Retrospective study.To identify prevalence of, reasons for, and predictors of emergency department (ED) utilization 6 months following elective thoracolumbar spine surgery.A retrospective review of a patient database was conducted (N = 577). Visits were divided by orthopedic spinal surgeons into (1) avoidable ED visit, (2) appropriate/no visit, and (3) unrelated visit.Demographics, pain scores, patient characteristics, and surgical factors.A total of 14.38% of patients made an ED visit the majority for avoidable reasons (11.43%). Avoidable ED visits were predominately attributed to pain (45.5%) and physiology-related issues (50.0%). Significant differences in the Numerical Rating Scale-leg pain (NRS-L);A large percentage of elective thoracolumbar surgery patients returned to the ED within 6 months for avoidable reasons. Patients likely to make avoidable visits could not be identified prior to surgery in a clinically meaningful way. Reasons for patients returning to the ED for avoidable reasons focused on pain management and minor physiological symptoms. Enhanced presurgical education may manage postsurgical expectations helping to prevent avoidable ED visits. |
| تدمد: | 2192-5690 2192-5682 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::50f7100934c82b8e701282f3e083f37e https://doi.org/10.1177/2192568218773090 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....50f7100934c82b8e701282f3e083f37e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21925690 21925682 |
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