A CENTRALIZED SYSTEM OF SPECIALIZED SURGICAL CARE FOR PATIENTS WITH ACUTE NON-TRAUMATIC SPINE PATHOLOGY IN THE MODERN METROPOLIS
https://doi.org/10.14531/ss2017.2.41-49
Abstract
Objective. Comparative assessment of the effectiveness of the centralized system of specialized surgical care for patients with acute non-traumatic spine pathology in the modern metropolis.
Material and Methods. The results of treatment of 1336 patients with acute spine pathology of degenerative-dystrophic, tumorous metastatic and infectious nature were analyzed. Patients of the control group (n = 471) were treated in several multidisciplinary hospitals in St. Petersburg, and 865 patients included in the study group - in a specialized city centre for emergency spine surgery. A comparative analysis of a number of medico-statistical and clinical indicators was performed using nonparametric statistics methods.
Results. The centralized system of treatment provided statistically significant (p < 0.05) increase in the level of surgical activity and stabilization of the spine, reduced length of stay in a hospital, as well as higher values of all indicators characterizing the results of treatment.
Conclusion. In large cities, the creation of a centralized system for the delivery of specialized medical care to patients with acute non-traumatic spine pathology is an effective organizational solution.
About the Authors
Aleksandr Kaisinovich Dulaev
St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine; Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
Vadim Anatolyevich Manukovsky
St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Denis Igorevich Kutyanov
Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
Sergey Leonidovich Brizhan
City Clinical Hospital No. 68, Moscow
Russian Federation
Russian Federation
Pavel Viktorovich Zhelnov
Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
References
1. Черепанов Е.А. Русская версия опросника Освестри: культурная адаптация и валидность // Хирургия позвоночника. 2009. № 3. С. 93-98. DOI: 10.14531/ss2009.3.93-98.
2. Щербук Ю.А., Багненко С.Ф., Дулаев А.К., Дулаева Н.М., Аликов З.Ю. Научно-практическое обоснование целесообразности создания отделений (центров) неотложной хирургии позвоночника в мегаполисах // Скорая медицинская помощь. 2011. Т. 12. № 1. С. 45-52.
3. Щербук Ю.А., Багненко С.Ф., Дулаев А.К., Дулаева Н.М., Аликов З.Ю. Организация специализированной медицинской помощи пациентам с неотложной хирургической патологией позвоночника // Хирургия позвоночника. 2011. № 2. С. 67-73. DOI: 10.14531/ss2011.2.67-73.
4. Bourassa-Moreau E, Mac-Thiong JM, Li A, Ehrmann Feldman D, Gagnon DH, Thompson C, Parent S. Do Patients with complete spinal cord injury benefit from early surgical decompression? Analysis of neurological improvement in a prospective cohort study. J Neurotrauma. 2016;33:301-306. DOI: 10.1089/neu.2015.3957.
5. Lo SS, Ryu S, Chang EL, Galanopoulos N, Jones J, Kim EY, Kubicky CD, Lee CP, Rose PS, Sahgal A, Sloan AE, Teh BS, Traughber BJ, Van Poznak C, Vassil AD. ACR Appropriateness Criteria® metastatic epidural spinal cord compression and recurrent spinal metastasis. J Palliat Med. 2015;18:573-584. DOI: 10.1089/jpm.2015.28999.sml.
Review
For citations:
Dulaev A.K., Manukovsky V.A., Kutyanov D.I., Brizhan S.L., Zhelnov P.V. A CENTRALIZED SYSTEM OF SPECIALIZED SURGICAL CARE FOR PATIENTS WITH ACUTE NON-TRAUMATIC SPINE PATHOLOGY IN THE MODERN METROPOLIS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2017;14(2):41-49. https://doi.org/10.14531/ss2017.2.41-49
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