A centralized system of specialized surgical care for patients with acute non-traumatic spine pathology in the modern metropolis
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-...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2017-06-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/116/462 |
| _version_ | 1797711691634442240 |
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| author | Aleksandr K. Dulaev Vadim A. Manukovsky Denis I. Kutyanov Sergey L. Brizhan Pavel V. Zhelnov |
| author_facet | Aleksandr K. Dulaev Vadim A. Manukovsky Denis I. Kutyanov Sergey L. Brizhan Pavel V. Zhelnov |
| author_sort | Aleksandr K. Dulaev |
| collection | DOAJ |
| description | 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 meta-
static 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 sta-
bilization 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-trau-
matic spine pathology is an effective organizational solution. |
| first_indexed | 2024-03-12T07:10:48Z |
| format | Article |
| id | doaj.art-0a27b9e1bd994f04abaa5d21769f1b8e |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T07:10:48Z |
| publishDate | 2017-06-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-0a27b9e1bd994f04abaa5d21769f1b8e2023-09-02T23:07:16ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972017-06-01142414910.14531/ss2017.2.41-49A centralized system of specialized surgical care for patients with acute non-traumatic spine pathology in the modern metropolisAleksandr K. Dulaev0Vadim A. Manukovsky1Denis I. Kutyanov2Sergey L. Brizhan3Pavel V. Zhelnov4St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine; Pavlov First St. Petersburg State Medical University, St. Petersburg, RussiaSt. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, RussiaPavlov First St. Petersburg State Medical University, St. Petersburg, RussiaCity Clinical Hospital No. 68, Moscow, RussiaPavlov First St. Petersburg State Medical University, St. Petersburg, RussiaObjective. 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 meta- static 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 sta- bilization 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-trau- matic spine pathology is an effective organizational solution.https://www.spinesurgery.ru/jour/article/view/116/462spinal disordersspecialized medical careemergency surgerymetropolis |
| spellingShingle | Aleksandr K. Dulaev Vadim A. Manukovsky Denis I. Kutyanov Sergey L. Brizhan Pavel V. Zhelnov A centralized system of specialized surgical care for patients with acute non-traumatic spine pathology in the modern metropolis Хирургия позвоночника spinal disorders specialized medical care emergency surgery metropolis |
| title | A centralized system of specialized surgical care for patients with acute non-traumatic spine pathology in the modern metropolis |
| title_full | A centralized system of specialized surgical care for patients with acute non-traumatic spine pathology in the modern metropolis |
| title_fullStr | A centralized system of specialized surgical care for patients with acute non-traumatic spine pathology in the modern metropolis |
| title_full_unstemmed | A centralized system of specialized surgical care for patients with acute non-traumatic spine pathology in the modern metropolis |
| title_short | A centralized system of specialized surgical care for patients with acute non-traumatic spine pathology in the modern metropolis |
| title_sort | centralized system of specialized surgical care for patients with acute non traumatic spine pathology in the modern metropolis |
| topic | spinal disorders specialized medical care emergency surgery metropolis |
| url | https://www.spinesurgery.ru/jour/article/view/116/462 |
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