THORACOLUMBAR SPINAL ARTHRODESIS - EPIDEMIOLOGY AND COSTS
ABSTRACT Objective: To describe the epidemiology of patients with thoracolumbar spine fracture submitted to surgery at Hospital Cristo Redentor and the related costs. Methods: Prospective epidemiological study between July 2014 and August 2015 of patients with thoracolumbar spine fracture with i...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Coluna (SBC)
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| Series: | Coluna/Columna |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512017000100052&lng=en&tlng=en |
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| author | TOBIAS LUDWIG DO NASCIMENTO LUIZ PEDRO WILLIMANN ROGÉRIO MARCELO MARTINS DOS REIS LEANDRO PELEGRINI DE ALMEIDA GUILHERME FINGER GABRIEL FRIZON GREGGIANIN TADEU LUDWIG DO NASCIMENTO ANDRÉ MARTINS DE LIMA CECCHINI FELIPE MARTINS DE LIMA CECCHINI ERICSON SFREDDO |
| author_facet | TOBIAS LUDWIG DO NASCIMENTO LUIZ PEDRO WILLIMANN ROGÉRIO MARCELO MARTINS DOS REIS LEANDRO PELEGRINI DE ALMEIDA GUILHERME FINGER GABRIEL FRIZON GREGGIANIN TADEU LUDWIG DO NASCIMENTO ANDRÉ MARTINS DE LIMA CECCHINI FELIPE MARTINS DE LIMA CECCHINI ERICSON SFREDDO |
| author_sort | TOBIAS LUDWIG DO NASCIMENTO |
| collection | DOAJ |
| description | ABSTRACT Objective: To describe the epidemiology of patients with thoracolumbar spine fracture submitted to surgery at Hospital Cristo Redentor and the related costs. Methods: Prospective epidemiological study between July 2014 and August 2015 of patients with thoracolumbar spine fracture with indication of surgery. The variables analyzed were sex, age, cost of hospitalization, fractured levels, levels of arthrodesis, surgical site infection, UTI or BCP, spinal cord injury, etiology, length of stay, procedure time, and visual analog scale (VAS) . Results: Thirty-two patients were evaluated in the study period, with a mean age of 38.68 years. Male-female ratio was 4:1 and the most frequent causes were fall from height (46.87%) and traffic accidents (46.87%). The thoracolumbar transition was the most affected (40.62%), with L1 vertebra involved in 23.8% of the time. Neurological deficit was present in 40.62% of patients. Hospital stay had a median of 14 days and patients with neurological deficit were hospitalized for a longer period (p<0.001), with an increase in hospital costs (p= 0.015). The average cost of hospitalization was U$2,874.80. The presence of BCP increased the cost of hospitalization, and patients with spinal cord injury had more BCP (p= 0.014) . Conclusion: Public policies with an emphasis on reducing traffic accidents and falls can help reduce the incidence of these injuries and studies focusing on hospital costs and rehabilitation need to be conducted in Brazil to determinate the burden of spinal trauma and spinal cord injury. |
| first_indexed | 2024-12-10T18:55:06Z |
| format | Article |
| id | doaj.art-46e700c1f4b44c8ba94da4402299cfe3 |
| institution | Directory Open Access Journal |
| issn | 2177-014X |
| language | English |
| last_indexed | 2024-12-10T18:55:06Z |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj.art-46e700c1f4b44c8ba94da4402299cfe32022-12-22T01:37:10ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X161525510.1590/s1808-185120171601162774S1808-18512017000100052THORACOLUMBAR SPINAL ARTHRODESIS - EPIDEMIOLOGY AND COSTSTOBIAS LUDWIG DO NASCIMENTOLUIZ PEDRO WILLIMANN ROGÉRIOMARCELO MARTINS DOS REISLEANDRO PELEGRINI DE ALMEIDAGUILHERME FINGERGABRIEL FRIZON GREGGIANINTADEU LUDWIG DO NASCIMENTOANDRÉ MARTINS DE LIMA CECCHINIFELIPE MARTINS DE LIMA CECCHINIERICSON SFREDDOABSTRACT Objective: To describe the epidemiology of patients with thoracolumbar spine fracture submitted to surgery at Hospital Cristo Redentor and the related costs. Methods: Prospective epidemiological study between July 2014 and August 2015 of patients with thoracolumbar spine fracture with indication of surgery. The variables analyzed were sex, age, cost of hospitalization, fractured levels, levels of arthrodesis, surgical site infection, UTI or BCP, spinal cord injury, etiology, length of stay, procedure time, and visual analog scale (VAS) . Results: Thirty-two patients were evaluated in the study period, with a mean age of 38.68 years. Male-female ratio was 4:1 and the most frequent causes were fall from height (46.87%) and traffic accidents (46.87%). The thoracolumbar transition was the most affected (40.62%), with L1 vertebra involved in 23.8% of the time. Neurological deficit was present in 40.62% of patients. Hospital stay had a median of 14 days and patients with neurological deficit were hospitalized for a longer period (p<0.001), with an increase in hospital costs (p= 0.015). The average cost of hospitalization was U$2,874.80. The presence of BCP increased the cost of hospitalization, and patients with spinal cord injury had more BCP (p= 0.014) . Conclusion: Public policies with an emphasis on reducing traffic accidents and falls can help reduce the incidence of these injuries and studies focusing on hospital costs and rehabilitation need to be conducted in Brazil to determinate the burden of spinal trauma and spinal cord injury.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512017000100052&lng=en&tlng=enSpineSpinal fracturesSpinal injuries |
| spellingShingle | TOBIAS LUDWIG DO NASCIMENTO LUIZ PEDRO WILLIMANN ROGÉRIO MARCELO MARTINS DOS REIS LEANDRO PELEGRINI DE ALMEIDA GUILHERME FINGER GABRIEL FRIZON GREGGIANIN TADEU LUDWIG DO NASCIMENTO ANDRÉ MARTINS DE LIMA CECCHINI FELIPE MARTINS DE LIMA CECCHINI ERICSON SFREDDO THORACOLUMBAR SPINAL ARTHRODESIS - EPIDEMIOLOGY AND COSTS Coluna/Columna Spine Spinal fractures Spinal injuries |
| title | THORACOLUMBAR SPINAL ARTHRODESIS - EPIDEMIOLOGY AND COSTS |
| title_full | THORACOLUMBAR SPINAL ARTHRODESIS - EPIDEMIOLOGY AND COSTS |
| title_fullStr | THORACOLUMBAR SPINAL ARTHRODESIS - EPIDEMIOLOGY AND COSTS |
| title_full_unstemmed | THORACOLUMBAR SPINAL ARTHRODESIS - EPIDEMIOLOGY AND COSTS |
| title_short | THORACOLUMBAR SPINAL ARTHRODESIS - EPIDEMIOLOGY AND COSTS |
| title_sort | thoracolumbar spinal arthrodesis epidemiology and costs |
| topic | Spine Spinal fractures Spinal injuries |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512017000100052&lng=en&tlng=en |
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