由于胸椎间板的住院后,再入院的发病率和预测因素
Julius Gerstmeyer1, August Avantaggio2, Anna Gorbacheva2
1Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA; Seattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA 98122, USA; Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bürkle-de-la-Camp-Platz 1, Bochum 44789, Germany.
Clinical neurology and neurosurgery
|December 25, 2024
概括
胸椎间盘 (TDH) 的再入院率为18.9%. 非手术治疗,医疗保险,高血压和抑郁症独立地增加了TDH患者的再入院风险.
科学领域:
- 神经外科 神经外科
- 医疗保健管理的管理
- 流行病学 流行病学
背景情况:
- 症状性胸椎间盘 (TDH) 很少见,通常是偶然发现的.
- 对于TDH的手术干预是所有脊椎椎间盘手术的一小部分.
- 没有先前的研究记录了TDH的再入院率.
研究的目的:
- 确定TDH入院患者的90天全因再入院率.
- 确定与TDH再录取相关的独立风险因素.
主要方法:
- 利用了2020年全国再录取数据库.
- 包括初步诊断为TDH和磁盘退行症的患者.
- 分析了人口统计,临床,并发症和治疗数据,比较重新录取与非重新录取组.
主要成果:
- 在970名TDH患者中,18.9%的患者在90天内重新入院.
- 重新入院的患者年龄较大,更有可能有非选择性入院.
- 手术治疗与较低的再入院率相关.
结论:
- 确立了TDH的90天所有原因再入院率为18.9%,为TDH.
- 非手术治疗,医疗保险,高血压和抑郁症是重新入院的独立风险因素.
- 及时的外科干预可以降低TDH再接收风险.
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