由于感染导致的脊髓刺激器爆炸物的管理和成本
1Pain Services, Guys and St Thomas National Health Service Foundation Trust, London, UK.
概括
脊髓刺激 (SCS) 设备感染导致昂贵的开拓者. 预防SCS感染对于降低患者负担和医疗保健费用至关重要.
科学领域:
- 神经调节是一种神经调节.
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
背景情况:
- 脊髓刺激 (SCS) 装置因感染而发生爆炸,这带来了重大的临床挑战和经济成本.
- 管理SCS设备感染需要复杂的护理途径和大量的医疗资源.
研究的目的:
- 为了评估由于感染导致的脊髓刺激 (SCS) 设备扩张的财务影响.
- 分析与SCS设备感染后的探索程序和随后的患者管理相关的成本.
主要方法:
- 来自英国神经调节中心的八年 (2014-2022) 患者数据的回顾性分析.
- 包括从医院会计和国家数据库中获取的有关突破物,感染状况,临床记录和财务成本的数据.
主要成果:
- 在215个扩展物中,23个与感染有关,主要涉及可植入脉冲发生器.
- 探索和随访护理的中位数成本为16,957英,当试图重新植入时,增加到26,172英.
- 再植入成功率有限 (总体为35%),再植入患者的再感染率为30%.
结论:
- 预防策略至关重要,以最大限度地降低SCS设备感染风险和相关成本.
- 更好地了解感染管理可以减轻SCS感染的临床和经济负担.
- 由于高风险和有限的成功率,重新植入试验需要仔细的患者咨询.
相关概念视频
Blood and Nerve Supply to the Bones
15.4K
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
15.4K
Flail Chest-II
1.0K
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
1.0K
Spinal Cord Injury ll: Pathophysiology
25
Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
25
Secondary Spinal Cord Injury llI: Pathophysiology
52
Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...
52


