González-Mercado JJ, Ramírez-Serratos B, González-Cisneros AC, Jiménez-Ávila JM

Language: Spanish
References: 24
Page: 11-17
PDF size: 162.35 Kb.

ABSTRACT

Introduction: The high cost of spinal surgery, its hospitalization and prognosis, generate a wide economic importance for the health system, being a priority the knowledge of its management as a priority disease. Objective: To determine the cost of the delay of emergency spine surgery. Material and methods: The cost of delaying emergency spinal surgery was calculated through an approximate number of days of hospitalization and complications. Sample: 115 patients with type B or C spinal fracture of the AO classification between the years 2014-2019. The following were evaluated: age, comorbidities, injury mechanism, classification, neurological status, complications, and delay in surgery and hospitalization costs. Results: Of the 115 patients: 75 had a thoracic spine injury (75.3%) and 40 a lumbar injury (34.7%). Average hospitalization days: 11.9 days. 40% delayed surgery, infectious diseases being the main causes of complications. Long-stay patients accounted for 30% of the total cost increase. Conclusion: The increase in complications and in total costs of patients with delayed emergency surgery is clear, so care must be optimized for emergency patients.

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