圣保罗misericÓrdia Santa casa医院小儿脊柱侧凸患者的研究

Q4 Medicine Coluna/ Columna Pub Date : 2023-01-01 DOI:10.1590/s1808-185120222203273284
FELIPE NEVES SIMõES MONTEIRO, MURILO ALEXANDRE, WILLIAM ZARZA SANTOS, RODRIGO GóES MEDEA DE MENDONÇA, ALBERTO OFENHEJM GOTFRYD, MARIA FERNANDA SILBER CAFFARO, ROBERT MEVES
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引用次数: 0

摘要

【摘要】目的:对某复杂程度较高的三级医院18岁以下需要手术治疗的脊柱侧凸患者进行登记,找出延误治疗的原因。方法:于2021年1月至2022年12月在某高复杂性三级医院脊柱骨科专科门诊亲自和自发要求进行数据收集。结果在网络数据库(Red Cap®)中进行编译。结果:共纳入59例患者,女性45例(77.9%),男性14例(22.1%),平均年龄13.7岁。病因:30例特发性(50.8%),8例综合征性(13.5%),11例神经肌肉性(18.6%),10例先天性(16.9%)。其中等待手术46例(77.9%),保守治疗13例(22.1%)。延误治疗的主要原因:术中无神经生理监测(19 - 41.3%);无法获得特定的手术材料(16 - 34.8%);转介困难(6 - 13.1%);跟踪损失(3 - 6.5%)和铸造限制(2 - 4.3%)。从诊断到第一次咨询的平均时间为17.25个月(0 - 140)。到2022年12月的平均手术等待时间为38.4个月(1 - 156)。结论:从引导脊柱侧凸患者前往专科中心到实施手术,公共卫生系统在监测和治疗的各个环节都缺乏辅助,主要原因是术中神经生理监测的使用受到限制,以及无法获得进行高度复杂手术所需的特定材料。治疗研究-调查治疗结果。
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STUDY ON PEDIATRIC SCOLIOSIS PATIENTS AT HOSPITAL SANTA CASA DE MISERICÓRDIA IN SÃO PAULO
ABSTRACT Objective: To carry out registration of patients with scoliosis under 18 years old, followed in a quarternary hospital of high complexity, who need surgical treatment, aiming to identify the reasons for the delay in treatment. Methods: Data collection was carried out in person and by spontaneous demand at the spinal orthopedic specialty outpatient clinic in a tertiary hospital of high complexity from January 2021 to December 2022. The results were compiled in the networked database (Red Cap®). Result: 59 patients were evaluated, 45 female (77.9%) and 14 male (22.1%), with a mean age of 13.7 years. Etiology: 30 idiopathic (50.8%), eight syndromic (13.5%), 11 neuromuscular (18.6%), and ten congenital (16.9%). Of the total, 46 (77.9%) were awaiting surgery and 13 (22.1%) were undergoing conservative treatment. The main causes of treatment delay: unavailability of intraoperative neurophysiological monitoring (19 - 41.3%); unavailability of specific surgical material (16 - 34.8%); difficulty of referral to our institution (6 - 13.1%); loss to follow-up (3 - 6.5%) and limitation in casting making (2 - 4.3%). The mean time between diagnosis and the first consultation is 17.25 months (0 - 140). The average surgical wait until December/2022 was 38.4 months (1 - 156). Conclusion: There is a lack of assistance in the steps of monitoring and treatment in the public health system, from directing the patient with scoliosis to the specialized center to performing the surgical procedure, mainly due to limitations in the use of intraoperative neurophysiological monitoring and the unavailability of specific materials to perform highly complex surgeries. Therapeutic Studies - Investigating the Results of Treatment.
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来源期刊
Coluna/ Columna
Coluna/ Columna Medicine-Surgery
CiteScore
0.40
自引率
0.00%
发文量
32
审稿时长
10 weeks
期刊最新文献
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