Mortality Rate and Clinical Profiles of Patients with Spine Disorders Admitted in a Tertiary Government Hospital: A 7-year Epidemiology Study-Reference-Cited by-同舟云学术

Mortality Rate and Clinical Profiles of Patients with Spine Disorders Admitted in a Tertiary Government Hospital: A 7-year Epidemiology Study

Published:2024-07-15 Issue: Volume: Page:
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Author:

Cocjin Hansel Gould¹,Chiu Jan Melburgo¹,Tan Gladys¹,Valdevieso Ma. Ella Muriel¹

Affiliation:

1. Corazon Locsin Montelibano Memorial Regional Hospital

Abstract

Purpose This study aims to have a thorough understanding of the epidemiology of patients with spine disorders in our region. Specifically, to determine the demographic profiles, level of spinal disorders, type of management, and mortality rate. Methods This study utilized a descriptive retrospective cohort study design. The hospital database was utilized and included all patients with spine disorders from January 1, 2016-December 31, 2022. Patient records were reviewed, and data collected according to the objectives of the study. Results The demographic profile of 474 patients were primarily young and older adults at 31.4% and 36.3%, respectively. Majority were males at 70.3%. Traumatic spinal disorders are more common at 66.2%. The infectious type is the most common among non-traumatic disorders at 56.9%. The cervical spine is the most affected level with traumatic etiology at 56.1%. The thoracic spine is the most affected by non-traumatic etiologies at 57.5%. Among non-traumatic categories, infectious causes have the majority number of cases followed by degenerative causes and tumors at 74.7%, 70.0%, and 25.8%, respectively. Surgical management was done mostly on the traumatic spinal disorders while non-traumatic spinal disorders underwent conservative treatment at 55.1% and 72.5%, respectively. There has been a steady decrease in mortality for spinal disorders for the past 7 years. Among non-traumatic etiologies, mortality rates have a normal distribution for tumors and infections at 29.0% and 20.9%, respectively. Conclusion Traumatic cases show a steady decrease in mortality rate, which may indicate an improvement in the hospital’s orthopaedic spine service. Level of Evidence:III

Publisher

Springer Science and Business Media LLC

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