Comparing outcomes of early, late, and non-surgical management of intraspinal abscess

Comparing outcomes of early, late, and non-surgical management of intraspinal abscess

Highlights • Intraspinal abscess is a rare disease not easily studied in a randomized setting. • This is the largest study of this rare disease to our knowledge (>10,000 patients). • The prevalence of ISA more than doubled between 2003–2012. • Neurologic deficits appear to drive earlier surgical...

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Veröffentlicht in:Journal of clinical neuroscience 2017-02, Vol.36, p.64-71
Hauptverfasser: Farber, S. Harrison, Murphy, Kelly R, Suryadevara, Carter M, Babu, Ranjith, Yang, Siyun, Feng, Liqi, Xie, Jichun, Perfect, John R, Lad, Shivanand P
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Child
Child, Preschool
Costs
Decompression, Surgical - adverse effects
Early surgery
Epidural abscess
Epidural Abscess - economics
Epidural Abscess - epidemiology
Epidural Abscess - surgery
Epidural Abscess - therapy
Female
Humans
Infant
Intraspinal abscess
Length of Stay - statistics & numerical data
Male
Medical management
Middle Aged
Neurology
Outcomes
Postoperative Complications
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Zusammenfassung:Highlights • Intraspinal abscess is a rare disease not easily studied in a randomized setting. • This is the largest study of this rare disease to our knowledge (>10,000 patients). • The prevalence of ISA more than doubled between 2003–2012. • Neurologic deficits appear to drive earlier surgical intervention. • Costs and LOS were decreased when surgery was performed in the first 48 hours.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2016.10.035