Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery.
Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery.
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DOI：
10.3390/jcm9123825
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发表时间：
2020-11-26
影响因子：
3.9
通讯作者：
Seco-Calvo JÁ
中科院分区：
文献类型：
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作者：
Serrano-García A;Fernández-González M;Betegón-Nicolás J;Villar-Pérez J;Lozano-Muñoz A;Hernández-Encinas J;Fernández-Bances I;Esteban-Blanco M;Seco-Calvo JÁ
痛苦风险评估方法（DRAM）是由Main、Wood和Hillis于1992年提出的，作为评估脊柱手术中由于心理社会因素导致失败风险的简单方法。据我们所知，它还没有在我们的环境中使用。本研究的目的是分析该工具的西班牙语翻译预测不良结局的有用性。方法：对65例脊柱手术患者进行前瞻性盲法研究。我们根据DRAM评分创建了两组患者：非苦恼（NDRAM）或苦恼（DDRAM）。在基线、6周和6个月时使用疼痛视觉模拟量表和12项简明健康调查表（SF-12）。结果：24例患者被归类为DDRAM，38例被归类为NDRAM，3例患者未完成问卷调查。分析发现基线时人口统计学或临床变量无显著差异。在6周和6个月时，NDRAM组显示腰痛（p < 0.001; p = 0.005），腿部疼痛（p < 0.001; p = 0.017），身体健康（p = 0.031; p = 0.003）和心理健康（p = 0.137; p = 0.049）有所改善。相比之下，在DDRAM组中，尽管腿部疼痛评分有所改善（p < 0.001; p = 0.002），但在6周或6个月时，腰痛（p = 0.108; p = 0.287）、身体健康（p = 0.620; p = 0.263）或心理健康（p = 0.185; p = 0.329）没有改善。结论：在我们的环境中，DRAM是一个有用的筛选工具，它允许在精神病学和脊柱外科之间创建一个程序。
The Distress Risk Assessment Method (DRAM) was presented by Main, Wood and Hillis in 1992 as a simple means of assessing the risk of failure due to psychosocial factors in spine surgery. To our knowledge, it has not been used in our setting. The aim of this study was to analyse the usefulness of the Spanish translation of this instrument to predict poor outcomes. Methods: A prospective blind study was conducted including 65 patients undergoing spine surgery. We created two groups of patients based on DRAM score: not distressed (NDRAM) or distressed (DDRAM). A visual analogue scale for pain and the 12-Item Short Form Health Survey (SF-12) were used at baseline, 6 weeks and 6 months. Results: 24 patients were classified as DDRAM and 38 as NDRAM, with 3 patients not completing the questionnaires. The analysis found no significant differences in the demographic or clinical variables at baseline. At 6 weeks and 6 months, the NDRAM group showed improvements in low back pain (p < 0.001; p = 0.005), leg pain (p < 0.001; p = 0.017), physical health (p = 0.031; p = 0.003) and mental health (p = 0.137; p = 0.049). In contrast, in the DDRAM group, though leg pain score improved (p < 0.001; p = 0.002), there was no improvement at 6 weeks or 6 months in low back pain (p = 0.108; p = 0.287), physical health (p = 0.620; p = 0.263) or mental health (p = 0.185; p = 0.329). Conclusions: In our setting, the DRAM is a useful screening tool, and it has allowed the creation of a program between psychiatry and spine surgery.
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影响因子：
2.8
作者：
Pellise, Ferran;Vila-Casademunt, Alba;Acaroglu, Emre
通讯作者：
Acaroglu, Emre
影响因子：
3.9
作者：
Vilagut, Gernma;Maria Valderas, Jose;Alonso, Jordi
通讯作者：
Alonso, Jordi
影响因子：
3
作者：
Junge, A;Frohlich, M;Dvorak, J
通讯作者：
Dvorak, J
影响因子：
4.7
作者：
MAIN, CJ
通讯作者：
MAIN, CJ
影响因子：
--
作者：
ZUNG, WWK
通讯作者：
ZUNG, WWK