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Título
Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery
Autor
Facultad/Centro
Área de conocimiento
Título de la revista
Journal of Clinical Medicine
Número de la revista
12
Cita Bibliográfica
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, J. Á. (2020). Evaluation of dram score as a predictor of poor postoperative outcome in spine surgery. Journal of Clinical Medicine, 9(12), 1-9. https://doi.org/10.3390/JCM9123825
Editorial
MDPI
Fecha
2020
Resumen
[EN] 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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