RT info:eu-repo/semantics/article
T1 Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery
A1 Serrano García, Antonio
A1 Fernández González, Manuel
A1 Betegón Nicolás, Jesús
A1 Villar Pérez, Julio
A1 Lozano Muñoz, Ana
A1 Hernández Encinas, José
A1 Fernández Bances, Ignacio
A1 Esteban Blanco, Marta
A1 Seco Calvo, Jesús Ángel
A2 Fisioterapia
K1 Fisioterapia
K1 Scoring DRAM
K1 Back pain
K1 Radicular pain
K1 Physical health
K1 Mental health
K1 Psychosocial factors
AB [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
PB MDPI
LK https://hdl.handle.net/10612/19515
UL https://hdl.handle.net/10612/19515
NO 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
DS BULERIA. Repositorio Institucional de la Universidad de León
RD 01-jun-2024