| dc.contributor.advisor | Schatlo, Bawarjan Prof. Dr. | |
| dc.contributor.author | Moosmann, Magdalena Barbara | |
| dc.date.accessioned | 2024-02-13T18:00:20Z | |
| dc.date.available | 2024-03-21T00:50:09Z | |
| dc.date.issued | 2024-02-13 | |
| dc.identifier.uri | http://resolver.sub.uni-goettingen.de/purl?ediss-11858/15119 | |
| dc.identifier.uri | http://dx.doi.org/10.53846/goediss-10340 | |
| dc.format.extent | 93 | de |
| dc.language.iso | eng | de |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
| dc.subject.ddc | 610 | de |
| dc.title | Short- and long-term quality of life in patients after surgically treated Spondylodiscitis | de |
| dc.type | doctoralThesis | de |
| dc.contributor.referee | von Steinbüchel-Rheinwall, Nicole Prof. Dr. | |
| dc.date.examination | 2024-02-22 | de |
| dc.description.abstracteng | Background Spondylodiscitis affects a fragile patient population frequently fraught with severe comorbidities. Data on long-term outcomes, especially for patients undergoing surgery, are scarce. The aim of this study was to assess the long-term quality of life after surgical instrumentation.
Methods Data of 218 patients who were treated for spondylodiscitis at our institution between January 2008 and July 2017 were reviewed. In-hospital death and mortality rates at 1 year and follow-up were assessed. A survey was conducted using the following questionnaires: Oswestry Disability Index (ODI), Short Form Work Ability Index (SF-WAI), 36-Item Short Form Health Survey (SF-36), and Short Form McGill Pain Questionnaire (SF-MPQ). We investigated the correlation between the assessed variables and clinical data including patient age, comorbidity score at admission, number of operated levels, corpectomy, and length of hospital stay.
Results In-hospital mortality rate was 1.8% and 1-year mortality rate was 6.8%. At the final follow-up (mean 4,8 years), the mortality rate was 45.9%. Forty-four patients responded to the survey and had a mean age of 72 years. In the ODI questionnaire, disability grades were classified as minimal (23%), moderate (21%), severe (19%), complete (33%), and bed bound (4%). We found a significant correlation between inability to return to work and severe disability on ODI (p < 0.001), as well as a low score on any component of the SF-36 (p < 0.05).
Conclusion Despite low in-hospital and 1-year mortality rates, patients with surgically treated spondylodiscitis are prone to long-term limitation in all domains of quality of life, especially in physical health and work ability. | de |
| dc.contributor.coReferee | Meyer, Thomas Prof. Dr. | |
| dc.subject.eng | Quality of life | de |
| dc.subject.eng | Oswestry Disability Index | de |
| dc.subject.eng | Short Form Work Ability Index | de |
| dc.subject.eng | 36-Item Short Form Health Survey | de |
| dc.subject.eng | Short Form Mcgill Pain Questionnaire | de |
| dc.identifier.urn | urn:nbn:de:gbv:7-ediss-15119-7 | |
| dc.affiliation.institute | Medizinische Fakultät | de |
| dc.subject.gokfull | Neurochirurgie (PPN619876271) | de |
| dc.description.embargoed | 2024-03-21 | de |
| dc.identifier.ppn | 188081952X | |
| dc.creator.birthname | Krolikowska Flouri | de |
| dc.notes.confirmationsent | Confirmation sent 2024-02-13T19:45:01 | de |