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Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery

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...

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Autores principales: Serrano-García, Antonio, Fernández-González, Manuel, Betegón-Nicolás, Jesús, Villar-Pérez, Julio, Lozano-Muñoz, Ana, Hernández-Encinas, José, Fernández-Bances, Ignacio, Esteban-Blanco, Marta, Seco-Calvo, Jesús Ángel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7760254/
https://www.ncbi.nlm.nih.gov/pubmed/33255911
http://dx.doi.org/10.3390/jcm9123825
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author Serrano-García, Antonio
Fernández-González, Manuel
Betegón-Nicolás, Jesús
Villar-Pérez, Julio
Lozano-Muñoz, Ana
Hernández-Encinas, José
Fernández-Bances, Ignacio
Esteban-Blanco, Marta
Seco-Calvo, Jesús Ángel
author_facet Serrano-García, Antonio
Fernández-González, Manuel
Betegón-Nicolás, Jesús
Villar-Pérez, Julio
Lozano-Muñoz, Ana
Hernández-Encinas, José
Fernández-Bances, Ignacio
Esteban-Blanco, Marta
Seco-Calvo, Jesús Ángel
author_sort Serrano-García, Antonio
collection PubMed
description 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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spelling pubmed-77602542020-12-26 Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery Serrano-García, Antonio Fernández-González, Manuel Betegón-Nicolás, Jesús Villar-Pérez, Julio Lozano-Muñoz, Ana Hernández-Encinas, José Fernández-Bances, Ignacio Esteban-Blanco, Marta Seco-Calvo, Jesús Ángel J Clin Med Article 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. MDPI 2020-11-26 /pmc/articles/PMC7760254/ /pubmed/33255911 http://dx.doi.org/10.3390/jcm9123825 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Serrano-García, Antonio
Fernández-González, Manuel
Betegón-Nicolás, Jesús
Villar-Pérez, Julio
Lozano-Muñoz, Ana
Hernández-Encinas, José
Fernández-Bances, Ignacio
Esteban-Blanco, Marta
Seco-Calvo, Jesús Ángel
Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery
title Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery
title_full Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery
title_fullStr Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery
title_full_unstemmed Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery
title_short Evaluation of Dram Score as a Predictor of Poor Postoperative Outcome in Spine Surgery
title_sort evaluation of dram score as a predictor of poor postoperative outcome in spine surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7760254/
https://www.ncbi.nlm.nih.gov/pubmed/33255911
http://dx.doi.org/10.3390/jcm9123825
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