Effect of Critical Pathway of Lumbar Posterolateral Fusion in Spinal Stenosis

Autor:	Kyu Jung Cho, Hae Ok Park, Rye Sup Kim, Jae Cheol Kim, Chan Myung Ock, Suk Myun Ko
Rok vydání:	2002
Předmět:	medicine.medical_specialty Spinal stenosis business.industry Critical pathway medicine.medical_treatment Lumbar spinal stenosis medicine.disease Oswestry Disability Index Posterolateral fusion Lumbar Anesthesia Spinal fusion medicine Physical therapy In patient business
Zdroj:	Journal of the Korean Orthopaedic Association. 37:392
ISSN:	2005-8918 1226-2102
DOI:	10.4055/jkoa.2002.37.3.392
Popis:	Purpose : This study was conducted to identify the effects of the critical pathway (CP) on the quality of medical care, and to determine means of reducing costs for lumbar posterolateral fusion in patient with lumbar spinal stenosis. Materials and Methods : The subjects were 25 control patients with lumbar posterolateral fusion, and 25 experimental patients with application of CP. We compared the patients’functional status using the Oswestry disability index, patients'satisfaction by quality patient care scale, the length of hospitalization and the medical charges between the two groups. Results : Differences between the Oswestry disability index of the experimental and control groups were not significant. No differences were found between two groups regarding general care, but the experimental group was more satisfied with specific care related to spinal fusion. The mean length of stay of the experimental group was shorter than that of the control group, and the charge of medication and treatment of the experimental group was lower than that of the control group. Conclusion : Critical pathway improves the quality of care and reduces medical charges.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::8c791b9ce5b8ee509edf6fbbc399d76a https://doi.org/10.4055/jkoa.2002.37.3.392 Zobrazit plný text záznamu