Operative Treatment of Traumatic Spinal Injuries in Tanzania: Surgical Management, Neurologic Outcomes, and Time to Surgery.
Juma MagogoAlbert LazaroMechris MangoHo-Joong KimAndreas LeidingerSalim MsuyaNicephorus RutabasibwaHamisi K ShabaniRoger HärtlPublished in: Global spine journal (2020)
In a cohort of LMIC patients with TSI undergoing stabilization, the principle driver of operative decision making was cost of implants. Faster time from admission to surgery was associated with neurologic improvement, yet significant delays to surgery were seen due to patients' inability to pay for implants. Several themes for improvement emerged: early surgery, implant availability, prehospital transfer, and long-term follow-up.
Keyphrases
- minimally invasive
- coronary artery bypass
- surgical site infection
- decision making
- end stage renal disease
- emergency department
- newly diagnosed
- cardiac arrest
- soft tissue
- chronic kidney disease
- percutaneous coronary intervention
- type diabetes
- coronary artery disease
- prognostic factors
- insulin resistance
- peritoneal dialysis