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Besides helping reduce mortality for the severely ill, other benefits of surgery are higher post-VO functional level and less pain.As has been stated in the introduction, different treatment algorithms and approaches for the management of VO exist.In the present study, vertebral body destruction was not seen significantly more often for the surgically treated patients although there was a strong tendency (The incidence of VO in this study of 2.74/100 000 is comparable to data from the literature, which is 2.2/100 000 to 5.8/100 000.A comparison of mortality rates between the current study and earlier studies is fraught with difficulties. 1,2 There is an increased short- and long-term mortality in VO patients compared with the background population. Please enable it to take advantage of the complete set of features! an open-label non-inferiority, randomised, controlled trialLong-term prognosis of hematogenous vertebral osteomyelitis: Mortality, quality of life, and painAO Spine, unless otherwise noted. Second, to evaluate factors influencing the mortality of patient with VO by predictive modeling.All patients with a diagnosis of VO in Region North Denmark (population 580 000), from the first of January 2004 until the first of January 2014 and treated at Aalborg University Hospital, were included in the study. The predictive model can be used to predict survival profiles for patients on an individual level with an acceptable certainty as the AUC for the predictive model in this study was between 0.74 and 0.77.We acknowledge Torben Tvedebrink, associate professor at Department of Mathematical Sciences, University of Aalborg, Denmark, for the assistance with statistical analyses. Osteomyelitis is an infection in the bone.Osteomyelitis can occur in any bone. Introduction. We chose 2 years as censoring date because this is an agreed-upon follow-up time in clinical research.The statistical analyses were all conducted with R statistical software version 3.3.3 (R Foundation for Statistical Computing, Vienna, Austria) and the packages “survival,” “penalized,”The characteristics of the 125 patients according to the type of treatment are presented in The principal finding of this retrospective cohort study stands in contrast to the general belief that surgical intervention in patients is directly associated with an increased mortality compared with those treated conservatively.A major strength of this study lies in the fact that VO treatment for an entire geographically defined population group over a 10-year period has been described and evaluated. This product could help youAccessing resources off campus can be a challenge. In children, it is most common in the long bones of the legs and upper arms. In adults, osteomyelitis most commonly affects the bones of the spine (the vertebrae). The mortality rate during hospital stay was 2.1%, decreasing from 2% in 1998 to 1.7% in 2006 and increasing to 2.2% in 2013. This site uses cookies. Tissue diagnostics was performed in all the surgically treated cases and in the conservatively treated cases except in cases where blood cultures were positive. Find out about Lean Library If you have access to journal via a society or associations, read the instructions belowAccess to society journal content varies across our titles.If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box.Contact us if you experience any difficulty logging in.Some society journals require you to create a personal profile, then activate your society accountYou are adding the following journals to your email alertsDid you struggle to get access to this article? 2008 Nov;118(11):1917-24. doi: 10.1097/MLG.0b013e31817fae0d.Gardner R, Smith GA, Chany AM, Fernandez SA, McKenzie LB.Arch Pediatr Adolesc Med.
https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License ( The Danish National Registry of Patients was searched using the aforementioned criteria and the following ICD-10 (International Classification of Diseases, 10th Revision) diagnosis codes: DM462, DM463A, DM464, DM465A, DM490, DM491, DM492, DM493. 2012 Sep;33(3):E3. Surgical intervention is followed by antibiotic treatment equivalent to conservative therapy.Surgery for VO is often major surgery. Simply select your manager software from the list below and click on download. The age distribution will differ as some studies include children with zero mortality.
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