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Outpatient Myelography: A Prospective Trial Comparing Complications after Myelography between Outpatients and Inpatients in Japan
Asian Spine Journal ; : 928-934, 2015.
Article in English | WPRIM | ID: wpr-126906
ABSTRACT
STUDY

DESIGN:

Prospective comparative study.

PURPOSE:

To compare the incidence and severity of adverse reactions associated with myelography performed in outpatients vs. in inpatients and report the safety and usefulness of outpatient myelography in Japanese patients. OVERVIEW OF LITERATURE Myelography is normally performed as an inpatient procedure in most hospitals in Japan. No studies have reported the usefulness and adverse effects of outpatient myelography in Japanese patients.

METHODS:

We performed 221 myelography procedures. Eighty-five of the 221 patients underwent outpatient myelography using our new protocol. The incidence and severity of adverse reactions were compared with the other 136 patients, who underwent conventional inpatient myelography. We further compared the cost of outpatient and inpatient myelography.

RESULTS:

The overall rate of adverse effects was 9.4% in outpatients, as compared with 7.4% in inpatients. Overall, 1.2% of outpatients and 0.74% inpatients experienced "severe" adverse effects (requiring hospitalization). There were no significant differences between the 2 groups in either the overall rate of adverse effects or the rate of "severe" adverse effects. Moreover, the average outpatient procedure cost was only one-third to one-half that of the inpatient procedure.

CONCLUSIONS:

This was the first study to address the safety and usefulness of outpatient myelography in Japanese patients. If selected according to proper inclusion criteria for outpatient procedure, no significant differences were observed in the adverse effects between inpatients and outpatients. The outpatient procedure is more economical and has the added benefit of being more convenient and time-efficient for the patient.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Outpatients / Myelography / Incidence / Prospective Studies / Health Care Costs / Asian People / Inpatients / Japan Type of study: Incidence study / Observational study / Prognostic study / Risk factors Limits: Humans Country/Region as subject: Asia Language: English Journal: Asian Spine Journal Year: 2015 Type: Article

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LILACS

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Outpatients / Myelography / Incidence / Prospective Studies / Health Care Costs / Asian People / Inpatients / Japan Type of study: Incidence study / Observational study / Prognostic study / Risk factors Limits: Humans Country/Region as subject: Asia Language: English Journal: Asian Spine Journal Year: 2015 Type: Article