Lyons Keith W, Borsinger Tracy M, Lucas Adriana P, McGuire Kevin J, Pearson Adam M, Abdu William A
Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Global Spine J. 2020 Aug;10(5):592-597. doi: 10.1177/2192568219865188. Epub 2019 Jul 30.
Retrospective review.
Previous literature demonstrates mixed results regarding the relationship between patient-reported allergies and pain, function, and satisfaction scores. The objective of this study was to investigate the correlation between patient-reported allergies and preoperative Oswestry Disability Index (ODI), Neck Disability Index (NDI), and Patient-Reported Outcomes Measurement System (PROMIS) scores.
All patients undergoing elective cervical, lumbar procedures between May 2017 and October 2018 were included. Baseline demographic information was recorded, as well as all reported allergies or adverse reactions. Preoperative PROMIS, ODI, and NDI scores were recorded. Hierarchical multiple linear regressions were used to assess the relationship between total number of allergies and the preoperative pain and function scores.
A total of 570 patients were included (476 lumbar, 94 cervical). The mean number of allergies reported was 1.89 ± 2.32. The mean preoperative ODI and NDI scores were 46.39 ± 17.67 and 43.47 ± 16.51, respectively. The mean preoperative PROMIS Physical Health and PROMIS Mental Health scores were 37.21 ± 6.54 and 43.89 ± 9.26, respectively. Hierarchical multiple linear regression showed that total number of reported allergies shared a statistically significant negative relationship with all of the following scores: ODI ( = 0.83, = .02), NDI ( = 1.45, = .02), PROMIS Physical Health ( = -0.29, = .013), and PROMIS Mental Health ( = -0.38, = .024).
Patient-reported allergies share a statistically significant negative relationship with preoperative pain and function scores; as patients have increasing total number of allergies, the ODI/NDI scores become worse (increase) and the PROMIS scores become worse (decrease).
回顾性研究。
既往文献显示，关于患者自述的过敏与疼痛、功能及满意度评分之间的关系，结果不一。本研究的目的是调查患者自述的过敏与术前奥斯维斯特里功能障碍指数（ODI）、颈部功能障碍指数（NDI）以及患者报告结局测量系统（PROMIS）评分之间的相关性。
纳入2017年5月至2018年10月期间接受择期颈椎、腰椎手术的所有患者。记录基线人口统计学信息以及所有报告的过敏或不良反应。记录术前PROMIS、ODI和NDI评分。采用分层多元线性回归评估过敏总数与术前疼痛及功能评分之间的关系。
共纳入570例患者（476例腰椎手术患者，94例颈椎手术患者）。报告的过敏平均数量为1.89±2.32。术前ODI和NDI评分的平均值分别为46.39±17.67和43.47±16.51。术前PROMIS身体健康评分和PROMIS心理健康评分的平均值分别为37.21±6.54和43.89±9.26。分层多元线性回归显示，报告的过敏总数与以下所有评分均存在统计学显著负相关：ODI（β = 0.83，P = .02）、NDI（β = 1.45，P = .02）、PROMIS身体健康评分（β = -0.29，P = .013）以及PROMIS心理健康评分（β = -0.38，P = .024）。
患者自述的过敏与术前疼痛及功能评分存在统计学显著负相关；随着患者过敏总数的增加，ODI/NDI评分变差（升高），而PROMIS评分变差（降低）。
