Spinal Surgery Service, Department of Orthopaedics and Trauma, Somerset Foundation Trust, Musgrove Park Hospital, Taunton, Somerset, UK, on behalf of the Cauda Equina Syndrome Study Group (CESSG) at Somerset Foundation Trust Members of the Cauda Equina Syndrome Study Group at Somerset Foundation Trust: Selina Graham, Pradeep Madhavan, Paul Thorpe, Yee Leung, Ashok Subramanian, Dushan Thavarajah, Paul Burn, Danial Fox, Guru Karnati, Iain Palmer on behalf of the Cauda Equina Syndrome Study Group at Somerset Foundation Trust.
Br J Hosp Med (Lond). 2021 Sep 2;82(9):1-7. doi: 10.12968/hmed.2021.0040. Epub 2021 Aug 30.
This project explored how the implementation of national guidance for investigation and management of patients with suspected cauda equina syndrome impacted on service provision.
Retrospective analysis of patients with suspected cauda equina syndrome during 12 months before the implementation of the national guidelines were compared with data from the 21 months following.
Monthly mean numbers of referrals for suspected cauda equina syndrome increased from 10.1 to 18.9 (<0.001). Statistically significant increases were also seen in the total number of magnetic resonance imaging scans for suspected cauda equina syndrome, and the number of magnetic resonance imaging scans performed out of hours. The mean time interval, from magnetic resonance imaging scan confirming cauda equina syndrome to starting emergency decompressive surgery, reduced from 14.87 hours to 9.57 hours.
Compliance with the national guidance for suspected cauda equina syndrome is imperative for patients to receive optimal treatment. However, this project has demonstrated challenges related to increased pressure on resources.
本研究旨在探讨国家对疑似马尾综合征患者的调查和管理指南的实施如何影响服务提供。
回顾性分析了在国家指南实施前的 12 个月和实施后的 21 个月内疑似马尾综合征患者的数据。
疑似马尾综合征的转诊每月平均人数从 10.1 人增加到 18.9 人（<0.001）。疑似马尾综合征的磁共振成像扫描总数和非工作时间进行的磁共振成像扫描数量也显著增加。从磁共振成像扫描确诊马尾综合征到开始紧急减压手术的平均时间间隔从 14.87 小时缩短至 9.57 小时。
疑似马尾综合征患者必须遵循国家指南，以便获得最佳治疗。然而，本项目表明，资源压力增加带来了挑战。
