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dc.contributor.authorGoel, Vasudha
dc.contributor.authorKumar, Varun
dc.contributor.authorAgrawal, Shivani N
dc.contributor.authorPatwardhan, Amol M
dc.contributor.authorIbrahim, Mohab
dc.contributor.authorDeSimone, Daniel C
dc.contributor.authorSivanesan, Eellan
dc.contributor.authorBanik, Ratan K
dc.contributor.authorShankar, Hariharan
dc.date.accessioned2020-10-08T02:29:08Z
dc.date.available2020-10-08T02:29:08Z
dc.date.issued2020-09-14
dc.identifier.citationGoel, V., Kumar, V., Agrawal, S. N., Patwardhan, A. M., Ibrahim, M., DeSimone, D. C., ... & Shankar, H. (2020). Outcomes Associated With Infection of Chronic Pain Spinal Implantable Electronic Devices: Insights From a Nationwide Inpatient Sample Study. Neuromodulation: Technology at the Neural Interface.en_US
dc.identifier.issn1094-7159
dc.identifier.pmid32929856
dc.identifier.doi10.1111/ner.13263
dc.identifier.urihttp://hdl.handle.net/10150/647654
dc.description.abstractObjectives Chronic pain spinal implantable electronic devices (CPSIEDs) include devices that provide spinal cord stimulation and intrathecal drug therapy. In this study, we sought to evaluate the trends of CPSIED infections, related complications, and outcomes following the treatment of infection. Materials and Methods The Nationwide Inpatient Sample database contains data from 48 states, and the District of Columbia was used to identify patients with a primary diagnosis of CPSIED infection during the years 2005-2014. Patients with intrathecal pumps for the treatment of spasticity were excluded to limit the study population to patients with chronic pain disorders. Treatments were categorized as: 1) without device removal, 2) pulse generator or pump only removal, 3) intrathecal pump system removal, and 4) spinal cord stimulation system removal. Complications associated with CPSIED infections were identified using administrative billing codes. Results During the study period 2005-2014, a total of 11,041 patients were admitted to the hospital with CPSIED infections. The majority of the patients were treated without surgical intervention (56%), and a smaller proportion underwent complete system explantation (22.7%). In-hospital mortality or permanent disability due to paralysis after CPSIED infection was around 1.83% and 2.77%, respectively. Infectious complications such as meningitis, abscess formation, and osteomyelitis occurred in 4.93%, 5.08%, and 1.5%, respectively. The median cost of hospitalization was around US $14,118.00, and the median length of stay was approximately six days (interquartile range = 4-13 days). Conclusions The complications of CPSIED infection were higher among patients that did not undergo device removal.en_US
dc.language.isoenen_US
dc.publisherWILEYen_US
dc.rightsCopyright © 2020 International Neuromodulation Societyen_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en_US
dc.subjectIntrathecal pump infectionsen_US
dc.subjectOutcomesen_US
dc.subjectspinal cord stimulator infectionsen_US
dc.titleOutcomes Associated With Infection of Chronic Pain Spinal Implantable Electronic Devices: Insights From a Nationwide Inpatient Sample Studyen_US
dc.typeArticleen_US
dc.identifier.eissn1525-1403
dc.contributor.departmentUniv Arizona, Dept Anesthesiolen_US
dc.identifier.journalNeuromodulation: journal of the International Neuromodulation Societyen_US
dc.description.note12 month embargo; first published: 14 September 2020en_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.source.journaltitleNeuromodulation : journal of the International Neuromodulation Society
dc.source.countryUnited States


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