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자료유형
학술저널
저자정보
Omar Al Jammal (Department of Neurosurgery University of California San Diego School of Medicine) Julian Gendreau (Whiting School of Engineering Johns Hopkins University) Bejan Alvandi (Department of Orthopaedic Surgery Northwestern University Feinberg School of Medicine) Neal A. Patel (Department of Neurosurgery Mercer University School of Medicine) Nolan J. Brown (Department of Neurosurgery University of California Irvine) Shane Shahrestani (Keck School of Medicine of the University of Southern California) Brian V. Lien (Department of Neurosurgery University of California Irvine) Arash Delavar (Department of Neurosurgery University of California San Diego School of Medicine) Katelynn Tran (Department of Neurosurgery University of California Irvine) Ronald Sahyouni (Department of Neurosurgery University of California San Diego School of Medicine) Luis Daniel Diaz-Aguilar (Department of Neurological Surgery University of California San Diego School of Medicine) Kevin Gilbert (Department of Neurosurgery University of California San Diego School of Medicine) Martin H. Pham (Department of Neurosurgery University of California San Diego School of Medicine)
저널정보
대한척추신경외과학회 Neurospine Neurospine 제18권 제4호
발행연도
2021.12
수록면
725 - 732 (8page)
DOI
10.14245/ns.2142614.307

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Objective: To study the impact of demographic factors on management of traumatic injury to the lumbar spine and postoperative complication rates. Methods: Data was obtained from the National Inpatient Sample (NIS) between 2010?2014. International Classification of Diseases, 9th revision, Clinical Modification codes identified patients diagnosed with lumbar fractures or dislocations due to trauma. A series of multivariate regression models determined whether demographic variables predicted rates of complication and revision surgery. Results: A total of 38,249 patients were identified. Female patients were less likely to receive surgery and to receive a fusion when undergoing surgery, had higher complication rates, and more likely to undergo revision surgery. Medicare and Medicaid patients were less likely to receive surgical management for lumbar spine trauma and less likely to receive a fusion when operated on. Additionally, we found significant differences in surgical management and postoperative complication rates based on race, insurance type, hospital teaching status, and geography. Conclusion: Substantial differences in the surgical management of traumatic injury to the lumbar spine, including postoperative complications, among individuals of demographic factors such as age, sex, race, primary insurance, hospital teaching status, and geographic region suggest the need for further studies to understand how patient demographics influence management and complications for traumatic injury to the lumbar spine.

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