Demographic Predictors of Treatment and Complications for Spinal Disorders: Part 2, Lumbar Spine Trauma.

Autor: Jammal OA; Department of Neurosurgery, University of California San Diego School of Medicine, San Diego, CA, USA., Gendreau J; Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, USA., Alvandi B; Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Patel NA; Department of Neurosurgery, Mercer University School of Medicine, Savannah, GA, USA., Brown NJ; Department of Neurosurgery, University of California Irvine, Orange, CA, USA., Shahrestani S; Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.; Department of Medical Engineering, California Institute of Technology, Pasadena, CA, USA., Lien BV; Department of Neurosurgery, University of California Irvine, Orange, CA, USA., Delavar A; Department of Neurosurgery, University of California San Diego School of Medicine, San Diego, CA, USA., Tran K; Department of Neurosurgery, University of California Irvine, Orange, CA, USA., Sahyouni R; Department of Neurosurgery, University of California San Diego School of Medicine, San Diego, CA, USA., Diaz-Aguilar LD; Department of Neurosurgery, University of California San Diego School of Medicine, San Diego, CA, USA., Gilbert K; Department of Neurosurgery, University of California San Diego School of Medicine, San Diego, CA, USA., Pham MH; Department of Neurosurgery, University of California San Diego School of Medicine, San Diego, CA, USA.
Jazyk: angličtina
Zdroj: Neurospine [Neurospine] 2021 Dec; Vol. 18 (4), pp. 725-732. Date of Electronic Publication: 2021 Dec 31.
DOI: 10.14245/ns.2142614.307
Abstrakt: 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.
Databáze: MEDLINE
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