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Outcomes and National Trends for the Surgical Treatment of Lumbar Spine Trauma
المؤلفون المشاركون
Johnson, J. Patrick
Shweikeh, Faris
Kim, Terrence T.
Nuno, Miriam
Vaccaro, Alexander R.
Baron, Eli M.
Drazin, Doniel G.
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-06-15
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Introduction.
Operative treatment of lumbar spine compression fractures includes fusion and/or cement augmentation.
Our aim was to evaluate postoperative differences in patients treated surgically with fusion, vertebroplasty, or kyphoplasty.
Methods.
The Nationwide Inpatient Sample Database search for adult vertebral compression fracture patients treated 2004–2011 identified 102,316 surgical patients: 30.6% underwent spinal fusion, 17.1% underwent kyphoplasty, and 49.9% underwent vertebroplasty.
Univariate analysis of patient and hospital characteristics, by treatment, was performed.
Multivariable analysis was used to determine factors associated with mortality, nonroutine discharge, complications, and patient safety.
Results.
Average patient age: fusion (46.2), kyphoplasty (78.5), vertebroplasty (76.7) ( p < .
0001 ).
Gender, race, household income, hospital-specific characteristics, and insurance differences were found ( p ≤ .
001 ).
Leading comorbidities were hypertension, osteoporosis, and diabetes.
Risks for higher mortality (OR 2.0: CI: 1.6–2.5), nonroutine discharge (OR 1.6, CI: 1.6–1.7), complications (OR 1.1, CI: 1.0–1.1), and safety related events (OR 1.1, CI: 1.0–1.1) rose consistently with increasing age, particularly among fusion patients.
Preexisting comorbidities and longer in-hospital length of stay were associated with increased odds of nonroutine discharge, complications, and patient safety.
Conclusions.
Fusion patients had higher rates of poorer outcomes compared to vertebroplasty and kyphoplasty cohorts.
Mortality, nonroutine discharge, complications, and adverse events increased consistently with older age.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Drazin, Doniel G.& Nuno, Miriam& Shweikeh, Faris& Vaccaro, Alexander R.& Baron, Eli M.& Kim, Terrence T.…[et al.]. 2016. Outcomes and National Trends for the Surgical Treatment of Lumbar Spine Trauma. BioMed Research International،Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1097384
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Drazin, Doniel G.…[et al.]. Outcomes and National Trends for the Surgical Treatment of Lumbar Spine Trauma. BioMed Research International No. 2016 (2016), pp.1-9.
https://search.emarefa.net/detail/BIM-1097384
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Drazin, Doniel G.& Nuno, Miriam& Shweikeh, Faris& Vaccaro, Alexander R.& Baron, Eli M.& Kim, Terrence T.…[et al.]. Outcomes and National Trends for the Surgical Treatment of Lumbar Spine Trauma. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1097384
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1097384
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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