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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 79 - 86 (8page)
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Objective: Obesity has become a public health crisis and continues to be on the rise. An elevated body mass index has been linked to higher rates of spinal degenerative disease requiring surgical intervention. Limited studies exist that evaluate the effects of obesity on perioperative complications in patients undergoing anterior cervical discectomy and fusion (ACDF). Our study aims to determine the incidence of obesity in the ACDF population and the effects it may have on postoperative inpatient complications. Methods: The National Inpatient Sample was evaluated from 2004 to 2014 and discharges with International Classification of Diseases procedure codes indicating ACDF were identified. This cohort was stratified into patients with diagnosis codes indicating obesity. Separate univariable followed by multivariable logistic regression analysis were performed for the likelihood of perioperative inpatient outcomes among the patients with obesity. Results: From 2004 to 2014, estimated 1,212,475 ACDFs were identified in which 9.2% of the patients were obese. The incidence of obesity amongst ACDF patients has risen dramatically during those years from 5.8% to 13.4%. Obese ACDF patients had higher inpatient likelihood of dysphagia, neurological, respiratory, and hematologic complications as well as pulmonary emboli, and intraoperative durotomy. Conclusion: Obesity is a well-established modifiable comorbidity that leads to increased perioperative complications in various surgical specialties. We present one of the largest retrospective analyses evaluating the effects of obesity on inpatient complications following ACDF. Our data suggest that the number of obese patients undergoing ACDF is steadily increasing and had a higher inpatient likelihood of developing perioperative complications.
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참고문헌 (40)
참고문헌 신청
송경진 / 2014 / Current Concepts of Anterior Cervical Discectomy and Fusion: A Review of Literature / Asian Spine Journal 8(4):531~539
Chen YC / 2019 / Long term outcomes and effects of surgery on degenerative spinal deformity: a 14-year national cohort study / J Clin Med 8:483
Jiang J / 2014 / oes obesity affect the surgical outcome and complication rates of spinal surgery? A metaanalysis / Clin Orthop Relat Res 472:968~975
Mehta AI / 2012 / 2012 Young Investigator Award winner: The distribution of body mass as a significant risk factor for lumbar spinal fusion postoperative infections / Spine 37:1652~1656
Auffinger B / 2014 / The impact of obesity on surgeon ratings and patient-reported outcome measures after degenerative cervical spine disease surgery / World Neurosurg 82:e345~e352
Chen YC / 2019 / Long term outcomes and effects of surgery on degenerative spinal deformity: a 14-year national cohort study / J Clin Med 8:483
Jiang J / 2014 / oes obesity affect the surgical outcome and complication rates of spinal surgery? A metaanalysis / Clin Orthop Relat Res 472:968~975
Mehta AI / 2012 / 2012 Young Investigator Award winner: The distribution of body mass as a significant risk factor for lumbar spinal fusion postoperative infections / Spine 37:1652~1656
Auffinger B / 2014 / The impact of obesity on surgeon ratings and patient-reported outcome measures after degenerative cervical spine disease surgery / World Neurosurg 82:e345~e352
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