@article{ref1,
title="Sex-related discrepancies in the epidemiology, injury characteristics and outcomes after acute spine trauma: a retrospective cohort study",
journal="Journal of spinal cord medicine",
year="2019",
author="Furlan, Julio C. and Craven, B. Catharine and Fehlings, Michael G.",
volume="42",
number="Suppl 1",
pages="10-20",
abstract="<b>Context/Objective:</b> The potential effects of sex on injury severity and outcomes after acute spine trauma (AST) have been reported in pre-clinical and clinical studies, even though the data are conflicting. This study compared females and males regarding the epidemiology, injury characteristics, and clinical outcomes of AST. <b>Design:</b> Retrospective cohort study. <b>Setting:</b> Acute spine care quaternary center. <b>Participants:</b> All consecutive cases of AST admitted from January/1996 to December/2007 were included. <b>Interventions:</b> None. <b>Outcome Measures:</b> The potential effects of sex on the epidemiology, injury characteristics, and clinical outcomes of AST were studied. <b>Results:</b> There were 504 individuals with AST (161 females, 343 males; mean age of 49.44 ± 0.92 years). Sex was not associated with age or pre-existing co-morbidities as assessed using the Charlson Co-morbidity Index, however, females had a greater number of International Classifications of Diseases (ICD) codes at admission and higher Cumulative Illness Rating Scale (CIRS) than males. Over the 12-year period, the male-to-female ratio has not significantly changed. Although there were significant sex-related discrepancies regarding injury etiology, level and severity of AST, males and females had similar lengths of stay in the acute spine center, in-hospital survival post-AST, and need for mechanical ventilation and tracheostomy. <b>Conclusion:</b> This study suggests that females with AST present with a greater number of pre-existing co-morbidities, a higher frequency of thoraco-lumbar trauma, less severe neurological impairment and a greater proportion of MVA-related injuries. However, females and males have a similar length of stay in the acute spine center, and comparable in-hospital survival, need for mechanical ventilation, and tracheostomy after AST.<p /> <p>Language: en</p>",
language="en",
issn="1079-0268",
doi="10.1080/10790268.2019.1607055",
url="http://dx.doi.org/10.1080/10790268.2019.1607055"
}