2022
Underweight patients are the highest risk body mass index group for perioperative adverse events following stand-alone anterior lumbar interbody fusion
Ottesen TD, Galivanche AR, Greene JD, Malpani R, Varthi AG, Grauer JN. Underweight patients are the highest risk body mass index group for perioperative adverse events following stand-alone anterior lumbar interbody fusion. The Spine Journal 2022, 22: 1139-1148. PMID: 35231643, DOI: 10.1016/j.spinee.2022.02.012.Peer-Reviewed Original ResearchMeSH KeywordsBody Mass IndexHumansLumbar VertebraeObesity, MorbidOverweightPostoperative ComplicationsRetrospective StudiesSpinal FusionThinnessTreatment OutcomeConceptsBody mass indexNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseAnterior lumbar interbody fusionObese class 1Improvement Program databaseClass 2 patientsAdverse eventsUnderweight patientsBMI categoriesAdverse outcomesBMI spectrumInterbody fusionProgram databaseTwo-level anterior lumbar interbody fusionSurgeons National Surgical Quality Improvement Program databaseMultivariate analysisThirty-day adverse eventsWorld Health Organization categoriesBody mass index groupsPostoperative adverse eventsRetrospective cohort studyPerioperative adverse eventsNormal-weight subjectsPost-operative infection
2021
COVID-positive ankle fracture patients are at increased odds of perioperative surgical complications following open reduction internal fixation surgery
Mercier MR, Galivanche AR, Brand JP, Pathak N, Medvecky MJ, Varthi AG, Rubin LE, Grauer JN. COVID-positive ankle fracture patients are at increased odds of perioperative surgical complications following open reduction internal fixation surgery. PLOS ONE 2021, 16: e0262115. PMID: 34972190, PMCID: PMC8719674, DOI: 10.1371/journal.pone.0262115.Peer-Reviewed Original ResearchConceptsCOVID-positive patientsAnkle fracture surgeryPerioperative adverse eventsAdverse eventsAnkle fracture patientsFracture surgeryFracture patientsOperative interventionAnkle fracturesPropensity matchingCOVID statusOpen reduction internal fixation surgeryPerioperative adverse outcomesPerioperative surgical complicationsMinor adverse eventsPostoperative adverse eventsSerious adverse eventsChronic kidney diseaseCOVID-19 Research DatabaseLong-term outcomesInternal fixation surgeryBasis of agePropensity-score matchingPostoperative complicationsNegative patients
2016
Is Outpatient Total Hip Arthroplasty Safe?
Nelson SJ, Webb ML, Lukasiewicz AM, Varthi AG, Samuel AM, Grauer JN. Is Outpatient Total Hip Arthroplasty Safe? The Journal Of Arthroplasty 2016, 32: 1439-1442. PMID: 28065622, DOI: 10.1016/j.arth.2016.11.053.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedArthroplasty, Replacement, HipBlood TransfusionDatabases, FactualFemaleHumansInpatientsLength of StayLogistic ModelsMaleMiddle AgedMultivariate AnalysisOutpatientsPatient DischargePatient ReadmissionPatient SafetyPoisson DistributionPostoperative ComplicationsPropensity ScoreQuality ImprovementRegression AnalysisRetrospective StudiesYoung AdultConceptsOutpatient total hip arthroplastyTotal hip arthroplastyAdverse eventsPropensity scoreSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseGeneral health outcome measuresDays adverse eventsImprovement Program databaseMultivariate Poisson regressionHealth outcome measuresHospital dischargePostoperative dayBlood transfusionExtended LOSTHA patientsPotential confoundersInpatient proceduresProgram databaseRelative riskHip arthroplastyOutcome measuresSafety dataStudy group
2014
Risk Factors for Short-term Adverse Events and Readmission After Arthroscopic Meniscectomy
Basques BA, Gardner EC, Varthi AG, Fu MC, Bohl DD, Golinvaux NS, Grauer JN. Risk Factors for Short-term Adverse Events and Readmission After Arthroscopic Meniscectomy. The American Journal Of Sports Medicine 2014, 43: 169-175. PMID: 25294869, DOI: 10.1177/0363546514551923.Peer-Reviewed Original ResearchConceptsSevere adverse eventsAdverse eventsRisk factorsMedical comorbiditiesOlder patientsArthroscopic meniscectomySurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseShort-term adverse eventsQuality Improvement Program databaseMultivariate logistic regression analysisOdds of readmissionPostoperative adverse eventsImprovement Program databaseHistory of smokingCase-control studyEvidence of osteoarthritisLevel of evidenceLogistic regression analysisComorbidity burdenPulmonary diseasePatient selectionPreoperative counselingCommon surgeryMean ageComplication Rates Following Elective Lumbar Fusion in Patients With Diabetes
Golinvaux NS, Varthi AG, Bohl DD, Basques BA, Grauer JN. Complication Rates Following Elective Lumbar Fusion in Patients With Diabetes. Spine 2014, 39: 1809-1816. PMID: 25010098, DOI: 10.1097/brs.0000000000000506.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedChi-Square DistributionDatabases, FactualDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Elective Surgical ProceduresFemaleHumansHypoglycemic AgentsInsulinLength of StayLogistic ModelsLumbar VertebraeMaleMiddle AgedMultivariate AnalysisOdds RatioPatient ReadmissionPostoperative ComplicationsRetrospective StudiesRisk FactorsSpinal FusionTime FactorsTreatment OutcomeUnited StatesYoung AdultConceptsInsulin-dependent diabetes mellitusLumbar fusion surgeryDiabetes mellitusPostoperative complicationsFusion surgeryLumbar fusionSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseElective lumbar fusion surgeryQuality Improvement Program databaseEffects of NIDDMVentilator-assisted respirationWound-related infectionsAdverse postoperative outcomesRetrospective cohort studyImprovement Program databaseUrinary tract infectionDependent diabetes mellitusElective lumbar fusionPreoperative risk stratificationRisk of deathCommon chronic diseasesLength of stayCounseling of patientsUnplanned intubation
2013
Recovery Room Radiographs Not Found to Have Incremental Utility Above Intraoperative Images After Lumbar Fusion Procedures
Bohl DD, Gruskay JA, Miller CP, Varthi A, Ruiz FK, Whang PG, Grauer JN. Recovery Room Radiographs Not Found to Have Incremental Utility Above Intraoperative Images After Lumbar Fusion Procedures. Spine 2013, 38: 1927-1933. PMID: 23883831, DOI: 10.1097/brs.0b013e3182a527be.Peer-Reviewed Original ResearchMeSH KeywordsHumansLumbar VertebraeMonitoring, IntraoperativePostoperative ComplicationsRadiographyRecovery RoomRetrospective StudiesSpinal FusionConceptsLumbar fusion proceduresLumbar interbody fusionClinical utilityRecovery roomInterbody fusionFusion proceduresSurgical constructTransforaminal lumbar interbody fusionAnterior lumbar interbody fusionAnterior-posterior fusionRetrospective case seriesPosterolateral lumbar fusionLow clinical utilityPlain film imagesRecovery room radiographsIntraoperative imagesIncremental clinical utilityCase seriesConsecutive seriesLumbar fusionBACKGROUND DATAIntraoperative fluoroscopic imagesWound closureRadiation exposureIncremental utility