2025
295 Risk Factors Associated With Postoperative Infection following Pediatric Tethered Cord Release: An Analysis of 2012 – 2021 NSQIP-Pediatric Database
Hengartner A, Serrato P, Sayeed S, Belkasim S, Sadeghzadeh S, DiLuna M, Elsamadicy A. 295 Risk Factors Associated With Postoperative Infection following Pediatric Tethered Cord Release: An Analysis of 2012 – 2021 NSQIP-Pediatric Database. Neurosurgery 2025, 71: 73-73. DOI: 10.1227/neu.0000000000003360_295.Peer-Reviewed Original ResearchSurgical site infectionTethered spinal-cord releaseNSQIP-Pediatric databaseCord releaseAdverse eventsPostoperative infectionFactors associated with surgical site infectionACS NSQIP-Pediatric databaseRisk factors associated with postoperative infectionASA classification 3Multivariate logistic regression analysisTethered cord releaseRetrospective cohort analysisStructural CNS abnormalitiesICD-9/10 codesLogistic regression analysisReduce infection ratesPostoperative complicationsASA scoreCNS abnormalitiesImprove patient outcomesPediatric patientsSite infectionPatient demographicsClinical outcomes
2024
To close or not to close? Wound management in emergent colorectal surgery, an EAST multicenter prospective cohort study
Feather C, Rehrig S, Allen R, Barth N, Kugler E, Cullinane D, Falank C, Bhattacharya B, Maung A, Seng S, Ratnasekera A, Bass G, Butler D, Pascual J, Srikureja D, Winicki N, Lynde J, Nowak B, Azar F, Thompson L, Nahmias J, Manasa M, Tesoriero R, Kumar S, Collom M, Kincaid M, Sperwer K, Santos A, Klune J, Turcotte J. To close or not to close? Wound management in emergent colorectal surgery, an EAST multicenter prospective cohort study. Journal Of Trauma And Acute Care Surgery 2024, 97: 73-81. PMID: 38523130, DOI: 10.1097/ta.0000000000004321.Peer-Reviewed Original ResearchSurgical site infectionLength of stayHospital length of stayWound classColorectal surgeryICU admissionProcedural detailsMulticenter prospective cohort studyTraumatic colorectal injuriesIn-hospital mortality rateAssociated with increased risk of mortalityAssociated with increased riskMortality rateRates of in-hospital mortalityEmergency colorectal surgeryColorectal surgery patientsProspective observational studyIn-Hospital MortalityProspective cohort studyWound closure techniquesAverage length of stayRisk of mortalityStatistically significant differenceVasopressor therapyASA score
2023
Incidence and Risk Factors of Postoperative Complications After Rhinoplasty: A Multi-Institutional ACS-NSQIP Analysis
Knoedler S, Knoedler L, Wu M, Haug V, Broer P, Kauke-Navarro M, Hundeshagen G, Prantl L, Orgill D, Panayi A. Incidence and Risk Factors of Postoperative Complications After Rhinoplasty: A Multi-Institutional ACS-NSQIP Analysis. Journal Of Craniofacial Surgery 2023, 34: 1722-1726. PMID: 37487058, DOI: 10.1097/scs.0000000000009553.Peer-Reviewed Original ResearchConceptsLow serum albuminSurgical adverse eventsAdverse eventsRisk factorsPostoperative outcomesASA scoreComplication rateMale sexSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databasePreoperative nutritional optimizationSuperficial incisional infectionAverage patient ageHigher ASA scoreImprovement Program databasePreoperative laboratory valuesACS-NSQIP AnalysisMulti-institutional analysisSingle-institution reportsIncisional infectionPostoperative complicationsPreoperative albuminComplication occurrenceMost patients
2022
A Retrospective Study of the Role of Perioperative Serum Albumin and the Albumin–Bilirubin Grade in Predicting Post-Liver Transplant Length of Stay
Wang R, Katz D, Lin H, Ouyang Y, Gal J, Suresh S, Labgaa I, Tabrizian P, Demaria S, Zerillo J, Smith N. A Retrospective Study of the Role of Perioperative Serum Albumin and the Albumin–Bilirubin Grade in Predicting Post-Liver Transplant Length of Stay. Seminars In Cardiothoracic And Vascular Anesthesia 2022, 27: 16-24. PMID: 36408595, DOI: 10.1177/10892532221141138.Peer-Reviewed Original ResearchConceptsPreoperative serum albuminIntensive care unit LOSIntensive care unitAlbumin-bilirubin grade 3Albumin-bilirubin gradeAlbumin-bilirubinMELD-NaTransplant recipientsRetrospective studyGrade 3Median postoperative intensive care unitHospital LOSPostoperative intensive care unitPerioperative albumin levelLiver transplant recipientsUnits of plateletsWarm ischemia timeLiver transplant outcomesHospital course dataInstitutional data warehouseLength of stayPost-liverASA scoreElixhauser Comorbidity IndexAlbumin levels
2021
Assessing Risk of Severe Complications after Endoscopic Transnasal Transsphenoidal Surgery: A Comparison of Frailty, American Society of Anesthesiologists, and Comorbidity Scores
Sukys JM, Jiang R, Manes RP. Assessing Risk of Severe Complications after Endoscopic Transnasal Transsphenoidal Surgery: A Comparison of Frailty, American Society of Anesthesiologists, and Comorbidity Scores. Journal Of Neurological Surgery Part B Skull Base 2021, 83: 536-547. PMID: 36097501, PMCID: PMC9462967, DOI: 10.1055/s-0041-1740577.Peer-Reviewed Original ResearchModified Frailty IndexComorbidity Index scoreCDIV complicationsMultivariable regression modelsASA scoreSevere complicationsComorbidity scoreSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseCharlson Comorbidity Index scoreQuality Improvement Program databasePhysiologic statusEndoscopic transnasal transsphenoidal surgeryEndoscopic transnasal transsphenoidal approachICU-level complicationsImprovement Program databaseIntensive care unitTransnasal transsphenoidal approachTransnasal transsphenoidal surgeryMultivariable regression analysisGreater clinical utilityAmerican SocietyComparison of frailtyMass resectionFrailty indexSurvival impact of bowel resection at the time of interval cytoreductive surgery for advanced ovarian cancer
McNamara B, Guerra R, Qin J, Craig A, Chen L, Varma M, Chapman J. Survival impact of bowel resection at the time of interval cytoreductive surgery for advanced ovarian cancer. Gynecologic Oncology Reports 2021, 38: 100870. PMID: 34646929, PMCID: PMC8496105, DOI: 10.1016/j.gore.2021.100870.Peer-Reviewed Original ResearchInterval cytoreductive surgeryProgression-free survivalAdvanced ovarian cancerBowel resectionCytoreductive surgeryOvarian cancerKaplan-Meier survival analysisThree-year survivalIncreased risk of mortalityLonger hospital stayCox proportional hazards modelsLong-term sequelaeRisk of mortalityProportional hazards modelInterval cytoreductionNeoadjuvant cyclesR0 resectionNeoadjuvant chemotherapyConfounding variables of ageASA scoreBlood transfusionHospital staySurvival impactPoor prognosisTumor RegistryMajor Urological Cancer Surgery for Patients is Safe and Surgical Training Should Be Encouraged During the COVID-19 Pandemic: A Multicentre Analysis of 30-day Outcomes
Tan W, Arianayagam R, Khetrapal P, Rowe E, Kearley S, Mahrous A, Pal R, Fowler W, Heer R, Elajnaf M, Douglas-Moore J, Griffiths T, Voss J, Wilby D, Al Kadhi O, Noel J, Vasdev N, McKay A, Ahmad I, Abu-Nayla I, Lamb B, Hill G, Narahari K, Kynaston H, Yousuf A, Kusuma V, Cresswell J, Cooke P, Chakravarti A, Barod R, Bex A, Kelly J, group O. Major Urological Cancer Surgery for Patients is Safe and Surgical Training Should Be Encouraged During the COVID-19 Pandemic: A Multicentre Analysis of 30-day Outcomes. European Urology Open Science 2021, 25: 39-43. PMID: 33458711, PMCID: PMC7796655, DOI: 10.1016/j.euros.2021.01.005.Peer-Reviewed Original ResearchRadical nephrectomyRadical prostatectomyRadical cystectomyPartial nephrectomyHigher American Society of Anesthesiologists (ASA) scoreCounseling patientsGenitourinary (GU) cancersAmerican Society of Anesthesiologists (ASA) scoreAssociated with longer hospital LOSRisk of progressionHigher ASA scoreHospital length of stayUrologic cancer surgeryMinimally invasive approachLonger hospital LOSCase statusLength of stayASA scoreInvasive approachMulticentre analysisCancer operationsUrological cancersCancer surgeryHospital lengthKidney cancer
2020
Predictors of 30‐ and 90‐Day Readmissions After Complex Abdominal Wall Reconstruction With Biological Mesh: A Longitudinal Study of 232 Patients
Gogna S, Latifi R, Choi J, Con J, Prabhakaran K, Smiley A, Anderson P. Predictors of 30‐ and 90‐Day Readmissions After Complex Abdominal Wall Reconstruction With Biological Mesh: A Longitudinal Study of 232 Patients. World Journal Of Surgery 2020, 44: 3720-3728. PMID: 32734453, DOI: 10.1007/s00268-020-05714-9.Peer-Reviewed Original ResearchConceptsComplex abdominal wall reconstructionAbdominal wall reconstructionReadmission groupReadmission ratesHigher surgical site infectionPresence of enterocutaneous fistulaBiologic meshWall reconstructionAssociated with 30-dayConcomitant pelvic surgeryClavien-Dindo complicationsPresence of ascitesAssociated with 90-day readmissionIntestinal resection rateSurgical site infectionIncreased patient morbiditySurgical site occurrencesMultivariate logistic regression modelFischer's exact testPlacement of meshAcellular porcine dermisDatabase patientsPelvic surgeryResection rateASA score
2019
Are Sicker Patients Less Likely to Improve after Ankle Fusion?
Kohring J, Houck J, Flemister S, Ketz J, Oh I, Baumhauer J. Are Sicker Patients Less Likely to Improve after Ankle Fusion? Foot & Ankle Orthopaedics 2019, 4: 2473011419s00252. PMCID: PMC8696802, DOI: 10.1177/2473011419s00252.Peer-Reviewed Original ResearchCharlson Comorbidity IndexPROMIS Physical FunctionPROMIS T-scoresPain interferenceASA scorePhysical functionAnkle arthrodesisT-scoreSicker patientsAnkle fusionDemographic dataHigher Charlson comorbidity indexPre-existing medical conditionsPre-operative functionLow physical functionPost-operative patientsAnkle arthrodesis proceduresComorbidity indexMedical comorbiditiesChart reviewRetrospective reviewRisk stratificationRoutine careAnkle arthritisArthrodesis procedures
2018
What Associations Exist Between Comorbidity Indices and Postoperative Adverse Events After Total Shoulder Arthroplasty?
Fu MC, Ondeck NT, Nwachukwu BU, Garcia GH, Gulotta LV, Verma NN, Grauer JN. What Associations Exist Between Comorbidity Indices and Postoperative Adverse Events After Total Shoulder Arthroplasty? Clinical Orthopaedics And Related Research® 2018, 477: 881-890. PMID: 30614913, PMCID: PMC6437372, DOI: 10.1097/corr.0000000000000624.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramBody mass indexTotal shoulder arthroplastyPostoperative adverse eventsComorbidity indexAdverse eventsHighest AUCShoulder arthroplastyAnthropometric variablesSurgical Quality Improvement ProgramReverse total shoulder arthroplastyDiscriminative abilityCharlson Comorbidity IndexThirty-day outcomesSevere adverse eventsPreoperative risk stratificationModerate discriminative abilityYears of ageQuality Improvement ProgramGood discriminative abilityGreater associationCombination of ageAnesthesiologists classificationASA scoreMedical comorbiditiesSystematic Changes in the National Surgical Quality Improvement Program Database Over the Years Can Affect Comorbidity Indices Such as the Modified Frailty Index and Modified Charlson Comorbidity Index for Lumbar Fusion Studies
Shultz BN, Ottesen TD, Ondeck NT, Bovonratwet P, McLynn RP, Cui JJ, Grauer JN. Systematic Changes in the National Surgical Quality Improvement Program Database Over the Years Can Affect Comorbidity Indices Such as the Modified Frailty Index and Modified Charlson Comorbidity Index for Lumbar Fusion Studies. Spine 2018, 43: 798-804. PMID: 28922281, DOI: 10.1097/brs.0000000000002418.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseCharlson Comorbidity IndexImprovement Program databaseComorbidity indexFrailty indexNSQIP databaseProgram databaseSurgeons National Surgical Quality Improvement Program databaseElective posterior lumbar fusionModified Charlson Comorbidity IndexModified Frailty IndexAdverse postoperative outcomesRetrospective cohort studyMean American SocietyMean ASA scorePosterior lumbar fusionAnesthesiologists (ASA) scoreASA scoreCohort studyPostoperative outcomesLumbar fusionBACKGROUND DATAAmerican CollegePatientsRisk of Surgical Site Infection (SSI) following Colorectal Resection Is Higher in Patients With Disseminated Cancer: An NCCN Member Cohort Study
Kamboj M, Childers T, Sugalski J, Antonelli D, Bingener-Casey J, Cannon J, Cluff K, Davis KA, Dellinger EP, Dowdy SC, Duncan K, Fedderson J, Glasgow R, Hall B, Hirsch M, Hutter M, Kimbro L, Kuvshinoff B, Makary M, Morris M, Nehring S, Ramamoorthy S, Scott R, Sovel M, Strong V, Webster A, Wick E, Aguilar JG, Carlson R, Sepkowitz K. Risk of Surgical Site Infection (SSI) following Colorectal Resection Is Higher in Patients With Disseminated Cancer: An NCCN Member Cohort Study. Infection Control And Hospital Epidemiology 2018, 39: 555-562. PMID: 29553001, PMCID: PMC6707075, DOI: 10.1017/ice.2018.40.Peer-Reviewed Original ResearchConceptsSurgical site infectionDisseminated cancerHealthcare-Associated InfectionsSSI ratesColorectal surgeryASA scoreSite infectionSSI riskColorectal proceduresRate of SSIRisk of SSIDevelopment of SSICommon healthcare-associated infectionsChronic obstructive pulmonary diseaseInfect Control Hosp EpidemiolBackgroundSurgical site infectionCurrent Procedural Technology codesPooled SSI rateNational Comprehensive Cancer Network (NCCN) member institutionsObstructive pulmonary diseaseClinical Modification codesLonger durationPotential risk factorsRisk-adjusted outcomesSurgical quality improvement
2017
ASA physical status assignment by non-anesthesia providers: Do surgeons consistently downgrade the ASA score preoperatively?
Curatolo C, Goldberg A, Maerz D, Lin H, Shah H, Trinh M. ASA physical status assignment by non-anesthesia providers: Do surgeons consistently downgrade the ASA score preoperatively? Journal Of Clinical Anesthesia 2017, 38: 123-128. PMID: 28372650, DOI: 10.1016/j.jclinane.2017.02.002.Peer-Reviewed Original ResearchConceptsNon-anesthesia providersDepartment of AnesthesiologyAnesthesia providersASA-PSClinical vignettesASA scoreHypothetical case vignettesIRB-approved surveyUnder-rateAmerican Society of Anesthesiologists physical statusASA-PS scoreAssociated with increased morbidityMedian ASA scorePoor postoperative outcomesDay of surgeryAnesthesia clinicProvidersCase vignettesCase cancellationsProcedural departmentsSurgery leadPreoperative workupPostoperative outcomesPhysical statusPreoperative testing
2016
Factors Affecting Length of Stay and Complications After Elective Anterior Cervical Discectomy and Fusion
Gruskay JA, Fu M, Basques BA, Bohl DD, Buerba RA, Webb ML, Grauer JN. Factors Affecting Length of Stay and Complications After Elective Anterior Cervical Discectomy and Fusion. Clinical Spine Surgery A Spine Publication 2016, 29: e34-e42. PMID: 24525748, DOI: 10.1097/bsd.0000000000000080.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedCervical VertebraeDatabases, FactualDecompression, SurgicalElective Surgical ProceduresFemaleHumansIntervertebral Disc DisplacementLength of StayMaleOrthopedicsOutcome Assessment, Health CarePostoperative ComplicationsRetrospective StudiesSeverity of Illness IndexSex FactorsUnited StatesConceptsLength of stayElective anterior cervical discectomyExtended LOSAnterior cervical discectomyAge 65 yearsMajor complicationsExtended surgery timeMultivariate analysisPreoperative anemiaPreoperative factorsCervical discectomySurgery timeNational Surgical Quality Improvement Project databaseSurgeons National Surgical Quality Improvement Project databaseAverage LOSOrgan space infectionVenous thrombotic eventsACS-NSQIP databaseFactors Affecting LengthLarge database analysisACDF proceduresASA scorePerioperative factorsPerioperative variablesPostoperative complications
2015
Low intraoperative heart rate volatility is associated with early postoperative mortality in general surgical patients: a retrospective case–control study
Mandel-Portnoy Y, Levin M, Bansilal S, Suprun M, Lin H, Richardson L, Fischer G, Halperin J. Low intraoperative heart rate volatility is associated with early postoperative mortality in general surgical patients: a retrospective case–control study. Journal Of Clinical Monitoring And Computing 2015, 30: 911-918. PMID: 26477036, DOI: 10.1007/s10877-015-9792-6.Peer-Reviewed Original ResearchMeSH KeywordsAdrenergic beta-AntagonistsAgedAged, 80 and overAlgorithmsAnesthesiaAtrial FibrillationCase-Control StudiesDiabetes ComplicationsFemaleHeart FailureHeart RateHumansHypertensionIntraoperative PeriodMaleMiddle AgedModels, StatisticalMultivariate AnalysisPostoperative PeriodPropensity ScoreRegression AnalysisRetrospective StudiesSurgical Procedures, OperativeTime FactorsTreatment OutcomeConceptsHeart rate volatilityBeats per minuteSurgical proceduresPost-procedureAssociated with early postoperative mortalityHeart rateRetrospective case-control studyPreoperative beta blockersEarly postoperative mortalityAssociated with increased mortality riskGeneral surgical patientsGeneral surgical proceduresCase-control studyPropensity score analysisASA scorePostoperative mortalityBeta blockersAtrial fibrillationHeart failureAnesthesia typeSurgical patientsProcedure typeSympathetic activityMatched ControlsPatients
2014
Outcomes in patients undergoing nephrectomy for renal cancer on chronic anticoagulation therapy
Sfakianos J, Hakimi A, Kim P, Zabor E, Mano R, Bernstein M, Karellas M, Russo P. Outcomes in patients undergoing nephrectomy for renal cancer on chronic anticoagulation therapy. European Journal Of Surgical Oncology 2014, 40: 1700-1705. PMID: 24813810, PMCID: PMC4208948, DOI: 10.1016/j.ejso.2014.04.010.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAnticoagulantsAspirinBlood TransfusionFemaleFibrinolytic AgentsHumansIncidenceIntraoperative ComplicationsKidney NeoplasmsLength of StayMaleMiddle AgedNeoplasm StagingNephrectomyPlatelet Aggregation InhibitorsPostoperative ComplicationsRetrospective StudiesRisk FactorsSeverity of Illness IndexTreatment OutcomeUnited StatesConceptsOverall complication rateComplication rateChronic anticoagulationRenal tumorsChronic anticoagulation therapyLength of stayLogistic regression modelsACT patientsAspirin patientsChronic aspirinHigher transfusionAnticoagulation therapyASA scoreAspirin useTransfusion rateAnticoagulation groupSurgical resectionMedian lengthOpen surgeryClinical differencesRenal surgeryGrade 3Renal cancerRetrospective analysisAnticoagulation
1995
Predictors of blood loss during total hip replacement surgery
Grosflam J, Wright E, Cleary P, Katz J. Predictors of blood loss during total hip replacement surgery. Arthritis & Rheumatism 1995, 8: 167-173. PMID: 7654801, DOI: 10.1002/art.1790080309.Peer-Reviewed Original ResearchConceptsTotal blood lossGreater total blood lossTotal hip replacement surgeryBlood lossHip replacement surgeryGeneral anesthesiaReplacement surgeryPrimary total hip replacement surgeryMean total blood lossHigher American SocietyProspective cohort studyMain outcome measuresUnits of bloodAnesthesiologists classTransfusion requirementsASA scorePreoperative characteristicsCohort studyConsecutive patientsPrimary THRUnivariate predictorsClinical variablesInitial hematocritTeaching hospitalOutcome measures
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