2024
High inpatient-opioid consumption predicts extended length of hospital stay in patients undergoing spinal fusion for adolescent idiopathic scoliosis
Sandhu M, Craft S, Reeves B, Sayeed S, Hengartner A, Tuason D, DiLuna M, Elsamadicy A. High inpatient-opioid consumption predicts extended length of hospital stay in patients undergoing spinal fusion for adolescent idiopathic scoliosis. Spine Deformity 2024, 1-11. PMID: 39320702, DOI: 10.1007/s43390-024-00960-6.Peer-Reviewed Original ResearchLength of hospital stayPosterior spinal fusionAdolescent idiopathic scoliosisProportion of patientsAdverse eventsCost of admissionHospital stayIdiopathic scoliosisSpinal fusionMethodsA retrospective cohort studyLogistic multivariate regression analysisIncreased 30-day readmission ratePost-operative adverse eventsExtended length of hospital stayHospital length of stayReadmission ratesPost-operative analgesiaRetrospective cohort studyPremier Healthcare DatabaseHigh cohortPerioperative adverse eventsMultivariate regression analysisIncreased cost of admissionLength of staySpine surgeryImpact of a quality improvement initiative and monthly multidisciplinary meetings on outcomes after posterior spinal fusion for adolescent idiopathic scoliosis
Hengartner A, Elsamadicy A, Jonnalagadda A, Craft S, Sherman J, Reeves B, Fernandez T, Hobbs J, Koo A, DiLuna M, Tuason D. Impact of a quality improvement initiative and monthly multidisciplinary meetings on outcomes after posterior spinal fusion for adolescent idiopathic scoliosis. Spine Deformity 2024, 12: 1043-1051. PMID: 38493442, DOI: 10.1007/s43390-024-00859-2.Peer-Reviewed Original ResearchPosterior spinal instrumented fusionPre-QI cohortAdolescent idiopathic scoliosisMultidisciplinary team meetingsProportion of patientsLength of stayPre-QITeam meetingsPost-QIPostoperative complicationsIdiopathic scoliosisQuality improvementQuality improvement initiativesPostoperative ambulationBenefits of enhanced recoveryMethodsThe medical recordsPain control protocolIntraoperative drain placementPosterior spinal fusionSpinal instrumented fusionQI implementationImprovement initiativesPatient careAmbulation statusDrain placement
2023
Incisional Negative Pressure Wound Therapy Does Not Affect Deep Surgical Site Infection Rates in Neuromuscular Scoliosis Surgery.
Mascarenhas D, Nasra M, Tawfik A, Ghazi J, Ishmael T, Therrien P, Bowe J, Tuason D. Incisional Negative Pressure Wound Therapy Does Not Affect Deep Surgical Site Infection Rates in Neuromuscular Scoliosis Surgery. Orthopedics 2023, 46: 373-378. PMID: 37018618, DOI: 10.3928/01477447-20230329-03.Peer-Reviewed Original ResearchConceptsIncisional negative pressure wound therapyPosterior spinal instrumented fusionDeep surgical site infectionSurgical site infectionNegative pressure wound therapyNeuromuscular scoliosisPressure wound therapyWound therapyDeep surgical site infection rateSurgical site infection rateAnterior spinal releaseDeep SSI ratesNeuromuscular scoliosis surgeryStandard postoperative dressingsCohort of patientsSpinal instrumented fusionLength of stayTransfusion requirementsDevastating complicationSSI ratesBlood lossConsecutive patientsInstrumented fusionSite infectionSpinal release
2021
A Two-Surgeon Approach Improves Performance for Young Surgeons in Adolescent Idiopathic Scoliosis.
Bassett W, Caruso C, Adolfsen S, McPartland T, Bowe JA, Tuason D. A Two-Surgeon Approach Improves Performance for Young Surgeons in Adolescent Idiopathic Scoliosis. Orthopedics 2021, 44: e347-e352. PMID: 34039196, DOI: 10.3928/01477447-20210414-05.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisPercent curve correctionBlood lossCurve correctionPrimary surgeonSurgeon groupIdiopathic scoliosisExperienced surgeon groupLength of surgerySurgical blood lossLength of staySignificant shorter lengthSignificant differencesTwo-surgeon approachOperative timePrimary diagnosisSurgeon experienceIS groupExperienced surgeonsSurgeryInexperienced surgeonsLenke classificationSurgeonsSurgical metricsStay
2020
Use of intraoperative navigation for posterior spinal fusion in adolescent idiopathic scoliosis surgery is safe to consider
Moore HG, Samuel AM, Burroughs PJ, Pathak N, Tuason DA, Grauer JN. Use of intraoperative navigation for posterior spinal fusion in adolescent idiopathic scoliosis surgery is safe to consider. Spine Deformity 2020, 9: 403-410. PMID: 33025389, DOI: 10.1007/s43390-020-00218-x.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisNon-navigated patientsPerioperative adverse outcomesPosterior spinal fusionUse of navigationPosterior fusionAdverse outcomesSpinal fusionShort-term adverse eventsPost-operative hospital stayAdolescent idiopathic scoliosis surgeryStereotactic navigationNon-navigated casesNSQIP-Pediatric databaseThirty-day outcomesYear of procedureLonger operative timeIdiopathic scoliosis surgeryLength of stayIntraoperative navigationNational pediatric databaseHospital stayPerioperative outcomesAdverse eventsPediatric patients
2019
Retrospective Review of the Impact of a Rapid Recovery Pathway on Postoperative Narcotic Consumption, Pain Scores, and Length of Stay in Adolescent Idiopathic Scoliosis Surgery
Tuason D, Shah T, Mennona S, Harrison T. Retrospective Review of the Impact of a Rapid Recovery Pathway on Postoperative Narcotic Consumption, Pain Scores, and Length of Stay in Adolescent Idiopathic Scoliosis Surgery. Pediatrics 2019, 144: 739-739. DOI: 10.1542/peds.144.2ma8.739.Peer-Reviewed Original Research