Independent Association Between Preoperative Cognitive Status and Discharge Location After Surgery: A Strategy to Reduce Resource Use After Surgery for Deformity
Adogwa O, Elsamadicy AA, Sergesketter A, Vuong VD, Moreno J, Cheng J, Karikari IO, Bagley CA. Independent Association Between Preoperative Cognitive Status and Discharge Location After Surgery: A Strategy to Reduce Resource Use After Surgery for Deformity. World Neurosurgery 2017, 110: e67-e72. PMID: 29081391, DOI: 10.1016/j.wneu.2017.10.081.Peer-Reviewed Original ResearchConceptsNormal cognitive statusCognitive impairmentCognitive statusOlder patientsSLUMS scorePreoperative cognitive impairmentElective spinal surgeryPreoperative cognitive statusStandard deviation ageAdult degenerative scoliosisBaseline cognitive impairmentSevere cognitive impairmentMental status testsMild cognitive impairmentPostoperative lengthPreoperative scoresDeviation ageGeriatric patientsDegenerative scoliosisIndependent associationSpinal surgeryDeformity correctionPatientsSurgeryCognitive screeningAssociation between baseline cognitive impairment and postoperative delirium in elderly patients undergoing surgery for adult spinal deformity.
Adogwa O, Elsamadicy AA, Vuong VD, Fialkoff J, Cheng J, Karikari IO, Bagley CA. Association between baseline cognitive impairment and postoperative delirium in elderly patients undergoing surgery for adult spinal deformity. Journal Of Neurosurgery Spine 2017, 28: 103-108. PMID: 29125432, DOI: 10.3171/2017.5.spine161244.Peer-Reviewed Original ResearchConceptsConfusion Assessment MethodBaseline cognitive impairmentPreoperative cognitive impairmentPostoperative deliriumElderly patientsCognitive impairmentDegenerative scoliosisRisk factorsSLUMS scoreElderly patients 65 yearsConclusion Cognitive impairmentIncidence of deliriumPatients 65 yearsElective spinal surgeryMonths of dischargeHospital readmission ratesCognitive impairment assessmentAdult spinal deformityAdult degenerative scoliosisSevere cognitive impairmentMental status examinationMild cognitive impairmentSaint Louis University Mental Status ExaminationPreoperative cognitionHospital courseEarly Ambulation Decreases Length of Hospital Stay, Perioperative Complications and Improves Functional Outcomes in Elderly Patients Undergoing Surgery for Correction of Adult Degenerative Scoliosis
Adogwa O, Elsamadicy AA, Fialkoff J, Cheng J, Karikari IO, Bagley C. Early Ambulation Decreases Length of Hospital Stay, Perioperative Complications and Improves Functional Outcomes in Elderly Patients Undergoing Surgery for Correction of Adult Degenerative Scoliosis. Spine 2017, 42: 1420-1425. PMID: 28902101, DOI: 10.1097/brs.0000000000002189.Peer-Reviewed Original ResearchConceptsAdult degenerative scoliosisElderly patientsPerioperative complicationsHospital stayUnplanned readmissionReadmission ratesComplication rateInhospital stayDegenerative scoliosisFunctional outcomeDays of immobilityHospital-associated complicationsDays of dischargeElective spinal surgeryHours of surgeryInferior functional outcomesMajority of patientsHigh complication rateEarly ambulationNonsurgical complicationsAmbispective studyBaseline characteristicsCohort reviewDecrease lengthEarly mobilizationThe prevalence of undiagnosed pre-surgical cognitive impairment and its post-surgical clinical impact in elderly patients undergoing surgery for adult spinal deformity
Adogwa O, Elsamadicy AA, Lydon E, Vuong VD, Cheng J, Karikari IO, Bagley CA. The prevalence of undiagnosed pre-surgical cognitive impairment and its post-surgical clinical impact in elderly patients undergoing surgery for adult spinal deformity. Journal Of Spine Surgery 2017, 3: 358-363. PMID: 29057343, PMCID: PMC5637212, DOI: 10.21037/jss.2017.07.01.Peer-Reviewed Original ResearchElderly patientsAdult degenerative scoliosisCognitive impairmentDischarge institutionalizationHospital stayReadmission ratesDegenerative scoliosisSLUMS scorePoor post-operative outcomesPre-existing cognitive impairmentElective spine surgeryMore postoperative complicationsElective spinal surgeryPost-operative deliriumHospital readmission ratesPost-operative outcomesPre-operative evaluationAdult spinal deformityBaseline cognitive impairmentSevere cognitive impairmentMental status testsNeuro-cognitive impairmentHigh rateMild cognitive impairmentPreoperative cognition