2020
Scoring System to Triage Patients for Spine Surgery in the Setting of Limited Resources
Sciubba D, Ehresman J, Pennington Z, Lubelski D, Feghali J, Bydon A, Chou D, Elder B, Elsamadicy A, Goodwin M, Goodwin C, Harrop J, Huq S, Klineberg E, Laufer I, Lo S, Neumaan B, Passias P, Protopsaltis T, Shin J, Theodore N, Witham T, Benzel E. Scoring System to Triage Patients for Spine Surgery in the Setting of Limited Resources. Neurosurgery 2020, 67: nyaa447_684. PMCID: PMC7717415, DOI: 10.1093/neuros/nyaa447_684.Peer-Reviewed Original ResearchScoring systemSpine surgerySurgical casesElective spine surgery patientsFellowship-trained spine surgeonsElective spine surgeryPatient medical comorbiditiesSpine surgery patientsPost-operative complicationsSpine surgery casesLocal disease burdenFinal scoring systemAcademic medical centerElective surgical casesResource-limited settingsWeb-based calculatorHospital courseMedical comorbiditiesDischarge dispositionNeurological statusSurgery patientsDisease burdenSurgery casesMedical CenterSpine surgeons
2017
Post-operative delirium is an independent predictor of 30-day hospital readmission after spine surgery in the elderly (≥65years old): A study of 453 consecutive elderly spine surgery patients
Elsamadicy AA, Wang TY, Back AG, Lydon E, Reddy GB, Karikari IO, Gottfried ON. Post-operative delirium is an independent predictor of 30-day hospital readmission after spine surgery in the elderly (≥65years old): A study of 453 consecutive elderly spine surgery patients. Journal Of Clinical Neuroscience 2017, 41: 128-131. PMID: 28262398, DOI: 10.1016/j.jocn.2017.02.040.Peer-Reviewed Original ResearchConceptsPost-operative deliriumIndependent risk factorSpine surgeryElderly patientsReadmission ratesHospital readmissionRisk factorsDelirium patientsComplication rateIndependent predictorsPost-operative complication rateSuperficial surgical site infectionMultivariate logistic regression analysisDuke University Medical CenterConsecutive elderly patientsSpine surgery patientsSurgical site infectionLogistic regression analysisUniversity Medical CenterLower healthcare costsDSM-V criteriaHospital stayUnplanned readmissionPatient demographicsSurgery patientsImpact of Affective Disorders on Recovery of Baseline Function in Patients Undergoing Spinal Surgery: A Single Institution Study of 275 Patients
Nayar G, Elsamadicy AA, Zakare-Fagbamila R, Farquhar J, Gottfried ON. Impact of Affective Disorders on Recovery of Baseline Function in Patients Undergoing Spinal Surgery: A Single Institution Study of 275 Patients. World Neurosurgery 2017, 100: 69-73. PMID: 28057592, DOI: 10.1016/j.wneu.2016.12.098.Peer-Reviewed Original ResearchMeSH KeywordsComorbidityDecompression, SurgicalElective Surgical ProceduresFemaleHumansLength of StayMaleMiddle AgedMood DisordersMultivariate AnalysisPatient ReadmissionPatient Reported Outcome MeasuresPostoperative ComplicationsProspective StudiesRecovery of FunctionRegression AnalysisRetrospective StudiesRisk FactorsSelf ReportSpineConceptsDecompressive spinal surgeryIndependent risk factorSpinal surgeryAffective disordersRisk factorsOutcome measuresBaseline functionPatient-reported outcome measuresPoor baseline qualitySpinal surgery patientsWorse postoperative outcomesSingle-institution studyMain outcome measuresSelf-reported recoveryRegression analysisMultivariate regression analysisMajor academic institutionBaseline demographicsPerioperative variablesPostoperative outcomesSurgery patientsMore smokersSurgical outcomesPostoperative expectationsControl cohort
2016
Impact of Intraoperative Steroids on Postoperative Infection Rates and Length of Hospital Stay: A Study of 1200 Spine Surgery Patients
Elsamadicy AA, Wang TY, Back AG, Sergesketter A, Warwick H, Karikari IO, Gottfried ON. Impact of Intraoperative Steroids on Postoperative Infection Rates and Length of Hospital Stay: A Study of 1200 Spine Surgery Patients. World Neurosurgery 2016, 96: 429-433. PMID: 27667578, DOI: 10.1016/j.wneu.2016.09.057.Peer-Reviewed Original ResearchConceptsIntraoperative steroidsHospital staySpine surgeryInfection ratePostoperative complicationsPatient demographicsUse cohortSteroid useLong-term steroid useSuperficial surgical site infectionDuke University Medical CenterIntraoperative steroid useSpine surgery patientsPostoperative complication ratePostoperative infection rateShorter hospital staySurgical site infectionUrinary tract infectionUniversity Medical CenterLength of operationLower ratesLow infection rateAdult patientsComplication rateSurgery patientsDrivers of 30-Day Readmission in Elderly Patients (>65 Years Old) After Spine Surgery: An Analysis of 500 Consecutive Spine Surgery Patients
Adogwa O, Elsamadicy AA, Han J, Karikari IO, Cheng J, Bagley CA. Drivers of 30-Day Readmission in Elderly Patients (>65 Years Old) After Spine Surgery: An Analysis of 500 Consecutive Spine Surgery Patients. World Neurosurgery 2016, 97: 518-522. PMID: 27474458, DOI: 10.1016/j.wneu.2016.07.032.Peer-Reviewed Original ResearchConceptsElective spine surgerySpine surgeryUnplanned readmissionEarly readmissionElderly patientsHospital stayConsecutive spine surgery patientsCauses of readmissionSpine surgery patientsDays of dischargeMajority of patientsCommon primary reasonsSkilled nursing facilitiesQuality of carePaucity of dataMajor academic hospitalNonsurgical complicationsSD ageSurgery patientsEmergency departmentMental statusAcademic hospitalCommon causeReadmissionNursing facilities