2022
Jump in Elective Total Hip and Knee Arthroplasty Numbers at Age 65 Years: Evidence for Moral Hazard?
Rankin KA, Freedman IG, Moore HG, Halperin SJ, Rubin LE, Grauer JN. Jump in Elective Total Hip and Knee Arthroplasty Numbers at Age 65 Years: Evidence for Moral Hazard? JAAOS Global Research And Reviews 2022, 6: e22.00035. PMID: 35315795, PMCID: PMC8942773, DOI: 10.5435/jaaosglobal-d-22-00035.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastyTotal hip arthroplastyAge 65 yearsNational Surgical Quality Improvement Program databaseIncidence of TKAElective total knee arthroplastyQuality Improvement Program databaseLower body mass indexElective total hipPostoperative adverse eventsPreoperative American SocietyImprovement Program databaseLower functional statusBody mass indexNon-Hispanic whitesNumber of proceduresAnesthesiologists classPreoperative characteristicsOlder patientsAdverse eventsTHA patientsMass indexTotal hipFunctional statusKnee arthroplasty
2021
Long-term Corticosteroid Use Independently Correlates With Complications After Posterior Lumbar Spine Surgery.
Kebaish KJ, Galivanche AR, Varthi AG, Ottesen TD, Rubin LE, Grauer JN. Long-term Corticosteroid Use Independently Correlates With Complications After Posterior Lumbar Spine Surgery. Orthopedics 2021, 44: 172-179. PMID: 34039214, DOI: 10.3928/01477447-20210416-01.Peer-Reviewed Original ResearchConceptsLong-term corticosteroid usePosterior lumbar spine surgeryPosterior lumbar surgeryLumbar spine surgeryPerioperative adverse outcomesCorticosteroid useAdverse eventsLumbar surgerySpine surgeryPropensity matchingAdverse outcomesNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseMinor adverse eventsEffect of immunosuppressionImprovement Program databaseLong-term corticosteroidsSerious adverse eventsBody mass indexMultiple surgical specialtiesAnesthesiologists classComparable patientsPerioperative outcomesSurgical factorsMore patientsSpine Surgery HCAHPS Patient Satisfaction Survey Results Inversely Correlate with Survey Response Time
Kebaish KJ, Mercier MR, Duy PQ, Malpani R, Galivanche AR, Grauer JN. Spine Surgery HCAHPS Patient Satisfaction Survey Results Inversely Correlate with Survey Response Time. Spine 2021, 46: 1264-1270. PMID: 34435990, DOI: 10.1097/brs.0000000000003974.Peer-Reviewed Original ResearchConceptsHCAHPS surveySurgery patientsSpinal surgery patientsSpine surgery patientsPatient satisfaction surveyHospital Consumer AssessmentPatient satisfaction metricsAcademic medical centerMultivariate regression analysisLower scoresSurvey response timeAnesthesiologists classPatient demographicsPostoperative outcomesRetrospective reviewFunctional statusSpine surgeryBACKGROUND DATAMedical CenterPatient experienceDay 22Day 43Healthcare providersDay 0Reported satisfaction
2020
Readmissions After Distal Radius Fracture Open Reduction and Internal Fixation: An Analysis of 11,124 Patients
Malpani R, John TS, Mercier MR, Ottesen TD, Nduaguba AM, Webb ML, Grauer JN. Readmissions After Distal Radius Fracture Open Reduction and Internal Fixation: An Analysis of 11,124 Patients. JAAOS Global Research And Reviews 2020, 4: e20.00110. PMID: 33969951, PMCID: PMC7384800, DOI: 10.5435/jaaosglobal-d-20-00110.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseImprovement Program databaseMultivariate analysisAnesthesiologists classOpen reductionInternal fixationRisk factorsProgram databaseMedical reasonsSurgeons National Surgical Quality Improvement Program databasePredictors of readmissionInsulin-dependent diabetesCommon surgical procedureQuality improvement initiativesAmerican SocietyPostoperative readmissionsIndex surgeryInsulin usePerioperative factorsUnplanned readmissionPatient demographicsPerioperative outcomesAdult patientsSurgical reasonsVenous thromboembolism in children undergoing surgery: incidence, risk factors and related adverse events
Mets E, McLynn R, Grauer J. Venous thromboembolism in children undergoing surgery: incidence, risk factors and related adverse events. World Journal Of Pediatric Surgery 2020, 3: e000084. PMID: 36474866, PMCID: PMC9716836, DOI: 10.1136/wjps-2019-000084.Peer-Reviewed Original ResearchPostoperative venous thromboembolismVenous thromboembolismAdverse eventsSurgical factorsRisk factorsNational Surgical Quality Improvement Project Pediatric databaseSubsequent venous thromboembolismPerioperative adverse eventsPostoperative adverse outcomesRelated adverse eventsRetrospective cohort analysisLonger operative timePediatric surgical patientsPediatric surgical populationPreventable adverse eventsNon-elective surgeryAnesthesiologists classSurgical populationVTE eventsSurgical patientsPediatric patientsTrauma patientsOperative timeAdverse outcomesCardiothoracic surgery
2018
Predicting Adverse Outcomes After Total Hip Arthroplasty: A Comparison of Demographics, the American Society of Anesthesiologists class, the Modified Charlson Comorbidity Index, and the Modified Frailty Index.
Ondeck NT, Bohl DD, Bovonratwet P, Anandasivam NS, Cui JJ, McLynn RP, Grauer JN. Predicting Adverse Outcomes After Total Hip Arthroplasty: A Comparison of Demographics, the American Society of Anesthesiologists class, the Modified Charlson Comorbidity Index, and the Modified Frailty Index. Journal Of The American Academy Of Orthopaedic Surgeons 2018, 26: 735-743. PMID: 30130353, DOI: 10.5435/jaaos-d-17-00009.Peer-Reviewed Original ResearchConceptsCharlson Comorbidity IndexTotal hip arthroplastyComorbidity indexAdverse outcomesAdverse eventsFrailty indexAnesthesiologists classTHA patientsHip arthroplastyModified Charlson Comorbidity IndexGeneral health complicationsModified Frailty IndexPerioperative adverse outcomesMinor adverse eventsExtended hospital staySevere adverse eventsHigh-level careComparison of demographicsAmerican SocietyDiscriminative abilityPatients ASAHospital stayPerioperative outcomesGreater discriminative abilityHealth complications
2017
The Rothman Index as a predictor of postdischarge adverse events after elective spine surgery
McLynn RP, Ondeck NT, Cui JJ, Swanson DR, Shultz BN, Bovonratwet P, Grauer JN. The Rothman Index as a predictor of postdischarge adverse events after elective spine surgery. The Spine Journal 2017, 18: 1149-1156. PMID: 29155251, DOI: 10.1016/j.spinee.2017.11.008.Peer-Reviewed Original ResearchConceptsElective spine surgeryPostdischarge adverse eventsMinor adverse eventsMajor adverse eventsAdverse eventsRothman IndexSpine surgeryMedical CenterOverall patient conditionRothman Index scoresHigh-risk patientsRate of readmissionRetrospective cohort studyLarge academic medical centerPostoperative day 30Body mass indexLength of stayAcademic medical centerPresent studyElectronic medical recordsLater scoresAnesthesiologists classHospital lengthPerioperative outcomesCohort studyOf 20,376 Lumbar Discectomies, 2.6% of Patients Readmitted Within 30 Days
Webb ML, Nelson SJ, Save A, Cui J, Lukasiewicz AM, Samuel AM, Diaz-Collado PJ, Bohl DD, Ondeck NT, McLynn RP, Grauer JN. Of 20,376 Lumbar Discectomies, 2.6% of Patients Readmitted Within 30 Days. Spine 2017, 42: 1267-1273. PMID: 27926671, DOI: 10.1097/brs.0000000000002014.Peer-Reviewed Original ResearchConceptsSurgical site infectionLumbar discectomyThromboembolic eventsHospital readmissionSite infectionSurgical variablesCommon reasonSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseCauses of readmissionHigher American SocietyImprovement Program databaseRetrospective cohort studyDay of surgeryQuality-based reimbursementQuality improvement initiativesPearson chi-squareAnesthesiologists classPostoperative painPatient demographicsCohort studyOperative timeAffordable Care ActRisk factors
2016
Most 30-day Readmissions After Anterior Cervical Discectomy and Fusion Are Not Due to Surgical Site-Related Issues
Samuel AM, Fu MC, Toy JO, Lukasiewicz AM, Webb ML, Bohl DD, Basques BA, Albert TJ, Grauer JN. Most 30-day Readmissions After Anterior Cervical Discectomy and Fusion Are Not Due to Surgical Site-Related Issues. Spine 2016, 41: 1801-1807. PMID: 27398892, DOI: 10.1097/brs.0000000000001775.Peer-Reviewed Original ResearchConceptsAnterior cervical discectomyCommon reasonElective ACDFCervical discectomyNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseAdequate postoperative managementHemorrhage/hematomaPreoperative medical optimizationCauses of readmissionCervical spine pathologyDays of dischargeHigher American SocietyImprovement Program databaseSurgical site infectionCareful patient selectionQuality-based reimbursementAnesthesiologists classMedical optimizationMost readmissionsNSQIP databasePostoperative daySite infectionPatient selectionPostoperative management
2015
Risk Factors for Blood Transfusion With Primary Posterior Lumbar Fusion
Basques BA, Anandasivam NS, Webb ML, Samuel AM, Lukasiewicz AM, Bohl DD, Grauer JN. Risk Factors for Blood Transfusion With Primary Posterior Lumbar Fusion. Spine 2015, 40: 1792-1797. PMID: 26165220, DOI: 10.1097/brs.0000000000001047.Peer-Reviewed Original ResearchConceptsPrimary posterior lumbar fusionPosterior lumbar fusionBlood transfusionLumbar fusionPostoperative outcomesRisk factorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseDeep surgical site infectionShort-term postoperative outcomesQuality Improvement Program databasePosterior lumbar fusion surgeryRetrospective cohort studyImprovement Program databaseSurgical site infectionLumbar fusion surgeryAnesthesiologists classPostoperative complicationsPostoperative lengthPreoperative hematocritCohort studyPatient characteristicsPulmonary embolismBlood lossPulmonary diseasePostoperative Length of Stay and 30-Day Readmission After Geriatric Hip Fracture
Basques BA, Bohl DD, Golinvaux NS, Leslie MP, Baumgaertner MR, Grauer JN. Postoperative Length of Stay and 30-Day Readmission After Geriatric Hip Fracture. Journal Of Orthopaedic Trauma 2015, 29: e115-e120. PMID: 25210835, DOI: 10.1097/bot.0000000000000222.Peer-Reviewed Original ResearchConceptsGeriatric hip fracturesBody mass indexPostoperative LOSHip fractureRisk factorsPostoperative lengthMass indexSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseMultivariate analysisQuality Improvement Program databaseAverage postoperative LOSDependent functional statusNon-general anesthesiaPrognostic Level IIHip fracture surgeryPercent of patientsHip fracture patientsHip fracture repairImprovement Program databaseSignificant risk factorsAnesthesiologists classAnesthesia typeFracture patientsPostoperative dayAdverse Events, Length of Stay, and Readmission After Surgery for Tibial Plateau Fractures
Basques BA, Webb ML, Bohl DD, Golinvaux NS, Grauer JN. Adverse Events, Length of Stay, and Readmission After Surgery for Tibial Plateau Fractures. Journal Of Orthopaedic Trauma 2015, 29: e121-e126. PMID: 25162975, DOI: 10.1097/bot.0000000000000231.Peer-Reviewed Original ResearchConceptsSevere adverse eventsTibial plateau fracturesASA classPlateau fracturesInfectious complicationsAdverse eventsPulmonary diseaseBicondylar fracturesExtended LOSMale sexSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseTibial plateau fracture patientsQuality Improvement Program databaseDependent functional statusPrognostic Level IIPercent of patientsImprovement Program databaseShort-term outcomesLength of stayAnesthesiologists classFracture patientsPatient characteristicsOpen reductionOperative time
2014
Using the ACS-NSQIP to Identify Factors Affecting Hospital Length of Stay After Elective Posterior Lumbar Fusion
Basques BA, Fu MC, Buerba RA, Bohl DD, Golinvaux NS, Grauer JN. Using the ACS-NSQIP to Identify Factors Affecting Hospital Length of Stay After Elective Posterior Lumbar Fusion. Spine 2014, 39: 497-502. PMID: 24384669, PMCID: PMC3961012, DOI: 10.1097/brs.0000000000000184.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedBlood TransfusionBody Mass IndexChi-Square DistributionComorbidityDecision Support TechniquesElective Surgical ProceduresFemaleHumansLength of StayLinear ModelsLumbar VertebraeMaleMiddle AgedMultivariate AnalysisObesity, MorbidOperative TimePatient SelectionRetrospective StudiesRisk AssessmentRisk FactorsSpinal DiseasesSpinal FusionTime FactorsTreatment OutcomeUnited StatesConceptsElective posterior lumbar fusionPosterior lumbar fusionNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseQuality Improvement Program databaseImprovement Program databaseLumbar fusionHospital lengthIntraoperative variablesExtended LOSProgram databaseAmerican CollegePosterior lumbar spine fusionPredictors of LOSRetrospective cohort studyBody mass indexLumbar spine fusionCommon surgical procedureImportant clinical variablesInpatient hospital costsLumbar spine pathologyAnesthesiologists classIntraoperative transfusionMorbid obesityCohort study