2021
Spinal fractures and/or spinal cord injuries are associated with orthopedic and internal organ injuries in proximity to the spinal injury
Anandasivam NS, Ondeck NT, Bagi PS, Galivanche AR, Samuel AM, Bohl DD, Grauer JN. Spinal fractures and/or spinal cord injuries are associated with orthopedic and internal organ injuries in proximity to the spinal injury. North American Spine Society Journal (NASSJ) 2021, 6: 100057. PMID: 35141623, PMCID: PMC8820026, DOI: 10.1016/j.xnsj.2021.100057.Peer-Reviewed Original ResearchSpine injury patientsNational Trauma Data BankThoracic spine injuriesMechanism of injuryInternal organ injuriesSpinal cord injurySpine injuriesMotor vehicle accidentsLung injuryIntracranial injuryInjury patientsSpinal fracturesCord injurySpinal injuryRib injuriesComorbidity burdenOrgan injuryInjury severityCervical spine injury patientsAcute spinal injuryLumbar spinal fracturesPredominance of injuriesNumber of comorbiditiesCervical spine injuryTrauma Data Bank
2019
Demographics, mechanism of injury, and associated injuries of 25,615 patients with talus fractures in the National Trauma Data Bank
Anandasivam NS, Bagi P, Ondeck NT, Galivanche AR, Kuzomunhu LS, Samuel AM, Bohl DD, Grauer JN. Demographics, mechanism of injury, and associated injuries of 25,615 patients with talus fractures in the National Trauma Data Bank. Journal Of Clinical Orthopaedics And Trauma 2019, 11: 426-431. PMID: 32405203, PMCID: PMC7211819, DOI: 10.1016/j.jcot.2019.06.007.Peer-Reviewed Original ResearchNational Trauma Data BankCharlson Comorbidity IndexInjury Severity ScoreMechanism of injuryMotor vehicle accidentsTalus fracturesTrauma Data BankCalcaneus fracturesOrgan injuryModified Charlson Comorbidity IndexEpidemiology of fracturesInternal organ injuriesLower extremity fracturesLumbar spine fracturesNon-orthopedic injuriesThoracic organ injuryYears of ageComorbidity indexAdult patientsAssociated injuriesFracture patientsAnkle fracturesBony injuriesExtremity fracturesIntracranial injury
2018
Incidence of and Risk Factors for Knee Collateral Ligament Injuries With Proximal Tibia Fractures: A Study of 32,441 Patients.
Samuel AM, Diaz-Collado PJ, Szolomayer LK, Wiznia DH, Chan WW, Lukasiewicz AM, Basques BA, Bohl DD, Grauer JN. Incidence of and Risk Factors for Knee Collateral Ligament Injuries With Proximal Tibia Fractures: A Study of 32,441 Patients. Orthopedics 2018, 41: e268-e276. PMID: 29451942, DOI: 10.3928/01477447-20180213-03.Peer-Reviewed Original ResearchConceptsCollateral ligament injuriesProximal tibia fracturesLigament injuryTibia fracturesRisk factorsCollateral ligamentLateral collateral ligament injuryMedial collateral ligament injuryNational Trauma Data BankInpatient adverse eventsLonger hospital stayInjury Severity ScoreDistal femur fracturesChronic knee instabilityTrauma Data BankKnee collateral ligamentsHospital stayInpatient outcomesAdverse eventsSimultaneous injuryFemur fracturesSeverity scoreKnee instabilityHigher oddsMultivariate analysis
2017
Incidence of and Risk Factors for Inpatient Stroke After Hip Fractures in the Elderly.
Samuel AM, Diaz-Collado PJ, Szolomayer LK, Nelson SJ, Webb ML, Lukasiewicz AM, Grauer JN. Incidence of and Risk Factors for Inpatient Stroke After Hip Fractures in the Elderly. Orthopedics 2017, 41: e27-e32. PMID: 29136256, DOI: 10.3928/01477447-20171106-04.Peer-Reviewed Original ResearchConceptsInpatient strokeSerious adverse eventsHip fractureAdverse eventsRisk factorsNational Trauma Data BankIsolated hip fractureHigh-risk patientsAssociation of strokeSystolic blood pressureCoronary artery diseaseTrauma Data BankRisk of mortalityIdentifies risk factorsInpatient complicationsPrior strokeInpatient outcomesElderly patientsArtery diseaseBlood pressureRetrospective reviewInclusion criteriaPatientsMultivariate analysisVigilant careTibial shaft fracture: A large-scale study defining the injured population and associated injuries
Anandasivam NS, Russo GS, Swallow MS, Basques BA, Samuel AM, Ondeck NT, Chung SH, Fischer JM, Bohl DD, Grauer JN. Tibial shaft fracture: A large-scale study defining the injured population and associated injuries. Journal Of Clinical Orthopaedics And Trauma 2017, 8: 225-231. PMID: 28951639, PMCID: PMC5605888, DOI: 10.1016/j.jcot.2017.07.012.Peer-Reviewed Original ResearchNational Trauma Data BankCharlson Comorbidity IndexInjury Severity ScoreTibial shaft fracturesMechanism of injuryShaft fracturesModified Charlson Comorbidity IndexLarge-scale studiesPredictors of mortalityTrauma Data BankMultivariate logistic regressionYears of ageComorbidity indexSeverity scoreInjured populationInjuryLogistic regressionPatientsFirst large-scale studyFracturesPopulationMortalityInjuries Associated with Subdural Hematoma: A Study of the National Trauma Data Bank.
Anandasivam NS, Russo GS, Samuel AM, Grant R, Bohl DD, Grauer JN. Injuries Associated with Subdural Hematoma: A Study of the National Trauma Data Bank. Connecticut Medicine 2017, 81: 215-222. PMID: 29714406.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankTrauma Data BankSubdural hematomaSpine fracturesSkull fractureHigh incidenceFall mechanismUpper extremity fracturesImportant clinical pointsSDH patientsExtremity fracturesOrgan injurySpinal injuryTraumatic mechanismSternum injuriesPatientsInjuryClinical pointHematomaMortalityIncidenceFracturesRiskAnalysis of Bony and Internal Organ Injuries Associated With 26,357 Adult Femoral Shaft Fractures and Their Impact on Mortality.
Anandasivam NS, Russo GS, Fischer JM, Samuel AM, Ondeck NT, Swallow MS, Chung SH, Bohl DD, Grauer JN. Analysis of Bony and Internal Organ Injuries Associated With 26,357 Adult Femoral Shaft Fractures and Their Impact on Mortality. Orthopedics 2017, 40: e506-e512. PMID: 28358976, DOI: 10.3928/01477447-20170327-01.Peer-Reviewed Original ResearchConceptsFemoral shaft fracturesMechanism of injuryCharlson Comorbidity IndexInjury Severity ScoreCommon MOIInternal organ injuriesShaft fracturesOrgan injuryAge groupsNational Trauma Data BankAdult femoral shaft fracturesRibs/sternumPredictors of mortalityAbdominal organ injuriesTrauma Data BankMultivariate logistic regressionSpectrum of injuriesMotor vehicle accidentsThoracic organ injuryOlder age groupsTibia/fibulaComorbidity burdenComorbidity indexBony injuriesTrauma patients
2016
Demographics, Mechanisms of Injury, and Concurrent Injuries Associated With Calcaneus Fractures: A Study of 14 516 Patients in the American College of Surgeons National Trauma Data Bank
Bohl DD, Ondeck NT, Samuel AM, Diaz-Collado PJ, Nelson SJ, Basques BA, Leslie MP, Grauer JN. Demographics, Mechanisms of Injury, and Concurrent Injuries Associated With Calcaneus Fractures: A Study of 14 516 Patients in the American College of Surgeons National Trauma Data Bank. Foot & Ankle Specialist 2016, 10: 402-410. PMID: 27895200, DOI: 10.1177/1938640016679703.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankSurgeons National Trauma Data BankTrauma Data BankCalcaneus fracturesConcurrent injuriesNonorthopaedic injuriesSpine fracturesAmerican CollegeMechanism of injuryLower extremity fracturesLumbar spine fracturesCommon comorbiditiesFracture patientsExtremity fracturesOrgan injuryRetrospective reviewNational sampleHead injuryHigh incidenceInjury mechanismPatientsLevel IIIInjuryHospital departmentsStrong associationInjury patterns and risk factors for orthopaedic trauma from snowboarding and skiing: a national perspective
Basques BA, Gardner EC, Samuel AM, Webb ML, Lukasiewicz AM, Bohl DD, Grauer JN. Injury patterns and risk factors for orthopaedic trauma from snowboarding and skiing: a national perspective. Knee Surgery, Sports Traumatology, Arthroscopy 2016, 26: 1916-1926. PMID: 27177641, DOI: 10.1007/s00167-016-4137-7.Peer-Reviewed Original ResearchConceptsPositive blood testExtremity fracturesBlood testsInjury patternsRisk factorsInjury severityHelmet useAge 18National Trauma Data BankPrognostic Level IIIInjury Severity ScoreUpper extremity fracturesDistal radius fracturesLower extremity fracturesTrauma Data BankMultivariate logistic regressionSignificant orthopaedic injuriesPositive drug testsIllegal substancesPopular winter sportsPatient demographicsMale sexRadius fracturesCommon injuriesEmergency departmentDo we really know our patient population in database research? A comparison of the femoral shaft fracture patient populations in three commonly used national databases.
Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Basques BA, Varthi AG, Leslie MP, Grauer JN. Do we really know our patient population in database research? A comparison of the femoral shaft fracture patient populations in three commonly used national databases. The Bone & Joint Journal 2016, 98-B: 425-32. PMID: 26920971, DOI: 10.1302/0301-620x.98b3.36285.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramCharleston Comorbidity IndexNational Trauma Data BankNationwide Inpatient SampleOrthopaedic trauma researchPatient populationNational databaseLarge national clinical databaseSurgical Quality Improvement ProgramOrthopaedic trauma populationPopulation of patientsFemoral shaft fracturesNational Clinical DatabaseTrauma Data BankQuality Improvement ProgramTrauma researchMore comorbiditiesComorbidity indexShaft fracturesTrauma populationDistribution of ageInpatient SampleInclusion criteriaSD 1.9SD 2.3Variation in Resource Utilization for Patients With Hip and Pelvic Fractures Despite Equal Medicare Reimbursement
Samuel AM, Webb ML, Lukasiewicz AM, Basques BA, Bohl DD, Varthi AG, Lane JM, Grauer JN. Variation in Resource Utilization for Patients With Hip and Pelvic Fractures Despite Equal Medicare Reimbursement. Clinical Orthopaedics And Related Research® 2016, 474: 1486-1494. PMID: 26913512, PMCID: PMC4868172, DOI: 10.1007/s11999-016-4765-8.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overDiagnosis-Related GroupsFee-for-Service PlansFemaleFracture FixationHealth ResourcesHip FracturesHospital CostsHumansIntensive Care UnitsLength of StayMaleMedicarePatient Care BundlesPelvic BonesProcess Assessment, Health CareRegistriesRespiration, ArtificialRetrospective StudiesTime FactorsTrauma CentersTreatment OutcomeUnited StatesConceptsIntensive care unitDiagnosis-related groupsPelvic fracturesHip fractureInpatient lengthAcetabulum fracturesVentilator timeICU lengthHospital factorsVentilation timePelvis fracturesIntensive care unit stayNational Trauma Data BankTotal inpatient lengthTrue hospital costsMechanical ventilation timeInpatient resource utilizationHigh-energy traumaTrauma Data BankIncidence of fracturesNonoperative fracturesUnit stayTrauma patientsCare unitPelvic traumaSurgical Treatment of Femoral Neck Fractures After 24 Hours in Patients Between the Ages of 18 and 49 Is Associated With Poor Inpatient Outcomes
Samuel AM, Russo GS, Lukasiewicz AM, Webb ML, Bohl DD, Basques BA, Grauer JN. Surgical Treatment of Femoral Neck Fractures After 24 Hours in Patients Between the Ages of 18 and 49 Is Associated With Poor Inpatient Outcomes. Journal Of Orthopaedic Trauma 2016, 30: 89-94. PMID: 26429407, DOI: 10.1097/bot.0000000000000456.Peer-Reviewed Original ResearchConceptsInpatient adverse eventsCharlson Comorbidity IndexMinor adverse eventsSerious adverse eventsAdverse eventsFemoral neck fracturesDischarge dispositionComorbidity indexSurgical treatmentNeck fracturesSurgical interventionLevel I trauma centerNational Trauma Data BankPoor inpatient outcomesPrognostic Level IIRetrospective cohort studyHours of admissionI trauma centerHours of presentationLong-term outcomesTrauma Data BankYears of ageNonelderly patientsInpatient outcomesUnderwent surgery
2015
ICD-9 diagnosis codes have poor sensitivity for identification of preexisting comorbidities in traumatic fracture patients
Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Basques BA, Davis KA, Grauer JN. ICD-9 diagnosis codes have poor sensitivity for identification of preexisting comorbidities in traumatic fracture patients. Journal Of Trauma And Acute Care Surgery 2015, 79: 622-630. PMID: 26402537, DOI: 10.1097/ta.0000000000000805.Peer-Reviewed Original ResearchConceptsICD-9 diagnosis codesNational Trauma Data BankInjury Severity ScoreProximal tibia fracturesBilling codesTibia fracturesDiagnosis codesOdds ratioSurgeons National Trauma Data BankICD-9 billing codesTraumatic fracture patientsPrevious myocardial infarctionTrauma Data BankICD-9 diagnosisMultivariate logistic regressionLarge national databaseICD-9 codingAdministrative billing codesFracture patientsIndividual comorbiditiesPatient comorbiditiesComorbidity diagnosesProspective studyTrauma populationMyocardial infarction