2023
Wide Awake Trigger Finger Releases Performed in the United States
Mookerjee V, Kammien A, Prsic A, Grauer J, Colen D. Wide Awake Trigger Finger Releases Performed in the United States. Annals Of Plastic Surgery 2023, 91: 220-224. PMID: 37489963, DOI: 10.1097/sap.0000000000003646.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAnesthesia, LocalCost SavingsEmergency Service, HospitalHumansNarcoticsSurgical Wound InfectionTrigger Finger DisorderUnited StatesConceptsTrigger finger releaseSurgical site infectionNarcotic prescriptionsED visitsOffice procedureFinger releaseOperating roomPostoperative ED visitsEmergency department visitsDay of surgeryElixhauser Comorbidity IndexPhysician reimbursementOutpatient operating roomComorbidity indexPatient characteristicsPostoperative recordsSite infectionDepartment visitsInpatient surgeryHand surgeryExclusion criteriaSurgeryTotal reimbursementVisitsLower ratesTiming of Adverse Events Within 90 Days of Hip Fracture Surgery: A Database Study
Kammien A, Ratnasamy P, Caruana D, Grauer J. Timing of Adverse Events Within 90 Days of Hip Fracture Surgery: A Database Study. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 31: 245-251. PMID: 36821080, DOI: 10.5435/jaaos-d-22-00368.Peer-Reviewed Original ResearchMeSH KeywordsHip FracturesHumansIncidenceMalePostoperative ComplicationsRetrospective StudiesSurgical Wound InfectionConceptsHip fracture surgeryTime of diagnosisAdverse eventsFracture surgeryDay 31Hip fracture surgery patientsElixhauser comorbidity index scoreAcute kidney injuryCommon adverse eventsComorbidity Index scorePatients 65 yearsPostoperative day 0Surgical site infectionUrinary tract infectionPostoperative day 30Specific adverse eventsKidney injuryCardiac eventsSurgery patientsTract infectionsVenous thromboembolismSite infectionPatient counselingNotable morbidityDatabase studyPostoperative Antibiotics Following Reduction Mammaplasty Does Not Reduce Rates of Surgical Site Infection
Mookerjee V, Kammien A, Prassinos A, Grauer J, Butler P. Postoperative Antibiotics Following Reduction Mammaplasty Does Not Reduce Rates of Surgical Site Infection. Aesthetic Surgery Journal 2023, 43: np494-np499. PMID: 36788713, DOI: 10.1093/asj/sjad030.Peer-Reviewed Original ResearchMeSH KeywordsAnti-Bacterial AgentsAntibiotic ProphylaxisFemaleHumansMammaplastyObesityRetrospective StudiesSurgical Wound InfectionConceptsRate of SSISurgical site infectionBody mass indexReduction mammaplasty patientsPostoperative antibioticsPerioperative antibioticsED visitsSSI ratesSite infectionObese populationReduction mammaplastyPostoperative antibiotic useElixhauser Comorbidity IndexEmergency department visitsSubgroup of patientsPostoperative prescriptionComorbidity indexObese patientsPostoperative courseDepartment visitsMass indexAntibiotic utilizationSubgroup analysisAntibiotic useHigh risk
2022
Postoperative spine surgical site infections: high rate of failure of one-stage irrigation and debridement
Dhodapkar M, Galivanche A, Halperin S, Elaydi A, Rubio D, Grauer J. Postoperative spine surgical site infections: high rate of failure of one-stage irrigation and debridement. The Spine Journal 2022, 23: 484-491. PMID: 36549456, DOI: 10.1016/j.spinee.2022.12.005.Peer-Reviewed Original ResearchMeSH KeywordsAdultCase-Control StudiesDebridementHumansRetrospective StudiesRisk FactorsSpineSurgical Wound InfectionConceptsSurgical site infectionElective spine surgerySpine surgeryInitial managementRate of SSIInfection characteristicsSpine surgical site infectionPostoperative surgical site infectionRetrospective case-control studyPresence of bacteremiaRisk stratification toolCase-control studySingle academic institutionTimes greater oddsDevastating complicationSite infectionMultivariable analysisStratification toolSurgical managementSurgical variablesIndex procedureSurgical interventionRisk factorsInclusion criteriaLarge cohortAdverse Events After Posterior Lumbar Fusion Are Not Sufficiently Characterized With 30-day Follow-up: A Database Study
Kammien AJ, Zhu JR, Gillinov SM, Gouzoulis MJ, Grauer JN. Adverse Events After Posterior Lumbar Fusion Are Not Sufficiently Characterized With 30-day Follow-up: A Database Study. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 30: 528-533. PMID: 35234736, DOI: 10.5435/jaaos-d-21-01121.Peer-Reviewed Original ResearchMeSH KeywordsAdultDatabases, FactualHumansLumbar VertebraeLumbosacral RegionPostoperative ComplicationsRetrospective StudiesSpinal FusionSurgical Wound InfectionConceptsPosterior lumbar fusionTime of diagnosisAdverse eventsLumbar fusionIndividual adverse outcomesNinety-day ratesAcute kidney injurySurgical site infectionUrinary tract infectionSpecific adverse eventsMultiple adverse eventsPLF patientsKidney injuryCardiac eventsTract infectionsVenous thromboembolismPostoperative periodSite infectionAdverse outcomesPatient counselingAdministrative data setsDatabase studyDay 0Time pointsInterquartile range
2020
Local antibiotics in posterior lumbar fusion procedures for neuromuscular scoliosis: a case for their use
Ondeck NT, Ondeck MA, Bovonratwet P, Albert TJ, Grauer JN. Local antibiotics in posterior lumbar fusion procedures for neuromuscular scoliosis: a case for their use. The Spine Journal 2020, 21: 664-670. PMID: 33347970, DOI: 10.1016/j.spinee.2020.12.004.Peer-Reviewed Original ResearchMeSH KeywordsAnti-Bacterial AgentsChildHumansRetrospective StudiesRisk FactorsScoliosisSpinal FusionSurgical Wound InfectionTreatment OutcomeConceptsSurgical site infectionPosterior spinal fusionNeuromuscular scoliosisLocal antibioticsIntraoperative antibioticsStudy populationRisk of SSIOccurrence of SSIReduced surgical site infectionsHigh-risk patient populationPosterior lumbar fusion proceduresAdverse outcome variablesIncreased overall riskHigh-risk patientsOverall study populationRisk patient populationPatient demographic factorsEntire study populationLumbar fusion proceduresIntrawound antibioticsNMS patientsRenal complicationsRisk patientsPediatric patientsRetrospective review
2019
Incidence, Risk Factors, and Clinical Implications of Postoperative Hematoma Requiring Reoperation Following Anterior Cervical Discectomy and Fusion
Bovonratwet P, Fu MC, Tyagi V, Bohl DD, Ondeck NT, Albert TJ, Grauer JN. Incidence, Risk Factors, and Clinical Implications of Postoperative Hematoma Requiring Reoperation Following Anterior Cervical Discectomy and Fusion. Spine 2019, Publish Ahead of Print: &na;. PMID: 30247374, DOI: 10.1097/brs.0000000000002885.Peer-Reviewed Original ResearchConceptsAnterior cervical discectomyRisk factorsPostoperative hematomaCervical discectomyNational Surgical Quality Improvement Program databaseClinical implicationsPreoperative international normalized ratioQuality Improvement Program databaseDeep wound infectionHigh-risk patientsImprovement Program databaseDevelopment of hematomaInternational normalized ratioLarge cohort studyOccurrence of hematomaACDF patientsPreoperative anemiaVentilator requirementAnesthesiologists classificationPostoperative lengthCohort studyPerioperative periodCatastrophic complicationPrimary outcomeSubsequent complications
2017
Of 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
2015
How Much Do Adverse Event Rates Differ Between Primary and Revision Total Joint Arthroplasty?
Bohl DD, Samuel AM, Basques BA, Della Valle CJ, Levine BR, Grauer JN. How Much Do Adverse Event Rates Differ Between Primary and Revision Total Joint Arthroplasty? The Journal Of Arthroplasty 2015, 31: 596-602. PMID: 26507527, DOI: 10.1016/j.arth.2015.09.033.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overArthroplasty, Replacement, HipArthroplasty, Replacement, KneeComorbidityFemaleHumansMaleMiddle AgedQuality Assurance, Health CareQuality ImprovementQuality of Health CareReoperationRetrospective StudiesRiskSocieties, MedicalSurgical Wound InfectionUnited StatesYoung AdultConceptsTotal knee arthroplastyTotal joint arthroplastyTotal hip arthroplastyRevision proceduresAdverse eventsTKA patientsTHA patientsPrimary procedureJoint arthroplastyDeep incisional surgical site infectionSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramOrgan/space infectionIncisional surgical site infectionPrimary total joint arthroplastySurgical Quality Improvement ProgramRevision total joint arthroplastyUnderwent revision proceduresAdverse event ratesDeep vein thrombosisSurgical site infectionQuality Improvement ProgramHigh rateSystemic sepsisComorbidity characteristicsOverall Similar Infection Rates Reported in the Physician-reported Scoliosis Research Society Database and the Chart-abstracted American College of Surgeons National Surgical Quality Improvement Program Database
Webb ML, Lukasiewicz AM, Samuel AM, Bohl DD, Basques BA, Varthi AG, Grauer JN. Overall Similar Infection Rates Reported in the Physician-reported Scoliosis Research Society Database and the Chart-abstracted American College of Surgeons National Surgical Quality Improvement Program Database. Spine 2015, 40: 1431-1435. PMID: 26110664, DOI: 10.1097/brs.0000000000001033.Peer-Reviewed Original ResearchConceptsACS-NSQIP databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseImprovement Program databaseInfection rateSRS databasePostoperative infectionProgram databaseAmerican CollegeScoliosis Research Society MorbidityAcute postoperative infectionSurgeon-reported dataPostoperative infection rateRetrospective cohort studyNinth Revision codesSimilar infection ratesDegenerative spondylolithesisCohort studyScheuermann's kyphosisSurgical databaseRevision codesSurgical correctionBACKGROUND DATASurgical cases
2014
CORR Insights®: Incidence of Surgical Site Infection After Spine Surgery: What Is the Impact of the Definition of Infection?
Grauer JN, Samuel AM. CORR Insights®: Incidence of Surgical Site Infection After Spine Surgery: What Is the Impact of the Definition of Infection? Clinical Orthopaedics And Related Research® 2014, 473: 1620-1621. PMID: 25315280, PMCID: PMC4385354, DOI: 10.1007/s11999-014-4002-2.Peer-Reviewed Original ResearchUse of an Operating Microscope During Spine Surgery Is Associated With Minor Increases in Operating Room Times and No Increased Risk of Infection
Basques BA, Golinvaux NS, Bohl DD, Yacob A, Toy JO, Varthi AG, Grauer JN. Use of an Operating Microscope During Spine Surgery Is Associated With Minor Increases in Operating Room Times and No Increased Risk of Infection. Spine 2014, 39: 1910-1916. PMID: 25188600, PMCID: PMC4192002, DOI: 10.1097/brs.0000000000000558.Peer-Reviewed Original ResearchConceptsOperating room timeRisk of infectionDay of surgerySurgical site infectionRoom timeSpine proceduresSite infectionOperative timeSpine surgeryNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseMicroscope useMultivariate analysisDeep surgical site infectionSepsis/septic shockQuality Improvement Program databaseSuperficial surgical site infectionElective spinal proceduresElective spine proceduresOrgan space infectionAverage patient ageImprovement Program databaseAverage operative timeRetrospective database reviewMultivariate logistic regressionPatient Factors Are Associated With Poor Short-term Outcomes After Posterior Fusion for Adolescent Idiopathic Scoliosis
Basques BA, Bohl DD, Golinvaux NS, Smith BG, Grauer JN. Patient Factors Are Associated With Poor Short-term Outcomes After Posterior Fusion for Adolescent Idiopathic Scoliosis. Clinical Orthopaedics And Related Research® 2014, 473: 286-294. PMID: 25201091, PMCID: PMC4390920, DOI: 10.1007/s11999-014-3911-4.Peer-Reviewed Original ResearchConceptsSevere adverse eventsLength of stayAdolescent idiopathic scoliosisAdverse eventsSurgical site infectionPerioperative morbiditySite infectionIdiopathic scoliosisSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramExtended LOSPoor short-term outcomeSurgical Quality Improvement ProgramInitial hospital stayResultsTwenty-seven patientsManagement of obesityIndividual adverse eventsShort-term outcomesTotal hospital costsMultivariate logistic regressionQuality Improvement ProgramHospital stayHospital readmissionNinety-fifth percentileOperative time
2009
Effects of recombinant human bone morphogenetic protein 2 on surgical infections in a rabbit posterolateral lumbar fusion model.
Miller CP, Simpson AK, Whang PG, Erickson BP, Waked WR, Lawrence JP, Grauer JN. Effects of recombinant human bone morphogenetic protein 2 on surgical infections in a rabbit posterolateral lumbar fusion model. The American Journal Of Orthopedics 2009, 38: 578-84. PMID: 20049353.Peer-Reviewed Original ResearchConceptsLocal infectionRecombinant human bone morphogenetic proteinEarly deathRabbit posterolateral lumbar fusion modelPosterolateral lumbar fusion modelRhBMP-2Postoperative infectionSurgical infectionsSpine surgeryAutograft groupSpinal arthrodesisSterile salineFusion rateAutograftRecombinant human bone morphogenetic protein-2InfectionHuman bone morphogenetic proteinHuman bone morphogenetic protein-2Bone formationProtein 2Staphylococcus aureusRabbitsBone morphogenetic protein-2Bone morphogenetic proteinMorphogenetic protein-2
2008
Which Regions of the Operating Gown Should be Considered Most Sterile?
Bible JE, Biswas D, Whang PG, Simpson AK, Grauer JN. Which Regions of the Operating Gown Should be Considered Most Sterile? Clinical Orthopaedics And Related Research® 2008, 467: 825-830. PMID: 18592330, PMCID: PMC2635444, DOI: 10.1007/s11999-008-0341-1.Peer-Reviewed Original Research
2007
Sterilization Wrap Inspections Do Not Adequately Evaluate Instrument Sterility
Waked WR, Simpson AK, Miller CP, Magit DP, Grauer JN. Sterilization Wrap Inspections Do Not Adequately Evaluate Instrument Sterility. Clinical Orthopaedics And Related Research® 2007, 462: 207-211. PMID: 17452915, DOI: 10.1097/blo.0b013e318065b0bc.Peer-Reviewed Original Research
2003
Postoperative wound infections of the spine.
Beiner JM, Grauer J, Kwon BK, Vaccaro AR. Postoperative wound infections of the spine. Neurosurgical FOCUS 2003, 15: e14. PMID: 15347232, DOI: 10.3171/foc.2003.15.3.14.BooksMeSH KeywordsAnti-Bacterial AgentsAntibiotic ProphylaxisBlood SedimentationBone TransplantationCombined Modality TherapyComorbidityC-Reactive ProteinDebridementDiagnostic ImagingDisease SusceptibilityDiskectomyDrug Therapy, CombinationEquipment ContaminationHumansInternal FixatorsMalnutritionNutritional SupportReoperationRisk FactorsSpineSurgical Wound InfectionTherapeutic IrrigationConceptsRate of infectionLumbar surgeryWound infectionNutritional statusPostoperative spinal wound infectionsAntibiotic prophylactic therapySpinal wound infectionsPostoperative wound infectionUncomplicated postoperative courseErythrocyte sedimentation rateC-reactive proteinPossibility of infectionMajority of casesSubfascial layerProphylactic therapyAggressive treatmentPostoperative coursePatient factorsWound swellingClinical symptomsSuperficial infectionRisk factorsBone graftInfectionComplete eradication