2022
The case for decreased surgeon-reported complications due to surgical volume and fellowship status in the treatment of geriatric hip fracture: An analysis of the ABOS database
Ottesen TD, Mercier MR, Brand J, Amick M, Grauer JN, Rubin LE. The case for decreased surgeon-reported complications due to surgical volume and fellowship status in the treatment of geriatric hip fracture: An analysis of the ABOS database. PLOS ONE 2022, 17: e0263475. PMID: 35213546, PMCID: PMC8880652, DOI: 10.1371/journal.pone.0263475.Peer-Reviewed Original ResearchConceptsHip fracture patientsSurgical complicationsFracture patientsHip fractureCase volumeFellowship trainingBinary multivariate logistic regressionSurgeon-reported complicationsGeriatric hip fracturesOdds of complicationsSurgical adverse eventsMultivariate logistic regressionFellowship statusAdverse eventsComplication riskSurgical interventionSurgical outcomesABOS databaseSurgical volumeSurgeon cohortComplicationsType of fellowshipIndependent factorsPatientsOrthopaedic surgeons
2021
Predictors and Sequelae of Postoperative Delirium in a Geriatric Patient Population With Hip Fracture
Haynes MS, Alder KD, Toombs C, Amakiri IC, Rubin LE, Grauer JN. Predictors and Sequelae of Postoperative Delirium in a Geriatric Patient Population With Hip Fracture. JAAOS Global Research And Reviews 2021, 5: e20.00221. PMID: 33989253, PMCID: PMC8133215, DOI: 10.5435/jaaosglobal-d-20-00221.Peer-Reviewed Original ResearchMeSH KeywordsAgedDeliriumHip FracturesHumansMaleMiddle AgedPelvic BonesPostoperative ComplicationsRisk FactorsConceptsHip fracture populationPostoperative deliriumPreoperative dementiaHip fractureGeriatric hip fracture populationDependent functional statusFracture populationAdverse postoperative outcomesHigher American SocietyIndependent risk factorPostoperative adverse outcomesGeriatric patient populationNongeneral anesthesiaPreoperative diabetesPostoperative outcomesIndependent predictorsMale sexAdverse outcomesPatient populationFunctional statusRevision surgeryRisk factorsDeliriumHigher oddsRisk subpopulations
2017
After Posterior Fusions for Adult Spinal Deformity, Operative Time is More Predictive of Perioperative Morbidity, Rather Than Surgical Invasiveness
Samuel AM, Fu MC, Anandasivam NS, Webb ML, Lukasiewicz AM, Kim HJ, Grauer JN. After Posterior Fusions for Adult Spinal Deformity, Operative Time is More Predictive of Perioperative Morbidity, Rather Than Surgical Invasiveness. Spine 2017, 42: 1880-1887. PMID: 28538595, DOI: 10.1097/brs.0000000000002243.Peer-Reviewed Original ResearchConceptsAdult spinal deformityPosterior spinal fusionOperative timeSurgical invasivenessSpinal deformitySpinal fusionMultivariate analysisPerioperative outcomesPosterior fusionOperative timingNational Surgical Quality Improvement Program databaseIndependent effectsQuality Improvement Program databaseImprovement Program databaseRetrospective cohort studyLonger operative timeOverall operative timeAdult deformity surgeryInvasive surgical proceduresInpatient complicationsPerioperative complicationsPerioperative morbidityAdult patientsCohort studyDeformity surgeryAnalysis 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
Variation 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 trauma