2022
Adverse Events After Total Hip Arthroplasty are not Sufficiently Characterized by 30-Day Follow-Up: A Database Study
Maloy GC, Kammien AJ, Rubin LE, Grauer JN. Adverse Events After Total Hip Arthroplasty are not Sufficiently Characterized by 30-Day Follow-Up: A Database Study. The Journal Of Arthroplasty 2022, 38: 525-529. PMID: 36272511, DOI: 10.1016/j.arth.2022.10.020.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyPostoperative adverse eventsAdverse eventsDay of surgeryHip arthroplastyDays of THAHigher Elixhauser-Comorbidity Index scoresElixhauser comorbidity index scoreComorbidity Index scoreLate adverse eventsTime of diagnosisPostoperative day 31THA patientsPredictive factorsPatient counselingPatient riskDatabase studyPrevention strategiesIndex scoreDay 31SurgeryInterquartile rangeAdministrative datasetsPatientsArthroplasty
2020
Safety and Effectiveness of Antifibrinolytics in Posterior Scoliosis Surgery for Adolescent Idiopathic Scoliosis
Bovonratwet P, Sheha ED, Ondeck NT, Malpani R, Smith BG, Grauer JN. Safety and Effectiveness of Antifibrinolytics in Posterior Scoliosis Surgery for Adolescent Idiopathic Scoliosis. Clinical Spine Surgery A Spine Publication 2020, 33: e26-e32. PMID: 31162181, DOI: 10.1097/bsd.0000000000000836.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisPosterior spinal fusionMultilevel posterior spinal fusionIntensive care unitAntifibrinolytic useHospital lengthCare unitTreatment groupsIdiopathic scoliosisOperating roomEffectiveness of antifibrinolyticsNSQIP-Pediatric databasePediatric deformity surgeryPerioperative transfusion ratesVolume of transfusionLonger operative timePosterior scoliosis surgeryLarge national databaseTransfusion reductionPerioperative complicationsPostoperative complicationsTransfusion ratePostoperative outcomesPediatric patientsOperative time
2018
What Is the Adverse Event Profile After Prophylactic Treatment of Femoral Shaft or Distal Femur Metastases?
McLynn RP, Ondeck NT, Grauer JN, Lindskog DM. What Is the Adverse Event Profile After Prophylactic Treatment of Femoral Shaft or Distal Femur Metastases? Clinical Orthopaedics And Related Research® 2018, 476: 2381-2388. PMID: 30260860, PMCID: PMC6259894, DOI: 10.1097/corr.0000000000000489.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlood TransfusionDatabases, FactualDiaphysesFemaleFemoral FracturesFemurFracture FixationFractures, SpontaneousHumansLength of StayLogistic ModelsMaleMiddle AgedMultivariate AnalysisNeoplasm MetastasisOdds RatioOperative TimePatient DischargePostoperative ComplicationsProspective StudiesRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeConceptsBody mass indexPathologic fractureAdverse eventsProphylactic treatment groupProphylactic treatmentBlood transfusionDisseminated cancerFemoral shaftComplication profileFracture groupFunctional outcomeProphylactic fixationDistal femurTreatment groupsNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseGreater body mass indexPerioperative complication profileProphylactic surgical stabilizationProphylactic surgical treatmentPostoperative adverse eventsAdverse event profileCurrent Procedural Terminology codesImprovement Program databaseMajor adverse events
2017
Outpatient elective posterior lumbar fusions appear to be safely considered for appropriately selected patients
Bovonratwet P, Ottesen TD, Gala RJ, Rubio DR, Ondeck NT, McLynn RP, Grauer JN. Outpatient elective posterior lumbar fusions appear to be safely considered for appropriately selected patients. The Spine Journal 2017, 18: 1188-1196. PMID: 29155341, DOI: 10.1016/j.spinee.2017.11.011.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAmbulatory Surgical ProceduresBlood TransfusionCohort StudiesDatabases, FactualElective Surgical ProceduresFemaleHumansInpatientsLumbar VertebraeMaleMiddle AgedPatient ReadmissionPatient SelectionPostoperative ComplicationsPropensity ScoreQuality ImprovementRetrospective StudiesSpinal FusionYoung AdultConceptsPosterior lumbar fusionPerioperative complicationsPostoperative complicationsNSQIP databaseInterbody fusionLumbar fusionNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseElective posterior lumbar fusionQuality Improvement Program databasePropensity score-matched comparisonLower blood transfusionMost perioperative complicationsPostoperative adverse eventsRetrospective cohort comparison studyImprovement Program databaseRate of readmissionCareful patient selectionCohort comparison studyPotential confounding factorsInpatient cohortPLF casesHospital lengthPerioperative courseSelect patientsRevision Total Knee Arthroplasty in Octogenarians: An Analysis of 957 Cases
Bovonratwet P, Tyagi V, Ottesen TD, Ondeck NT, Rubin LE, Grauer JN. Revision Total Knee Arthroplasty in Octogenarians: An Analysis of 957 Cases. The Journal Of Arthroplasty 2017, 33: 178-184. PMID: 28844628, DOI: 10.1016/j.arth.2017.07.032.Peer-Reviewed Original ResearchConceptsRevision total knee arthroplastyTotal knee arthroplastyBlood transfusionOctogenarian patientsKnee arthroplastyPatient populationNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseLonger lengthYoung populationHigh rateImprovement Program databaseYoung patient populationNumber of octogenariansLarger patient populationYear oldsHospital stayIntraoperative characteristicsPerioperative complicationsPerioperative coursePropensity matchingAdvanced ageProgram databaseOctogenariansStayDifferences in Short-Term Outcomes Between Primary and Revision Anterior Cervical Discectomy and Fusion
Basques BA, Ondeck NT, Geiger EJ, Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Massel DH, Mayo BC, Singh K, Grauer JN. Differences in Short-Term Outcomes Between Primary and Revision Anterior Cervical Discectomy and Fusion. Spine 2017, 42: 253-260. PMID: 28207667, DOI: 10.1097/brs.0000000000001718.Peer-Reviewed Original ResearchConceptsRevision anterior cervical discectomyAnterior cervical discectomySurgical site infectionACDF proceduresRevision proceduresAdverse eventsPostoperative lengthThromboembolic eventsCervical discectomySite infectionBlood transfusionOperative timeNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseQuality Improvement Program databaseOperating roomImprovement Program databaseMinor adverse eventsRetrospective cohort studySevere adverse eventsShort-term morbidityRisk of readmissionAverage operative timeShort-term outcomesMultiple adverse outcomesComparison of Outpatient vs Inpatient Total Knee Arthroplasty: An ACS-NSQIP Analysis
Bovonratwet P, Ondeck NT, Nelson SJ, Cui JJ, Webb ML, Grauer JN. Comparison of Outpatient vs Inpatient Total Knee Arthroplasty: An ACS-NSQIP Analysis. The Journal Of Arthroplasty 2017, 32: 1773-1778. PMID: 28237215, DOI: 10.1016/j.arth.2017.01.043.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmbulatory Surgical ProceduresArthroplasty, Replacement, KneeBlood TransfusionCohort StudiesComorbidityDatabases, FactualFemaleHumansInpatientsMaleMiddle AgedMultivariate AnalysisOutcome Assessment, Health CareOutpatientsPatient ReadmissionPostoperative ComplicationsPropensity ScoreQuality ImprovementConceptsTotal knee arthroplastyOutpatient total knee arthroplastyAdverse eventsKnee arthroplastyOutpatient procedureSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseMultivariate analysisInpatient total knee arthroplastyElective total knee arthroplastyQuality Improvement Program databasePrimary total knee arthroplastyComparison of outpatientPerioperative outcome measuresImprovement Program databasePerioperative adverse eventsIndividual adverse eventsACS-NSQIP AnalysisInpatient cohortHospital lengthLess comorbiditySelect patientsTKA patientsOutpatient cohortPostoperative period
2016
Is Outpatient Total Hip Arthroplasty Safe?
Nelson SJ, Webb ML, Lukasiewicz AM, Varthi AG, Samuel AM, Grauer JN. Is Outpatient Total Hip Arthroplasty Safe? The Journal Of Arthroplasty 2016, 32: 1439-1442. PMID: 28065622, DOI: 10.1016/j.arth.2016.11.053.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedArthroplasty, Replacement, HipBlood TransfusionDatabases, FactualFemaleHumansInpatientsLength of StayLogistic ModelsMaleMiddle AgedMultivariate AnalysisOutpatientsPatient DischargePatient ReadmissionPatient SafetyPoisson DistributionPostoperative ComplicationsPropensity ScoreQuality ImprovementRegression AnalysisRetrospective StudiesYoung AdultConceptsOutpatient total hip arthroplastyTotal hip arthroplastyAdverse eventsPropensity scoreSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseGeneral health outcome measuresDays adverse eventsImprovement Program databaseMultivariate Poisson regressionHealth outcome measuresHospital dischargePostoperative dayBlood transfusionExtended LOSTHA patientsPotential confoundersInpatient proceduresProgram databaseRelative riskHip arthroplastyOutcome measuresSafety dataStudy groupPrimary and Revision Posterior Lumbar Fusion Have Similar Short-Term Complication Rates
Basques BA, Diaz-Collado PJ, Geddes BJ, Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Ahn J, Singh K, Grauer JN. Primary and Revision Posterior Lumbar Fusion Have Similar Short-Term Complication Rates. Spine 2016, 41: e101-e106. PMID: 26539938, DOI: 10.1097/brs.0000000000001094.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedBlood Loss, SurgicalBlood TransfusionChi-Square DistributionDatabases, FactualFemaleHumansLength of StayLinear ModelsLogistic ModelsLumbar VertebraeMaleMiddle AgedMultivariate AnalysisOperative TimePatient ReadmissionPostoperative ComplicationsReoperationRetrospective StudiesRisk FactorsSpinal FusionTime FactorsTreatment OutcomeUnited StatesYoung AdultConceptsRevision lumbar fusionLumbar fusionPosterior lumbar fusionPostoperative complicationsBlood transfusionPostoperative lengthOperative timeOperative characteristicsRevision surgeryRevision proceduresSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseSimilar short-term complication ratesPrimary posterior lumbar fusionQuality Improvement Program databaseShort-term complication ratePosterior lumbar fusion proceduresPrimary lumbar fusionRetrospective cohort studyImprovement Program databaseShort-term morbidityRisk of complicationsRobust error varianceLumbar fusion proceduresPrimary surgery
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 disease
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