2024
Emergency Department Visits Following Supracondylar Humerus Fractures
Gouzoulis M, Yang A, Joo P, Kaszuba S, Frumberg D, Grauer J. Emergency Department Visits Following Supracondylar Humerus Fractures. Journal Of Pediatric Orthopaedics 2024 DOI: 10.1097/bpo.0000000000002866.Peer-Reviewed Original ResearchPediatric supracondylar humerus fracturesSupracondylar humerus fracturesHumerus fracturesEmergency departmentSurgical interventionManagement of pediatric supracondylar humerus fracturesHistory of ED visitsOdds ratioED visitsMultivariate logistic regressionPediatric patientsInitial managementPediatric fracturesPredictive factorsEmergency department visitsMultivariate analysisQuality improvement measuresRisk factorsPatientsTime of visitClinical interestMedicaid insuranceAdministrative databasesLogistic regressionDepartment visitsSemaglutide utilization associated with reduced ninety-day postoperative complications following single-level posterior lumbar fusion for patients with type II diabetes
Seddio A, Gouzoulis M, Vasudevan R, Dhodapkar M, Jabbouri S, Varthi A, Rubio D, Grauer J. Semaglutide utilization associated with reduced ninety-day postoperative complications following single-level posterior lumbar fusion for patients with type II diabetes. The Spine Journal 2024 PMID: 39491749, DOI: 10.1016/j.spinee.2024.10.011.Peer-Reviewed Original ResearchSingle-level posterior lumbar fusionPosterior lumbar fusionSodium-glucose transport protein 2 inhibitorsAdverse eventsPostoperative complicationsT2DM patientsCurrent Procedural TerminologyElixhauser Comorbidity IndexED visitsLumbar fusionHospital readmissionEmergency departmentOdds of postoperative complicationsNinety-day postoperative complicationsImpact of semaglutideOdds of hospital readmissionMonths of surgeryRetrospective cohort studyPostoperative adverse eventsMinor adverse eventsType II diabetes mellitusRisk of type I errorDiagnosis of T2DMII diabetes mellitusYears of ageP27. Renal transplant patients at increased odds off many perioperative adverse events following lumbar laminotomy/discectomy
Gouzoulis M, Seddio A, Zhu J, Day W, Jabbouri S, Rubio D, Grauer J. P27. Renal transplant patients at increased odds off many perioperative adverse events following lumbar laminotomy/discectomy. The Spine Journal 2024, 24: s76. DOI: 10.1016/j.spinee.2024.06.048.Peer-Reviewed Original ResearchSevere adverse eventsHistory of renal transplantationUrinary tract infectionRenal transplantationAcute kidney injuryAdverse eventsMinor adverse eventsElixhauser Comorbidity IndexIncreased oddsCurrent Procedural TerminologyTract infectionsLumbar discectomyKidney injuryED visitsIncreased odds of acute kidney injuryOdds of acute kidney injuryOdds ratioOdds of ED visitsKaplan-Meier survival curvesDays of follow-upRenal transplant groupRenal transplant patientsIncidence of reoperationRisk of reoperationOdds of sepsis35. Comparable risk of adverse events following cervicothoracic interlaminar and transforaminal epidural injections: an analysis of 1.29 million patients
Seddio A, McNamara K, Gouzoulis M, Jabbouri S, Ratnasamy P, Rubio D, Grauer J. 35. Comparable risk of adverse events following cervicothoracic interlaminar and transforaminal epidural injections: an analysis of 1.29 million patients. The Spine Journal 2024, 24: s19. DOI: 10.1016/j.spinee.2024.06.478.Peer-Reviewed Original ResearchAdverse eventsSpinal neurologic deficitsStatistically significant differenceCurrent Procedural TerminologyElixhauser Comorbidity IndexEpidural injectionAdult patientsNeurological deficitsAdverse outcomesMultivariate analysisED visitsIncidence of adverse eventsEpidural spinal injectionsTransforaminal epidural injectionsEmergency departmentTransforaminal (TFRisk of adverse eventsSignificant differenceRetrospective cohort studyMinor adverse eventsSampled adult patientsOutcome measures IncidencePotential adverse eventsSpinal injectionPatient age100. Semaglutide associated with improved postoperative outcomes following single-level posterior lumbar fusion for patients with type II diabetes
Seddio A, Gouzoulis M, Vasudevan R, Dhodapkar M, Jabbouri S, Zhu J, Rubio D, Grauer J. 100. Semaglutide associated with improved postoperative outcomes following single-level posterior lumbar fusion for patients with type II diabetes. The Spine Journal 2024, 24: s52-s53. DOI: 10.1016/j.spinee.2024.06.543.Peer-Reviewed Original ResearchSingle-level posterior lumbar fusionPosterior lumbar fusionSodium-glucose transport protein 2 inhibitorsImpact of semaglutideHospital readmissionPostoperative outcomesElixhauser Comorbidity IndexED visitsT2DM patientsCurrent Procedural TerminologyEmergency departmentLumbar fusionAdverse eventsOdds of hospital readmissionOutcome measures IncidenceRisk of type I errorInferior postoperative outcomesDiagnosis of T2DMMonths of surgeryYear of surgeryRetrospective cohort studyMinor adverse eventsType II diabetes mellitusMatched 1:4Management of diabetesEmergency department utilization after elbow arthroscopy
Day W, Gouzoulis M, Jayaram R, Grauer J. Emergency department utilization after elbow arthroscopy. JSES International 2024, 8: 910-914. PMID: 39035647, PMCID: PMC11258818, DOI: 10.1016/j.jseint.2024.03.015.Peer-Reviewed Original ResearchElixhauser Comorbidity IndexEmergency departmentArthroscopy patientsED visitsElbow arthroscopyMethods Adult patientsAssociated with younger ageProportion of patientsAdministrative databasesFactors associated with ED visitsPostoperative care pathwaysNational administrative databasePostoperative courseAdult patientsPostoperative weekComorbidity indexMultivariate analysisPatientsSurgeryTechnical pearlsYounger ageEmergency department utilizationArthroscopyInsurance typeMonthsFemale Patients Undergoing Latarjet Surgery Show Similar 2-Year Secondary Surgery Rates but Greater Risk of Emergency Department Visits Compared With a Matched Cohort of Male Patients
Gillinov S, Islam W, Modrak M, Mahatme R, Wilhelm C, McLaughlin W, Surucu S, Moran J, Lee M, Grauer J, Jimenez A. Female Patients Undergoing Latarjet Surgery Show Similar 2-Year Secondary Surgery Rates but Greater Risk of Emergency Department Visits Compared With a Matched Cohort of Male Patients. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2024, 40: 2645-2651.e1. PMID: 38513877, DOI: 10.1016/j.arthro.2024.02.043.Peer-Reviewed Original ResearchSecondary surgery rateElixhauser Comorbidity Index scoreCohort of male patientsBody mass indexElixhauser Comorbidity IndexSurgery ratesRecurrent shoulder instabilityFemale patientsMale patientsLatarjet procedureFemale sexShoulder instabilityED visitsIncidence of secondary surgeryEmergency departmentAssociated with female sexInternational Classification of Diseases (ICD)-10 diagnosisNational administrative claims databaseKaplan-Meier analysisAssociated with OREvaluate sex-based differencesTreatment of recurrent shoulder instabilityPostoperative emergency departmentMultivariate logistic regressionAdministrative claims database
2023
Low Back Pain: Utilization of Urgent Cares Relative to Emergency Departments
Dhodapkar M, Modrak M, Halperin S, Gouzoulis M, Rubio D, Grauer J. Low Back Pain: Utilization of Urgent Cares Relative to Emergency Departments. Spine 2023, 49: 513-517. PMID: 37982595, DOI: 10.1097/brs.0000000000004880.Peer-Reviewed Original ResearchLow back painElixhauser Comorbidity IndexUrgent care centersEmergency departmentUrgent careBack painED visitsED utilizationCare centerAdvanced imagingUrgent care useUrgent care visitsDays of diagnosisSetting of traumaSpinal cord injuryYears of ageComorbidity indexInfectious diagnosisCare visitsLBP patientsMost patientsRecent surgeryAdult patientsPatient ageED patientsEmergency Department Visits Following Patellofemoral Arthroplasty
Ratnasamy P, Halperin S, Dhodapkar M, Rubin L, Grauer J. Emergency Department Visits Following Patellofemoral Arthroplasty. JAAOS Global Research And Reviews 2023, 7: e23.00054. PMID: 37947430, PMCID: PMC10635600, DOI: 10.5435/jaaosglobal-d-23-00054.Peer-Reviewed Original ResearchConceptsPatellofemoral arthroplastyED utilizationPFA patientsPostoperative painED visitsPredictive factorsHigher Elixhauser comorbidity indexPerioperative pain managementElixhauser Comorbidity IndexEmergency department utilizationPostoperative metricsComorbidity indexIndependent predictorsPain managementMedicaid insuranceEmergency departmentOrthopedic patientsPayer typePatient carePatientsYounger ageVisitsPainArthroplastyDaysMedicaid Insurance Is Associated With More Complications and Emergency Department Visits but Equivalent 5-Year Secondary Surgery Rate After Primary Hip Arthroscopy
Gillinov S, Kim D, Islam W, Lee M, Moran J, Fong S, Mahatme R, McLaughlin W, Maldonado D, Medvecky M, Grauer J, Jimenez A. Medicaid Insurance Is Associated With More Complications and Emergency Department Visits but Equivalent 5-Year Secondary Surgery Rate After Primary Hip Arthroscopy. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2023, 40: 1117-1125. PMID: 37597701, DOI: 10.1016/j.arthro.2023.08.011.Peer-Reviewed Original ResearchPrimary hip arthroscopyFemoroacetabular impingement syndromeEmergency department visitsSecondary surgery rateED visitsMedicaid patientsHip arthroscopyDepartment visitsSurgery ratesSecondary surgeryLabral tearsLarge national database studyTenth Revision diagnosis codesNational database studyFive-year ratesElixhauser Comorbidity IndexKaplan-Meier analysisRevision diagnosis codesBody mass indexMultivariate logistic regressionTotal hip arthroplastyLarge national databaseComorbidity indexPostoperative complicationsAdverse eventsWide-Awake Carpal Tunnel Release in the United States: Trends in Volume and Reimbursement by Operative Setting
Kammien A, Kim S, Mookerjee V, Williams M, Prsic A, Grauer J, Colen D. Wide-Awake Carpal Tunnel Release in the United States: Trends in Volume and Reimbursement by Operative Setting. Plastic & Reconstructive Surgery 2023, 154: 143-149. PMID: 37535704, DOI: 10.1097/prs.0000000000010961.Peer-Reviewed Original ResearchSurgical site infectionOffice-based surgeryCarpal tunnel releaseNarcotic prescriptionsOffice surgeryPhysician reimbursementOperating roomPercent of surgeriesWide-awake surgeryEmergency department visitsNational administrative databaseFinancial burdenComorbidity burdenPrimary endpointAdverse eventsED visitsDepartment visitsSite infectionLinear regression modelingSimilar incidenceAdministrative databasesOffice patientsSurgerySurgical settingCommercial insuranceWide 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 ResearchConceptsTrigger 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 ratesEmergency department visits within 90 days of lumbar discectomy
Ratnasamy P, Rudisill K, Caruana D, Kammien A, Grauer J. Emergency department visits within 90 days of lumbar discectomy. The Spine Journal 2023, 23: 1522-1530. PMID: 37356460, DOI: 10.1016/j.spinee.2023.06.384.Peer-Reviewed Original ResearchConceptsElixhauser Comorbidity IndexSurgical site painED visitsED utilizationLumbar discectomySite painUnderwent reoperationPatient factorsPostoperative weekPatient satisfactionPrimary diagnosisRisk factorsCSF leakHealth care resource utilizationHigher Elixhauser comorbidity indexExcess health care expendituresCommon primary diagnosisType of reoperationNerve root decompressionDay of surgeryEmergency department visitsPatient-level predictorsPosterior segmental instrumentationRisk of reoperationSpecific patient characteristicsUrgent Care Visits Sought After Primary Total Hip Arthroplasty: A Potentially Overlooked Resource
Dhodapkar M, Gouzoulis M, Halperin S, Radford Z, Rubin L, Grauer J. Urgent Care Visits Sought After Primary Total Hip Arthroplasty: A Potentially Overlooked Resource. The Journal Of Arthroplasty 2023, 38: 2361-2365. PMID: 37196730, DOI: 10.1016/j.arth.2023.05.012.Peer-Reviewed Original ResearchConceptsUrgent care visitsTotal hip arthroplastyPrimary total hip arthroplastyUrgent care utilizationCare visitsED utilizationCare utilizationUrgent careHip arthroplastyLess comorbidity burdenEmergency department visitsLarge national databaseLow-acuity diagnosesComorbidity burdenPostoperative EDED visitsDepartment visitsIndependent predictorsTHA patientsMultivariable analysisPostoperative weekUrgent evaluationSurgical sitePatient needsGreater incidencePostoperative 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 ResearchConceptsRate 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
Ninety-Day Emergency Department Visits After Ankle Fracture Surgery
Kammien A, Ratnasamy P, Joo P, Grauer J. Ninety-Day Emergency Department Visits After Ankle Fracture Surgery. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 31: e51-e57. PMID: 36548157, DOI: 10.5435/jaaos-d-22-00484.Peer-Reviewed Original ResearchConceptsAnkle fracture surgeryElixhauser comorbidity index scoreComorbidity Index scoreED visitsED utilizationFracture surgeryPostoperative weekRisk factorsSurgical siteIndex scoreIncidence of readmissionEmergency department visitsDay of surgeryMultivariate logistic regressionORIF patientsPatient ageAnkle fracturesDepartment visitsOpen reductionConcomitant fracturesMedicaid insuranceEntire cohortEmergency departmentInternal fixationCare pathwayEmergency Department Visits Within 90 Days of Total Ankle Replacement
Ratnasamy PP, Kammien AJ, Gouzoulis MJ, Oh I, Grauer JN. Emergency Department Visits Within 90 Days of Total Ankle Replacement. Foot & Ankle Orthopaedics 2022, 7: 24730114221134255. PMID: 36324696, PMCID: PMC9619275, DOI: 10.1177/24730114221134255.Peer-Reviewed Original ResearchElixhauser Comorbidity IndexSurgical site painRetrospective cohort studyED visitsSite painCohort studyHealth care utilization/costsHigher Elixhauser comorbidity indexPain management pathwayPostoperative ED visitsPostoperative hospital lengthEmergency department visitsDay of surgeryLogistic regression analysisSite of careTotal ankle replacementHealth care costsComorbidity indexHospital lengthED utilizationDepartment visitsPatient factorsPostoperative weekEmergency departmentFemale sexEmergency Department Visits Within 90 Days of Total Ankle Arthroplasty
Ratnasamy P, Kammien A, Gouzoulis M, Grauer J. Emergency Department Visits Within 90 Days of Total Ankle Arthroplasty. Foot & Ankle Orthopaedics 2022, 7: 2473011421s00895. PMCID: PMC9679845, DOI: 10.1177/2473011421s00895.Peer-Reviewed Original ResearchTotal ankle arthroplastyElixhauser Comorbidity IndexSurgical site painED visitsSite painTAA patientsAnkle arthroplastyRisk factorsCommon reasonHealth care utilization/costsHigher Elixhauser comorbidity indexPostoperative ED visitsRetrospective cohort studyEmergency department visitsDay of surgeryLogistic regression analysisComorbidity indexCohort studyED utilizationDepartment visitsPatient factorsPostoperative weekEmergency departmentPatient populationFemale sexEmergency department visits within 90 days of single-level anterior cervical discectomy and fusion
Kammien AJ, Galivanche AR, Gouzoulis MJ, Moore HG, Mercier MR, Grauer JN. Emergency department visits within 90 days of single-level anterior cervical discectomy and fusion. North American Spine Society Journal (NASSJ) 2022, 10: 100122. PMID: 35637647, PMCID: PMC9144013, DOI: 10.1016/j.xnsj.2022.100122.Peer-Reviewed Original ResearchED visitsPostoperative week 1ED utilizationPredictive factorsSurgical siteWeek 1Single-level anterior cervical discectomySingle-level ACDF proceduresElixhauser comorbidity index scoreCommon postoperative issuesPrimary ED diagnosisComorbidity Index scoreAnterior cervical discectomyHigh-risk patientsSingle-level ACDFEmergency department visitsDay of surgeryMultivariate logistic regressionIntegrated care pathwayHealthcare spendingPostoperative readmissionsACDF proceduresCervical discectomyPatient ageDepartment visitsEmergency Department Visits Within 90 Days of Anterior Cruciate Ligament Reconstruction
Kammien AJ, Zhu JR, Gouzoulis MJ, Moore HG, Galivanche AR, Medvecky MJ, Grauer JN. Emergency Department Visits Within 90 Days of Anterior Cruciate Ligament Reconstruction. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221083586. PMID: 35340726, PMCID: PMC8941698, DOI: 10.1177/23259671221083586.Peer-Reviewed Original ResearchAnterior cruciate ligament reconstructionCruciate ligament reconstructionED visitsElixhauser Comorbidity IndexSurgical siteComorbidity indexED utilizationLigament reconstructionWeek 3Higher Elixhauser comorbidity indexSurgical site painGreater comorbidity burdenEmergency department visitsDescriptive epidemiologic studyMultivariate logistic regressionHealth care systemComorbidity burdenPatient agePostoperative dataYounger patientsDepartment visitsIndependent predictorsPostoperative weekEmergency departmentFemale sex