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 visitsAnatomic and reverse total shoulder arthroplasty: variables affecting 90-day overall reimbursement
Halperin S, Dhodapkar M, Modrak M, Donohue K, Medvecky M, Grauer J. Anatomic and reverse total shoulder arthroplasty: variables affecting 90-day overall reimbursement. Seminars In Arthroplasty JSES 2024, 34: 564-570. DOI: 10.1053/j.sart.2024.02.007.Peer-Reviewed Original ResearchAnatomic total shoulder arthroplastyReverse total shoulder arthroplastyTotal shoulder arthroplastyTotal shoulder arthroplasty patientsPostoperative eventsShoulder arthroplastyPatient demographicsOverall reimbursementSurgery typeAdverse eventsMale sexAssociated with reimbursementMultivariate linear regressionOncological diagnosisEmergency department visitsPatientsOrthopedic proceduresEffective procedureAdministrative databasesHospital readmissionInsurance typeSurgeryReduce healthcare expendituresDepartment visitsIncreased frequencyA Nationwide Analysis of Complications, Reoperations and Cost of Wide-Awake Flexor Tendon Repairs.
Kammien A, Rancu A, Kim S, Parikh N, Grauer J, Colen D. A Nationwide Analysis of Complications, Reoperations and Cost of Wide-Awake Flexor Tendon Repairs. Plastic & Reconstructive Surgery 2024 PMID: 39026384, DOI: 10.1097/prs.0000000000011651.Peer-Reviewed Original ResearchElixhauser Comorbidity IndexWound complicationsTraditional anesthesiaEmergency department visitsYears of follow-upTendon repairAnalysis of complicationsRate of tendon ruptureNationwide cohort studyDepartment visitsWide-awake surgeryFlexor tendon repairConcomitant treatmentMatched cohortFollow-upZone II flexor tendon repairCohort studyMultivariate linear regressionAnesthesia techniquesComorbidity indexVascular injuryIntraoperative testingReoperationNerve repairPatientsAnkle fracture open reduction and internal fixation in patients with cerebral palsy
Dhodapkar M, Yang A, Jiang W, Halperin S, Frumberg D, Grauer J. Ankle fracture open reduction and internal fixation in patients with cerebral palsy. Developmental Medicine & Child Neurology 2024, 66: 1496-1501. PMID: 38773804, DOI: 10.1111/dmcn.15958.Peer-Reviewed Original ResearchAnkle fracture ORIFCerebral palsyAnkle fracturesElixhauser Comorbidity IndexInternational Classification of Diseases (ICD)-9 and ICD-10Increased oddsIsolated ankle fracturesEmergency department visitsClosed ankle fracturesInternal fixationProlonged lengthMultivariate logistic regressionAnkle fracture open reductionProlonged length of stayDepartment visitsLength of stayInternational ClassificationAdverse eventsStudy of adult patientsFracture open reductionMinor adverse eventsICD-10Logistic regressionORAnkleRisk of Adverse Events Following Total Knee Arthroplasty in Asthma Patients
Smith-Voudouris J, Rubin L, Grauer J. Risk of Adverse Events Following Total Knee Arthroplasty in Asthma Patients. Journal Of The American Academy Of Orthopaedic Surgeons 2024, 32: 543-549. PMID: 38657178, DOI: 10.5435/jaaos-d-23-01142.Peer-Reviewed Original ResearchAdverse eventsTotal knee arthroplastyElixhauser Comorbidity IndexOne-tenth of patientsAsthma patientsOdds of adverse eventsRisk of adverse eventsIncreasing severity of asthmaMultivariate logistic regressionInflammatory airway diseasesSeverity of asthmaKnee arthroplastyTotal knee arthroplasty patientsPerioperative outcomesAggregate adverse eventsAdult patientsNon-pulmonaryAirway diseaseComorbidity indexMultivariate analysisPatient factorsAsthma groupEmergency department visitsPatientsIncreased odds
2023
Ninety day adverse events following single level posterior lumbar interbody fusion in patients with sickle cell disease
Dhodapkar M, Halperin S, Saifi C, Whang P, Grauer J, Varthi A. Ninety day adverse events following single level posterior lumbar interbody fusion in patients with sickle cell disease. The Spine Journal 2023, 24: 807-811. PMID: 38081460, DOI: 10.1016/j.spinee.2023.11.025.Peer-Reviewed Original ResearchPosterior lumbar interbody fusionSingle-level posterior lumbar interbody fusionSickle cell diseaseElixhauser Comorbidity IndexAdverse eventsPostoperative outcomesInterbody fusionOdds ratioCell diseaseDays adverse eventsMinor adverse eventsPostoperative adverse eventsPerioperative adverse eventsSevere adverse eventsCohort of patientsED visit ratesEmergency department visitsMultivariable logistic regressionNational administrative databaseRetrospective database studyLumbar interbody fusionSingle level posteriorComorbidity indexPLIF patientsAdult patientsLumbar Laminotomy: Variables Affecting 90-day Overall Reimbursement
Halperin S, Dhodapkar M, Gouzoulis M, Laurans M, Varthi A, Grauer J. Lumbar Laminotomy: Variables Affecting 90-day Overall Reimbursement. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 32: 265-270. PMID: 38064482, DOI: 10.5435/jaaos-d-23-00365.Peer-Reviewed Original ResearchPostoperative adverse eventsAdverse eventsInsurance typePostoperative emergency department visitsPostoperative emergency departmentEmergency department visitsElixhauser Comorbidity IndexMultivariable linear regression modelsMultivariable linear regressionHealthcare deliveryIndications of traumaPostoperative readmissionsComorbidity indexInfectious diagnosisConservative treatmentPerioperative dataDepartment visitsEmergency departmentOutpatient surgeryLarge cohortSpinal proceduresExclusion criteriaDiskectomyOverall reimbursementCommon procedureMedicaid 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