2022
356 Patient-and-Hospital-Related Risk Factors for Non-Routine Discharge After Lumbar Decompression and Fusion for Spondylolisthesis
Elsamadicy A, Freedman I, Koo A, David W, Hengartner A, Havlik J, Hersh A, Pennington Z, Kolb L, Laurans M, Shin J, Sciubba D. 356 Patient-and-Hospital-Related Risk Factors for Non-Routine Discharge After Lumbar Decompression and Fusion for Spondylolisthesis. Neurosurgery 2022, 68: 84-84. DOI: 10.1227/neu.0000000000001880_356.Peer-Reviewed Original ResearchNon-routine dischargeSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseNon-Hispanic black race/ethnicityQuality Improvement Program databaseICD-9-CM diagnosisBlack race/ethnicityMultivariate logistic regression modelDependent functional statusImprovement Program databaseRetrospective cohort studyProcedural Coding SystemQuality of careMultivariate regression analysisPaucity of dataLogistic regression modelsRace/ethnicityUnplanned readmissionCohort studyDischarge dispositionReadmission ratesAdult patientsAdverse eventsIndependent predictorsLonger LOS
2021
Patient Risk Factors Associated With 30- and 90-Day Readmission After Ventriculoperitoneal Shunt Placement for Idiopathic Normal Pressure Hydrocephalus in Elderly Patients: A Nationwide Readmission Study
Koo AB, Elsamadicy AA, Lin IH, David WB, Reeves BC, Santarosa C, Cord B, Malhotra A, Kahle KT, Matouk CC. Patient Risk Factors Associated With 30- and 90-Day Readmission After Ventriculoperitoneal Shunt Placement for Idiopathic Normal Pressure Hydrocephalus in Elderly Patients: A Nationwide Readmission Study. World Neurosurgery 2021, 152: e23-e31. PMID: 33862298, DOI: 10.1016/j.wneu.2021.04.010.Peer-Reviewed Original ResearchConceptsIdiopathic normal pressure hydrocephalusVP shunt surgeryShunt surgeryElderly patientsNormal pressure hydrocephalusPressure hydrocephalusNationwide Readmissions DatabaseVentriculoperitoneal shunt surgeryPatient risk factorsVentriculoperitoneal shunt placementQuality of careMultivariate regression analysisIndex admissionUnplanned readmissionReadmission ratesRenal failureMechanical complicationsPostoperative infectionShunt placementNinth RevisionFemale sexRisk factorsSubdural hemorrhageClinical ModificationReadmissionPost-traumatic seizures following pediatric traumatic brain injury
Elsamadicy AA, Koo AB, David WB, Lee V, Zogg CK, Kundishora AJ, Hong C, Reeves BC, Sarkozy M, Kahle KT, DiLuna M. Post-traumatic seizures following pediatric traumatic brain injury. Clinical Neurology And Neurosurgery 2021, 203: 106556. PMID: 33636505, DOI: 10.1016/j.clineuro.2021.106556.Peer-Reviewed Original ResearchConceptsLoss of consciousnessTraumatic brain injuryPost-traumatic seizuresSeizure developmentBrain injuryRisk factorsPre-existing medical comorbiditiesPediatric traumatic brain injuryClinical risk factorsDevelopment of seizuresRate of seizuresDecrease healthcare costsEtiology of injuryType of injuryLogistic regression analysisQuality of careHospital complicationsMedical comorbiditiesNeurological complicationsPediatric patientsTBI patientsGreater proportionNinth RevisionSubarachnoid hemorrhageSecondary diagnosis
2019
Reduced influence of affective disorders on perioperative complication rates, length of hospital stay, and healthcare costs following spinal fusion for adolescent idiopathic scoliosis.
Elsamadicy AA, Koo AB, Lee M, Kundishora AJ, Hong CS, Hengartner AC, Camara-Quintana J, Kahle KT, DiLuna ML. Reduced influence of affective disorders on perioperative complication rates, length of hospital stay, and healthcare costs following spinal fusion for adolescent idiopathic scoliosis. Journal Of Neurosurgery Pediatrics 2019, 24: 722-727. PMID: 31491756, DOI: 10.3171/2019.7.peds19223.Peer-Reviewed Original ResearchLength of stayPerioperative complication ratePosterior spinal fusionElective posterior spinal fusionMajority of patientsDischarge dispositionComplication rateQuality of careAffective disordersAdolescent patientsIdiopathic scoliosisPostoperative complicationsInpatient DatabaseSpinal fusionNonroutine discharge dispositionHospital-level factorsProportion of patientsOverall patient satisfactionKids' Inpatient DatabaseNumber of complicationsConcurrent affective disorderAdolescent idiopathic scoliosisHospital stayPatient comorbiditiesPatient demographics
2018
Preoperative Hemoglobin Level is Associated with Increased Health Care Use After Elective Spinal Fusion (≥3 Levels) in Elderly Male Patients with Spine Deformity
Elsamadicy AA, Adogwa O, Ongele M, Sergesketter AR, Tarnasky A, Lubkin DET, Drysdale N, Cheng J, Bagley CA, Karikari IO. Preoperative Hemoglobin Level is Associated with Increased Health Care Use After Elective Spinal Fusion (≥3 Levels) in Elderly Male Patients with Spine Deformity. World Neurosurgery 2018, 112: e348-e354. PMID: 29355811, DOI: 10.1016/j.wneu.2018.01.046.Peer-Reviewed Original ResearchConceptsElderly male patientsPreoperative Hgb levelsElective spinal fusionHealth care useHgb levelsSpinal fusionMale patientsPostoperative deliriumHemoglobin levelsCare useMean Hgb levelsNon-wound infectionsPreoperative hemoglobin levelLower hemoglobin levelsLower Hgb levelsQuality of careMajor academic institutionPreoperative HgbHospital stayPreoperative levelsPrimary outcomePreoperative identificationHematoma formationMedical recordsSpine surgeryChapter 13 Quality Efforts for Reducing Mortality in Neurosurgery
Elsamadicy A, Sergesketter A, Gottfried O. Chapter 13 Quality Efforts for Reducing Mortality in Neurosurgery. 2018, 177-188. DOI: 10.1016/b978-0-12-812898-5.00014-x.ChaptersMortality rateCoordination of careQuality InitiativeRecent quality improvement initiativesOverall patient careQuality improvement initiativesQuality of careAdverse eventsNeurosurgery DepartmentPatient severityProspective reviewPatient careHospital reimbursementImprovement initiativesCareSafety initiativesSeverityNeurosurgeryBest approachImprovement of communicationHospitalIllnessMortality
2017
Complications and 30-Day readmission rates after craniotomy/craniectomy: A single Institutional study of 243 consecutive patients
Elsamadicy AA, Sergesketter A, Adogwa O, Ongele M, Gottfried ON. Complications and 30-Day readmission rates after craniotomy/craniectomy: A single Institutional study of 243 consecutive patients. Journal Of Clinical Neuroscience 2017, 47: 178-182. PMID: 29031542, DOI: 10.1016/j.jocn.2017.09.021.Peer-Reviewed Original ResearchConceptsSensory/motor deficitsConsecutive patientsUnplanned readmissionReadmission ratesMotor deficitsMental statusPost-operative complication rateCommon presented symptomsHigher health care costsEarly hospital readmissionDays of dischargeCraniotomy/craniectomyHigher readmission ratesMajority of patientsSingle institutional studySkilled nursing facilitiesQuality of careHealth care costsHealth care dollarsMajor academic institutionComplication ratePatient demographicsSD ageCommon indicationHospital readmissionAssociation of Intraoperative Blood Transfusions on Postoperative Complications, 30-Day Readmission Rates, and 1-Year Patient-Reported Outcomes
Elsamadicy AA, Adogwa O, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Association of Intraoperative Blood Transfusions on Postoperative Complications, 30-Day Readmission Rates, and 1-Year Patient-Reported Outcomes. Spine 2017, 42: 610-615. PMID: 28399073, DOI: 10.1097/brs.0000000000001803.Peer-Reviewed Original ResearchConceptsPerioperative allogeneic RBC transfusionAllogeneic RBC transfusionElective spine surgeryPostoperative complication rateReadmission ratesRBC transfusionSpine surgeryPostoperative complicationsComplication rateThirty-day hospital readmission ratesAllogeneic red blood cell transfusionRed blood cell transfusionMultivariate logistic regression analysisMultivariate logistic regression modelPatient-reported outcome instrumentsHigher perioperative complicationsPostoperative hemoglobin levelsIntraoperative blood transfusionBlood cell transfusionHospital readmission ratesMajor academic medical centerLogistic regression analysisAcademic medical centerQuality of careLogistic regression models30-Day Readmission After Spine Surgery
Adogwa O, Elsamadicy AA, Han JL, Karikari IO, Cheng J, Bagley CA. 30-Day Readmission After Spine Surgery. Spine 2017, 42: 520-524. PMID: 28350632, DOI: 10.1097/brs.0000000000001779.Peer-Reviewed Original ResearchConceptsElective spine surgeryUnplanned readmissionSpine surgeryEarly readmissionHospital stayUnplanned early readmissionsCauses of readmissionDays of dischargeRetrospective cohort reviewMajority of patientsCommon primary reasonsPost-discharge careDuke University HospitalSkilled nursing facilitiesQuality of careNonsurgical complicationsRefractory painCohort reviewDischarge careLumbar decompressionSD ageEmergency departmentUniversity HospitalRisk factorsCommon cause
2016
Drivers of 30-Day Readmission in Elderly Patients (>65 Years Old) After Spine Surgery: An Analysis of 500 Consecutive Spine Surgery Patients
Adogwa O, Elsamadicy AA, Han J, Karikari IO, Cheng J, Bagley CA. Drivers of 30-Day Readmission in Elderly Patients (>65 Years Old) After Spine Surgery: An Analysis of 500 Consecutive Spine Surgery Patients. World Neurosurgery 2016, 97: 518-522. PMID: 27474458, DOI: 10.1016/j.wneu.2016.07.032.Peer-Reviewed Original ResearchConceptsElective spine surgerySpine surgeryUnplanned readmissionEarly readmissionElderly patientsHospital stayConsecutive spine surgery patientsCauses of readmissionSpine surgery patientsDays of dischargeMajority of patientsCommon primary reasonsSkilled nursing facilitiesQuality of carePaucity of dataMajor academic hospitalNonsurgical complicationsSD ageSurgery patientsEmergency departmentMental statusAcademic hospitalCommon causeReadmissionNursing facilities