2022
A novel online calculator to predict nonroutine discharge, length of stay, readmission, and reoperation in patients undergoing surgery for intramedullary spinal cord tumors
Hersh AM, Patel J, Pennington Z, Antar A, Goldsborough E, Porras JL, Feghali J, Elsamadicy AA, Lubelski D, Wolinsky JP, Jallo GI, Gokaslan ZL, Lo SL, Sciubba DM. A novel online calculator to predict nonroutine discharge, length of stay, readmission, and reoperation in patients undergoing surgery for intramedullary spinal cord tumors. The Spine Journal 2022, 22: 1345-1355. PMID: 35342014, DOI: 10.1016/j.spinee.2022.03.005.Peer-Reviewed Original ResearchConceptsIntramedullary spinal cord tumorsModified McCormick ScaleSpinal cord tumorsNonroutine dischargeDay readmissionIndependent predictorsWeb-based calculatorBowel dysfunctionNonhome dischargePatient demographicsCord tumorsIncision lengthHigher preoperative white blood cell countResection of ISCTsPreoperative white blood cell countStepwise multivariable logistic regression modelSingle comprehensive cancer centerWhite blood cell countMultivariable logistic regression modelRetrospective cohort study PATIENT SAMPLEBaseline neurological statusDays unplanned readmissionLonger incision lengthNovel online calculatorPreoperative neurological symptoms
2021
A Web-Based Calculator for Predicting the Occurrence of Wound Complications, Wound Infection, and Unplanned Reoperation for Wound Complications in Patients Undergoing Surgery for Spinal Metastases
Hersh AM, Feghali J, Hung B, Pennington Z, Schilling A, Antar A, Patel J, Ehresman J, Cottrill E, Lubelski D, Elsamadicy AA, Goodwin CR, Lo SL, Sciubba DM. A Web-Based Calculator for Predicting the Occurrence of Wound Complications, Wound Infection, and Unplanned Reoperation for Wound Complications in Patients Undergoing Surgery for Spinal Metastases. World Neurosurgery 2021, 155: e218-e228. PMID: 34403800, DOI: 10.1016/j.wneu.2021.08.041.Peer-Reviewed Original ResearchConceptsLow platelet countWound complicationsPlatelet countUnplanned reoperationWound infectionRevision surgeryWeb-based calculatorIncision lengthHigher CCIHigher Charlson comorbidity indexSingle comprehensive cancer centerKarnofsky Performance Scale scoreLonger incision lengthCharlson Comorbidity IndexWound-related complicationsIndependent predictive factorsSurgical site infectionMultivariable logistic regressionPerformance Scale scoreComprehensive cancer centerOptimism-corrected areaPoor health statusComorbidity indexIndex surgeryMetastasis surgery
2020
Scoring System to Triage Patients for Spine Surgery in the Setting of Limited Resources
Sciubba D, Ehresman J, Pennington Z, Lubelski D, Feghali J, Bydon A, Chou D, Elder B, Elsamadicy A, Goodwin M, Goodwin C, Harrop J, Huq S, Klineberg E, Laufer I, Lo S, Neumaan B, Passias P, Protopsaltis T, Shin J, Theodore N, Witham T, Benzel E. Scoring System to Triage Patients for Spine Surgery in the Setting of Limited Resources. Neurosurgery 2020, 67: nyaa447_684. PMCID: PMC7717415, DOI: 10.1093/neuros/nyaa447_684.Peer-Reviewed Original ResearchScoring systemSpine surgerySurgical casesElective spine surgery patientsFellowship-trained spine surgeonsElective spine surgeryPatient medical comorbiditiesSpine surgery patientsPost-operative complicationsSpine surgery casesLocal disease burdenFinal scoring systemAcademic medical centerElective surgical casesResource-limited settingsWeb-based calculatorHospital courseMedical comorbiditiesDischarge dispositionNeurological statusSurgery patientsDisease burdenSurgery casesMedical CenterSpine surgeonsScoring System to Triage Patients for Spine Surgery in the Setting of Limited Resources: Application to the Coronavirus Disease 2019 (COVID-19) Pandemic and Beyond
Sciubba DM, Ehresman J, Pennington Z, Lubelski D, Feghali J, Bydon A, Chou D, Elder BD, Elsamadicy AA, Goodwin CR, Goodwin ML, Harrop J, Klineberg EO, Laufer I, Lo SL, Neuman BJ, Passias PG, Protopsaltis T, Shin JH, Theodore N, Witham TF, Benzel EC. Scoring System to Triage Patients for Spine Surgery in the Setting of Limited Resources: Application to the Coronavirus Disease 2019 (COVID-19) Pandemic and Beyond. World Neurosurgery 2020, 140: e373-e380. PMID: 32479913, PMCID: PMC7256646, DOI: 10.1016/j.wneu.2020.05.233.Peer-Reviewed Original ResearchConceptsElective spine surgeryCoronavirus disease 2019 (COVID-19) pandemicDisease 2019 pandemicSpine surgeryScoring systemSurgical casesFellowship-trained spine surgeonsPatient medical comorbiditiesSpine surgery casesLocal disease burdenFinal scoring systemAcademic medical centerElective surgical casesResource-limited settingsWeb-based calculatorHospital courseMedical comorbiditiesPostoperative complicationsDischarge dispositionNeurologic statusDisease burdenSurgery casesMedical CenterSpine surgeonsSpine stability