2022
Predictors of Physical Abuse in Elder Patients With Fracture
Gardezi M, Moore HG, Rubin LE, Grauer JN. Predictors of Physical Abuse in Elder Patients With Fracture. JAAOS Global Research And Reviews 2022, 6: e22.00144. PMID: 35819835, PMCID: PMC9278940, DOI: 10.5435/jaaosglobal-d-22-00144.Peer-Reviewed Original ResearchConceptsAbuse patientsNational Emergency Department Sample databasePhysical abuseHigh-risk patientsMultivariate regressionPublic health issueLowest income quartileElderly patientsFracture patientsRisk patientsAnkle fracturesIndependent predictorsPediatric populationElder patientsEmergency departmentRib fracturesVolume depletionOdds ratioElder physical abuseElder abusePatientsUnivariate comparisonsMental disordersIncome quartileHealth issuesEmergency 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 visits
2020
Local antibiotics in posterior lumbar fusion procedures for neuromuscular scoliosis: a case for their use
Ondeck NT, Ondeck MA, Bovonratwet P, Albert TJ, Grauer JN. Local antibiotics in posterior lumbar fusion procedures for neuromuscular scoliosis: a case for their use. The Spine Journal 2020, 21: 664-670. PMID: 33347970, DOI: 10.1016/j.spinee.2020.12.004.Peer-Reviewed Original ResearchConceptsSurgical site infectionPosterior spinal fusionNeuromuscular scoliosisLocal antibioticsIntraoperative antibioticsStudy populationRisk of SSIOccurrence of SSIReduced surgical site infectionsHigh-risk patient populationPosterior lumbar fusion proceduresAdverse outcome variablesIncreased overall riskHigh-risk patientsOverall study populationRisk patient populationPatient demographic factorsEntire study populationLumbar fusion proceduresIntrawound antibioticsNMS patientsRenal complicationsRisk patientsPediatric patientsRetrospective review
2019
Incidence, Risk Factors, and Clinical Implications of Postoperative Hematoma Requiring Reoperation Following Anterior Cervical Discectomy and Fusion
Bovonratwet P, Fu MC, Tyagi V, Bohl DD, Ondeck NT, Albert TJ, Grauer JN. Incidence, Risk Factors, and Clinical Implications of Postoperative Hematoma Requiring Reoperation Following Anterior Cervical Discectomy and Fusion. Spine 2019, Publish Ahead of Print: &na;. PMID: 30247374, DOI: 10.1097/brs.0000000000002885.Peer-Reviewed Original ResearchConceptsAnterior cervical discectomyRisk factorsPostoperative hematomaCervical discectomyNational Surgical Quality Improvement Program databaseClinical implicationsPreoperative international normalized ratioQuality Improvement Program databaseDeep wound infectionHigh-risk patientsImprovement Program databaseDevelopment of hematomaInternational normalized ratioLarge cohort studyOccurrence of hematomaACDF patientsPreoperative anemiaVentilator requirementAnesthesiologists classificationPostoperative lengthCohort studyPerioperative periodCatastrophic complicationPrimary outcomeSubsequent complicationsCardiac Complications Related to Spine Surgery: Timing, Risk Factors, and Clinical Effect.
Bovonratwet P, Bohl DD, Malpani R, Haynes MS, Rubio DR, Ondeck NT, Shultz BN, Mahal AR, Grauer JN. Cardiac Complications Related to Spine Surgery: Timing, Risk Factors, and Clinical Effect. Journal Of The American Academy Of Orthopaedic Surgeons 2019, 27: 256-263. PMID: 30897607, DOI: 10.5435/jaaos-d-17-00650.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overDatabases, FactualFemaleHeart ArrestHumansIncidenceIntraoperative ComplicationsLength of StayMaleMiddle AgedMonitoring, PhysiologicMultivariate AnalysisMyocardial InfarctionOrthopedic ProceduresPatient ReadmissionPerioperative PeriodPostoperative ComplicationsRisk FactorsSpineTime FactorsYoung AdultConceptsCardiac complicationsSpine surgeryRisk factorsPostoperative periodNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramQuality Improvement Program databaseSurgical Quality Improvement ProgramPerioperative cardiac complicationsHigh-risk patientsImprovement Program databaseInsulin-dependent diabetesLarge cohort studyQuality Improvement ProgramPreoperative anemiaPostoperative lengthCohort studyPerioperative periodPrimary outcomeClinical effectsCardiac arrestMyocardial infarctionProgram databaseAmerican College
2018
Incidence, Risk Factors, and Impact of Clostridium difficile Colitis After Spine Surgery
Bovonratwet P, Bohl DD, Russo GS, Ondeck NT, Singh K, Grauer JN. Incidence, Risk Factors, and Impact of Clostridium difficile Colitis After Spine Surgery. Spine 2018, 43: 861-868. PMID: 28953711, DOI: 10.1097/brs.0000000000002430.Peer-Reviewed Original ResearchConceptsClostridium difficile colitisDifficile colitisIndependent risk factorSpine surgical proceduresRisk factorsSpine surgerySurgical proceduresPosterior lumbar fusion proceduresPost-hospitalization followSpine surgery patientsHigh-risk patientsLarge cohort studyLumbar fusion proceduresPre-existing infectionLarge national databasePostoperative lengthCohort studyNSQIP databasePostoperative periodSurgery patientsPrimary outcomeRetrospective studyDifficile infectionClinical impactInfection diagnosis
2017
The Rothman Index as a predictor of postdischarge adverse events after elective spine surgery
McLynn RP, Ondeck NT, Cui JJ, Swanson DR, Shultz BN, Bovonratwet P, Grauer JN. The Rothman Index as a predictor of postdischarge adverse events after elective spine surgery. The Spine Journal 2017, 18: 1149-1156. PMID: 29155251, DOI: 10.1016/j.spinee.2017.11.008.Peer-Reviewed Original ResearchConceptsElective spine surgeryPostdischarge adverse eventsMinor adverse eventsMajor adverse eventsAdverse eventsRothman IndexSpine surgeryMedical CenterOverall patient conditionRothman Index scoresHigh-risk patientsRate of readmissionRetrospective cohort studyLarge academic medical centerPostoperative day 30Body mass indexLength of stayAcademic medical centerPresent studyElectronic medical recordsLater scoresAnesthesiologists classHospital lengthPerioperative outcomesCohort studyIncidence of and Risk Factors for Inpatient Stroke After Hip Fractures in the Elderly.
Samuel AM, Diaz-Collado PJ, Szolomayer LK, Nelson SJ, Webb ML, Lukasiewicz AM, Grauer JN. Incidence of and Risk Factors for Inpatient Stroke After Hip Fractures in the Elderly. Orthopedics 2017, 41: e27-e32. PMID: 29136256, DOI: 10.3928/01477447-20171106-04.Peer-Reviewed Original ResearchConceptsInpatient strokeSerious adverse eventsHip fractureAdverse eventsRisk factorsNational Trauma Data BankIsolated hip fractureHigh-risk patientsAssociation of strokeSystolic blood pressureCoronary artery diseaseTrauma Data BankRisk of mortalityIdentifies risk factorsInpatient complicationsPrior strokeInpatient outcomesElderly patientsArtery diseaseBlood pressureRetrospective reviewInclusion criteriaPatientsMultivariate analysisVigilant careIncidence, Risk Factors, and Impact of Clostridium difficile Colitis Following Primary Total Hip and Knee Arthroplasty
Bovonratwet P, Bohl DD, Malpani R, Nam D, Della Valle CJ, Grauer JN. Incidence, Risk Factors, and Impact of Clostridium difficile Colitis Following Primary Total Hip and Knee Arthroplasty. The Journal Of Arthroplasty 2017, 33: 205-210.e1. PMID: 28870746, DOI: 10.1016/j.arth.2017.08.004.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overArthroplasty, Replacement, HipArthroplasty, Replacement, KneeClostridioides difficileColitisEnterocolitis, PseudomembranousFemaleHumansIncidenceKnee JointMaleMiddle AgedPatient DischargePostoperative ComplicationsQuality ImprovementRetrospective StudiesRisk FactorsUnited StatesConceptsNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramDifficile colitisPrimary total hipRisk factorsQuality Improvement ProgramPrimary THATotal hipProcedural risk factorsClostridium difficile colitisHigh-risk patientsUrinary tract infectionInfectious risk factorsPoisson multivariate regressionPreoperative anemiaPerioperative antibioticsPostoperative periodTract infectionsPrimary outcomeSubstantial morbidityKnee arthroplastyColitisPatientsClinical implicationsHospital quality
2016
Preoperative Nutritional Status as an Adjunct Predictor of Major Postoperative Complications Following Anterior Cervical Discectomy and Fusion
Fu MC, Buerba RA, Grauer JN. Preoperative Nutritional Status as an Adjunct Predictor of Major Postoperative Complications Following Anterior Cervical Discectomy and Fusion. Clinical Spine Surgery A Spine Publication 2016, 29: 167-172. PMID: 25310390, DOI: 10.1097/bsd.0000000000000181.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramMajor postoperative complicationsPreoperative nutritional statusAnterior cervical discectomySurgical outcomes databaseSerum albumin concentrationPreoperative hypoalbuminemiaPostoperative complicationsNutritional statusAdjunct predictorCervical discectomyACDF casesOutcomes DatabaseAlbumin concentrationAlbumin measurementSurgical Quality Improvement ProgramMultivariable logistic regression modelHigher ASA classPreoperative albumin measurementsHigh-risk patientsPreoperative serum albuminMultiple medical comorbiditiesPreoperative risk assessmentAdjusted odds ratioStrong independent predictor