2021
Impact of race on outcomes and healthcare utilization following spinal fusion for adolescent idiopathic scoliosis
Elsamadicy AA, Koo AB, David WB, Freedman IG, Kundishora AJ, Hong CS, Sarkozy M, Sciubba DM, Kahle KT, DiLuna M. Impact of race on outcomes and healthcare utilization following spinal fusion for adolescent idiopathic scoliosis. Clinical Neurology And Neurosurgery 2021, 206: 106634. PMID: 33979695, DOI: 10.1016/j.clineuro.2021.106634.Peer-Reviewed Original ResearchConceptsPosterior spinal fusionPostoperative complicationsAdolescent idiopathic scoliosisPatient demographicsIdiopathic scoliosisAdolescent patientsSpine surgerySpinal fusionBlack cohortBaseline patient demographicsRate of complicationsMajority of patientsPosterior spine surgeryPosterior spinal surgeryMedian total costBaseline comorbiditiesHospital stayDischarge dispositionInpatient managementPostoperative outcomesBlood transfusionPrimary outcomeFemale patientsHealthcare utilizationHispanic patients
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
Thirty-day complication and readmission rates associated with resection of metastatic spinal tumors: a single institutional experience
Elsamadicy AA, Adogwa O, Lubkin DT, Sergesketter AR, Vatsia S, Sankey EW, Cheng J, Bagley CA, Karikari IO. Thirty-day complication and readmission rates associated with resection of metastatic spinal tumors: a single institutional experience. Journal Of Spine Surgery 2018, 4: 304-310. PMID: 30069522, PMCID: PMC6046345, DOI: 10.21037/jss.2018.05.14.Peer-Reviewed Original ResearchReadmission ratesMetastatic spinal tumorsPost-operative complicationsIntensive care unitUncontrolled painSpinal metastasesSpinal tumorsSensory deficitsTumor pathologyCommon post-operative complicationCommon tumor pathologyNew sensory deficitsNerve root injurySingle institutional experienceThirty-day complicationsUnplanned readmission rateMajority of patientsSpinal cord tumorsSensory-motor deficitsSpinal tumor resectionElective resectionCommon complicationMost patientsPatient demographicsCord tumorsDoes Nasal Carriage of Staphylococcus aureus Increase the Risk of Postoperative Infections After Elective Spine Surgery: Do Most Infections Occur in Carriers?
Adogwa O, Vuong VD, Elsamadicy AA, Lilly DT, Desai SA, Khalid S, Cheng J, Bagley CA. Does Nasal Carriage of Staphylococcus aureus Increase the Risk of Postoperative Infections After Elective Spine Surgery: Do Most Infections Occur in Carriers? World Neurosurgery 2018, 116: e519-e524. PMID: 29772370, DOI: 10.1016/j.wneu.2018.05.025.Peer-Reviewed Original ResearchConceptsSurgical site infectionElective spine surgeryWound infectionNasal colonizationSite infectionSpine surgeryCases of SSIPost-operative surgical site infectionDirect medical record reviewAdult spinal deformity surgeryProspective multi-institutional studyLocal vancomycin powderPostoperative wound infectionDeep wound infectionHistory of diabetesMajority of patientsMedical record reviewDay of surgeryBody mass indexStandard deviation agePost-operative infectionSpinal deformity surgeryMulti-institutional studyBaseline characteristicsNasal carriage
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 readmissionGeriatric comanagement reduces perioperative complications and shortens duration of hospital stay after lumbar spine surgery: a prospective single-institution experience.
Adogwa O, Elsamadicy AA, Vuong VD, Moreno J, Cheng J, Karikari IO, Bagley CA. Geriatric comanagement reduces perioperative complications and shortens duration of hospital stay after lumbar spine surgery: a prospective single-institution experience. Journal Of Neurosurgery Spine 2017, 27: 670-675. PMID: 28960161, DOI: 10.3171/2017.5.spine17199.Peer-Reviewed Original ResearchConceptsLumbar spine surgeryHospital stayPOSH cohortElderly patientsSpine surgeryGeriatric comanagementPerioperative complicationsComplex lumbar spine surgeryElective lumbar spine surgeryMedical comorbid conditionsSenior Health (POSH) programDays of dischargeElective spinal surgerySingle institution experienceMajority of patientsNursing home admissionLumbar fusion surgeryResults One hundred twentyMajor academic medical centerAdult degenerative scoliosisAcademic medical centerHospital complicationsSurgical screeningPostoperative complicationsBaseline characteristicsEarly Ambulation Decreases Length of Hospital Stay, Perioperative Complications and Improves Functional Outcomes in Elderly Patients Undergoing Surgery for Correction of Adult Degenerative Scoliosis
Adogwa O, Elsamadicy AA, Fialkoff J, Cheng J, Karikari IO, Bagley C. Early Ambulation Decreases Length of Hospital Stay, Perioperative Complications and Improves Functional Outcomes in Elderly Patients Undergoing Surgery for Correction of Adult Degenerative Scoliosis. Spine 2017, 42: 1420-1425. PMID: 28902101, DOI: 10.1097/brs.0000000000002189.Peer-Reviewed Original ResearchConceptsAdult degenerative scoliosisElderly patientsPerioperative complicationsHospital stayUnplanned readmissionReadmission ratesComplication rateInhospital stayDegenerative scoliosisFunctional outcomeDays of immobilityHospital-associated complicationsDays of dischargeElective spinal surgeryHours of surgeryInferior functional outcomesMajority of patientsHigh complication rateEarly ambulationNonsurgical complicationsAmbispective studyBaseline characteristicsCohort reviewDecrease lengthEarly mobilization30-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