2018
Interdisciplinary Care Model Independently Decreases Use of Critical Care Services After Corrective Surgery for Adult Degenerative Scoliosis
Adogwa O, Elsamadicy AA, Sergesketter AR, Ongele M, Vuong V, Khalid S, Moreno J, Cheng J, Karikari IO, Bagley CA. Interdisciplinary Care Model Independently Decreases Use of Critical Care Services After Corrective Surgery for Adult Degenerative Scoliosis. World Neurosurgery 2018, 111: e845-e849. PMID: 29317368, DOI: 10.1016/j.wneu.2017.12.180.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCase ManagementClinical ProtocolsCohort StudiesCritical CareDecompression, SurgicalFemaleGeriatricsHumansLumbar VertebraeMaleNeurosurgical ProceduresPatient Care TeamPostoperative CarePostoperative ComplicationsRetrospective StudiesScoliosisSpinal FusionTreatment OutcomeConceptsElderly patientsCritical care servicesICU transferIndependent predictorsCorrective surgeryFusion surgeryComanagement modelSpine surgeryCare servicesComplex lumbar spine surgeryTeam approachIntensive care unit resourcesPeri-operative optimizationSenior Health (POSH) programDuration of surgeryLumbar spine surgeryInterdisciplinary care modelLong-term outcomesLumbar fusion surgeryMajor academic medical centerAdult degenerative scoliosisAcademic medical centerInterdisciplinary team approachPOSH cohortHospital course
2017
Geriatric 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 characteristicsAssessing the effectiveness of routine use of post-operative in-patient physical therapy services
Adogwa O, Elsamadicy AA, Fialkoff J, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Karikari IO, Bagley CA. Assessing the effectiveness of routine use of post-operative in-patient physical therapy services. Journal Of Spine Surgery 2017, 3: 149-154. PMID: 28744494, PMCID: PMC5506300, DOI: 10.21037/jss.2017.04.03.Peer-Reviewed Original ResearchHospital stayPhysical therapy servicesComplication ratePT cohortTherapy servicesPeri-operative complication ratesPost-operative complication rateRoutine useElective spine surgeryPost-operative ambulationPeri-operative complicationsMajor academic medical centerProlonged bed restAcademic medical centerPT servicesImproved ambulationPerioperative complicationsBaseline characteristicsHospital dischargePatient demographicsReadmission ratesBlood lossAmbulation statusOperative timeRisk stratificationEffects of immediate post-operative pain medication on length of hospital stay: does it make a difference?
Elsamadicy AA, Adogwa O, Fialkoff J, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Effects of immediate post-operative pain medication on length of hospital stay: does it make a difference? Journal Of Spine Surgery 2017, 3: 155-162. PMID: 28744495, PMCID: PMC5506320, DOI: 10.21037/jss.2017.04.04.Peer-Reviewed Original ResearchPost-operative pain medicationPatient reported outcomesElective spine surgeryPain medicationUrinary tract infectionSpine surgeryHospital stayComplication ratePatient carePost-operative complication rateSignificant differencesDecreased pain scoresHospital readmission ratesPatient-controlled analgesicMajor academic medical centerAcademic medical centerHealth care costsHealth care dollarsHospital coursePain scoresBaseline characteristicsPatient demographicsReadmission ratesTract infectionsBlood lossImmediate Postoperative Pain Scores Predict Neck Pain Profile up to 1 Year Following Anterior Cervical Discectomy and Fusion
Adogwa O, Elsamadicy AA, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Immediate Postoperative Pain Scores Predict Neck Pain Profile up to 1 Year Following Anterior Cervical Discectomy and Fusion. Global Spine Journal 2017, 8: 231-236. PMID: 29796370, PMCID: PMC5958477, DOI: 10.1177/2192568217706700.Peer-Reviewed Original ResearchImmediate postoperative pain scoresNeck pain scoresPostoperative pain scoresPain scoresAnterior cervical discectomyBody mass indexCervical discectomyPain 12 monthsRetrospective cohort reviewFirst postoperative dayMajor academic medical centerImmediate postoperative patientsAcademic medical centerACDF proceduresIndex surgeryPain ProfileACDF surgeryCohort reviewPostoperative dayIndependent predictorsPain outcomesPostoperative patientsMass indexRetrospective studyMean ageAssociation 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 modelsEffect of Social Support and Marital Status on Perceived Surgical Effectiveness and 30-Day Hospital Readmission
Adogwa O, Elsamadicy AA, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Effect of Social Support and Marital Status on Perceived Surgical Effectiveness and 30-Day Hospital Readmission. Global Spine Journal 2017, 7: 774-779. PMID: 29238642, PMCID: PMC5721993, DOI: 10.1177/2192568217696696.Peer-Reviewed Original ResearchElective spine surgerySpine surgeryHospital stayReadmission ratesOutcome measuresLong-term clinical outcomesThirty-day readmission ratesLength of hospitalPostoperative complication rateRetrospective cohort reviewTime of surgeryMarital statusSocial supportMajor academic medical centerAcademic medical centerSignificant differencesBaseline characteristicsCohort reviewPatient demographicsComplication rateHospital readmissionClinical outcomesSurgical outcomesSurgical effectivenessMedical recordsEffect of employment status on length of hospital stay, 30-day readmission and patient reported outcomes after spine surgery
Adogwa O, Elsamadicy AA, Fialkoff J, Mehta AI, Vasquez RA, Cheng J, Karikari IO, Bagley CA. Effect of employment status on length of hospital stay, 30-day readmission and patient reported outcomes after spine surgery. Journal Of Spine Surgery 2017, 3: 44-49. PMID: 28435917, PMCID: PMC5386895, DOI: 10.21037/jss.2017.03.08.Peer-Reviewed Original ResearchElective spine surgeryHospital staySpine surgeryReadmission ratesComplication ratePatient cohortFunctional improvementPeri-operative complication ratesPost-operative complication rateEmployment statusUnplanned hospital readmissionDays of dischargeGreater functional improvementMajor academic medical centerAcademic medical centerCause readmissionBaseline characteristicsPatient demographicsBlood lossHospital readmissionPrimary outcomeReadmission preventionUnemployed patientsOperative timeMedical records
2016
Racial Disparities in 30-Day Readmission Rates After Elective Spine Surgery
Adogwa O, Elsamadicy AA, Mehta AI, Cheng J, Bagley CA, Karikari IO. Racial Disparities in 30-Day Readmission Rates After Elective Spine Surgery. Spine 2016, 41: 1677-1682. PMID: 27054453, DOI: 10.1097/brs.0000000000001616.Peer-Reviewed Original ResearchConceptsElective spine surgerySpine surgeryReadmission ratesBlack patientsUnplanned readmissionIndependent predictorsWhite patientsOutcome measuresMultivariate logistic regression modelRacial disparitiesCauses of readmissionDays of dischargeRetrospective cohort reviewRisk-adjusted oddsHigher readmission ratesBody mass indexPost-discharge careMain outcome measuresMultivariate logistic regressionMajor academic medical centerAcademic medical centerLogistic regression modelsHospital stayNonsurgical complicationsBaseline characteristicsPatient Body Mass Index is an Independent Predictor of 30-Day Hospital Readmission After Elective Spine Surgery
Elsamadicy AA, Adogwa O, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Karikari IO, Bagley CA. Patient Body Mass Index is an Independent Predictor of 30-Day Hospital Readmission After Elective Spine Surgery. World Neurosurgery 2016, 96: 148-151. PMID: 27593714, DOI: 10.1016/j.wneu.2016.08.097.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBody Mass IndexCase-Control StudiesComorbidityDecompression, SurgicalElective Surgical ProceduresFemaleHumansLength of StayLogistic ModelsLumbar VertebraeMaleMiddle AgedMultivariate AnalysisObesityPatient ReadmissionPneumoniaPostoperative ComplicationsRadiculopathyRisk FactorsSpinal DiseasesSpinal FusionSpinal StenosisSpondylolisthesisSurgical Wound InfectionUrinary Tract InfectionsConceptsElective spine surgeryBody mass indexPreoperative body mass indexMultivariate logistic regression analysisDays of dischargeIndependent risk factorHospital readmissionSpine surgeryLogistic regression analysisPreoperative obesityReadmission ratesIndependent predictorsMass indexRisk factorsEarly unplanned hospital readmissionPatient body mass indexUnplanned hospital readmissionPostoperative complication rateAppropriate risk stratificationPrevalence of obesityMajor academic medical centerAcademic medical centerRegression analysisHealth care climateIndex surgeryPreoperative Nutritional Status is an Independent Predictor of 30-day Hospital Readmission After Elective Spine Surgery
Adogwa O, Elsamadicy AA, Mehta AI, Cheng J, Bagley CA, Karikari IO. Preoperative Nutritional Status is an Independent Predictor of 30-day Hospital Readmission After Elective Spine Surgery. Spine 2016, 41: 1400-1404. PMID: 26953667, DOI: 10.1097/brs.0000000000001551.Peer-Reviewed Original ResearchConceptsElective spine surgeryPreoperative serum albumin levelDays of dischargeIndependent risk factorSerum albumin levelHospital readmissionSpine surgeryRisk factorsReadmission ratesPreoperative malnutritionMalnourished patientsAlbumin levelsIndependent predictorsThirty-day hospital readmission ratesNutritional statusMultivariate logistic regression analysisPre-operative malnutritionPreoperative nutritional statusUnplanned hospital readmissionModifiable risk factorsPostoperative complication rateRetrospective cohort reviewHospital readmission ratesIdentification of patientsMajor academic medical centerRace as an Independent Predictor of Temporal Delay in Time to Diagnosis and Treatment in Patients with Cervical Stenosis: A Study of 133 Patients with Anterior Cervical Discectomy and Fusion
Elsamadicy AA, Adogwa O, Fialkoff J, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Race as an Independent Predictor of Temporal Delay in Time to Diagnosis and Treatment in Patients with Cervical Stenosis: A Study of 133 Patients with Anterior Cervical Discectomy and Fusion. World Neurosurgery 2016, 96: 107-110. PMID: 27567581, DOI: 10.1016/j.wneu.2016.08.070.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAnxietyBlack or African AmericanCervical VertebraeDecompression, SurgicalDelayed DiagnosisDepressionDiskectomyEthnicityFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisRetrospective StudiesRisk FactorsSex FactorsSpinal FusionSpinal StenosisTime-to-TreatmentWhite PeopleConceptsAnterior cervical discectomyVisual analog scaleCervical stenosisIndependent predictorsCervical discectomyPatient demographicsMultivariate analysisElective anterior cervical discectomyVAS neck pain scoresPatient-reported outcome measuresSignificant cervical stenosisSymptomatic cervical stenosisVAS neck painIndependent risk factorPostoperative complication rateWorse postoperative outcomesBody mass indexStandard deviation ageMajor academic medical centerHistory of depressionAcademic medical centerPreoperative painNeurological sequelaePain scoresPostoperative outcomesAssociation Between Baseline Affective Disorders and 30-Day Readmission Rates in Patients Undergoing Elective Spine Surgery
Adogwa O, Elsamadicy AA, Mehta AI, Vasquez RA, Cheng J, Karikari IO, Bagley CA. Association Between Baseline Affective Disorders and 30-Day Readmission Rates in Patients Undergoing Elective Spine Surgery. World Neurosurgery 2016, 94: 432-436. PMID: 27450978, DOI: 10.1016/j.wneu.2016.07.045.Peer-Reviewed Original ResearchConceptsElective spine surgeryDays of dischargeSpine surgeryReadmission ratesPsychiatric comorbidityAffective disordersCause readmissionMultivariate logistic regression modelPatient-reported outcome measuresPatient-reported outcome dataRate of readmissionBody mass indexMajor academic medical centerAcademic medical centerLogistic regression modelsUnplanned readmissionBaseline characteristicsEarly readmissionPatient ageIndependent predictorsPrimary outcomeMass indexPsychologic disordersMedical recordsUnivariate analysisComparison of surgical outcomes after anterior cervical discectomy and fusion: does the intra-operative use of a microscope improve surgical outcomes
Adogwa O, Elsamadicy A, Reiser E, Ziegler C, Freischlag K, Cheng J, Bagley CA. Comparison of surgical outcomes after anterior cervical discectomy and fusion: does the intra-operative use of a microscope improve surgical outcomes. Journal Of Spine Surgery 2016, 2: 25-30. PMID: 27683692, PMCID: PMC5039832, DOI: 10.21037/jss.2016.01.04.Peer-Reviewed Original ResearchNeck Disability IndexVisual analog pain scaleSF-12 PCSSF-12 MCSAnterior cervical discectomyIntra-operative useCervical discectomyClinical outcomesSurgical outcomesVAS neck pain scoresLong-term clinical outcomesSuperior long-term outcomesPatient-reported outcome measuresStandard deviation durationSurgery-related outcomesVAS neck painAnalog pain scaleNeck pain scoresNerve root injuryLong-term outcomesClinical outcome dataMajor academic medical centerSimilar improvementsAcademic medical centerDisability Index