2017
Prophylactic use of intraoperative vancomycin powder and postoperative infection: an analysis of microbiological patterns in 1200 consecutive surgical cases.
Adogwa O, Elsamadicy AA, Sergesketter A, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Prophylactic use of intraoperative vancomycin powder and postoperative infection: an analysis of microbiological patterns in 1200 consecutive surgical cases. Journal Of Neurosurgery Spine 2017, 27: 328-334. PMID: 28665245, DOI: 10.3171/2017.2.spine161310.Peer-Reviewed Original ResearchConceptsSurgical site infectionMean body mass indexIntraoperative vancomycin powderVancomycin powderWound infectionAdult patientsProphylactic useCases of SSIPatients' mean body mass indexMicrobiological patternDirect medical record reviewPostoperative surgical site infectionDuke University Medical CenterDeep wound infectionEmpirical antibiotic therapyHistory of diabetesAdverse clinical outcomesMedical record reviewConsecutive surgical casesDay of surgeryBody mass indexSpinal deformity surgeryUniversity Medical CenterRandomized control trialHealth care systemPost-operative delirium is an independent predictor of 30-day hospital readmission after spine surgery in the elderly (≥65years old): A study of 453 consecutive elderly spine surgery patients
Elsamadicy AA, Wang TY, Back AG, Lydon E, Reddy GB, Karikari IO, Gottfried ON. Post-operative delirium is an independent predictor of 30-day hospital readmission after spine surgery in the elderly (≥65years old): A study of 453 consecutive elderly spine surgery patients. Journal Of Clinical Neuroscience 2017, 41: 128-131. PMID: 28262398, DOI: 10.1016/j.jocn.2017.02.040.Peer-Reviewed Original ResearchConceptsPost-operative deliriumIndependent risk factorSpine surgeryElderly patientsReadmission ratesHospital readmissionRisk factorsDelirium patientsComplication rateIndependent predictorsPost-operative complication rateSuperficial surgical site infectionMultivariate logistic regression analysisDuke University Medical CenterConsecutive elderly patientsSpine surgery patientsSurgical site infectionLogistic regression analysisUniversity Medical CenterLower healthcare costsDSM-V criteriaHospital stayUnplanned readmissionPatient demographicsSurgery patients
2016
Impact of Intraoperative Steroids on Postoperative Infection Rates and Length of Hospital Stay: A Study of 1200 Spine Surgery Patients
Elsamadicy AA, Wang TY, Back AG, Sergesketter A, Warwick H, Karikari IO, Gottfried ON. Impact of Intraoperative Steroids on Postoperative Infection Rates and Length of Hospital Stay: A Study of 1200 Spine Surgery Patients. World Neurosurgery 2016, 96: 429-433. PMID: 27667578, DOI: 10.1016/j.wneu.2016.09.057.Peer-Reviewed Original ResearchConceptsIntraoperative steroidsHospital staySpine surgeryInfection ratePostoperative complicationsPatient demographicsUse cohortSteroid useLong-term steroid useSuperficial surgical site infectionDuke University Medical CenterIntraoperative steroid useSpine surgery patientsPostoperative complication ratePostoperative infection rateShorter hospital staySurgical site infectionUrinary tract infectionUniversity Medical CenterLength of operationLower ratesLow infection rateAdult patientsComplication rateSurgery patientsThe Effect of Patient Race on Extent of Functional Improvement After Cervical Spine Surgery
Elsamadicy A, Adogwa O, Reiser E, Fatemi P, Cheng J, Bagley C. The Effect of Patient Race on Extent of Functional Improvement After Cervical Spine Surgery. Spine 2016, 41: 822-826. PMID: 27128256, DOI: 10.1097/brs.0000000000001346.Peer-Reviewed Original ResearchConceptsNeck Disability IndexPatient-reported outcome measuresPhysical component scoreMental component scoreSF-12 mental component scoreSF-12 physical component scoreVisual analog pain scaleVAS neck painOutcome measuresWhite patientsSimilar improvementsDuke University Medical CenterPatient cohort 2Analog pain scaleAnterior cervical discectomyCervical spine surgeryNerve root injuryShort Form-12Clinical outcome dataLongitudinal cohort studyUniversity Medical CenterComponent scoresDisability IndexNeck painAdult patientsIndependent predictors of reliability between full time employee-dependent acquisition of functional outcomes compared to non-full time employee-dependent methodologies: a prospective single institutional study
Adogwa O, Elsamadicy AA, Cheng J, Bagley C. Independent predictors of reliability between full time employee-dependent acquisition of functional outcomes compared to non-full time employee-dependent methodologies: a prospective single institutional study. Journal Of Spine Surgery 2016, 2: 47-51. PMID: 27683695, PMCID: PMC5039846, DOI: 10.21037/jss.2016.03.01.Peer-Reviewed Original ResearchOswestry Disability IndexIndependent predictorsReliable patient-reported outcome measureTwo-week washout periodMultivariate logistic regression modelDuke University Medical CenterPatient-reported outcome measuresProspective single institutional studyBaseline PRO dataSingle institutional studyHealth-related qualityFunctional outcome dataTwo-level lumbar fusionHistory of depressionLeg pain scaleUniversity Medical CenterLogistic regression modelsDisability IndexAdult patientsPain scaleWashout periodProspective studyEnrollment criteriaFunctional outcomeBaseline questionnaire
2015
Pretreatment of Depression Before Cervical Spine Surgery Improves Patients' Perception of Postoperative Health Status: A Retrospective, Single Institutional Experience
Elsamadicy AA, Adogwa O, Cheng J, Bagley C. Pretreatment of Depression Before Cervical Spine Surgery Improves Patients' Perception of Postoperative Health Status: A Retrospective, Single Institutional Experience. World Neurosurgery 2015, 87: 214-219. PMID: 26706296, DOI: 10.1016/j.wneu.2015.11.067.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAntidepressive AgentsCervical VertebraeCohort StudiesDepressionDisability EvaluationDiskectomyFemaleHealth StatusHumansMaleMiddle AgedNeck PainPain MeasurementPatient SatisfactionPostoperative ComplicationsProspective StudiesRetrospective StudiesSpinal FusionSpineTreatment OutcomeConceptsNeck pain visual analog scalePain visual analog scaleNeck Disability IndexVisual analog scaleSF-12 mental component scoreSF-12 PCSMental component scoreSF-12 physical component scoreComponent scoresDuke University Medical CenterPatient-reported outcome measuresPostoperative health statusAnterior cervical discectomyCervical spine surgeryNerve root injurySingle institutional experiencePhysical component scoreShort Form-12Clinical outcome dataBoard-certified psychiatristHistory of depressionUniversity Medical CenterSimilar improvementsSignificant differencesDisability IndexPretreatment of Anxiety Before Cervical Spine Surgery Improves Clinical Outcomes: A Prospective, Single-Institution Experience
Adogwa O, Elsamadicy AA, Cheng J, Bagley C. Pretreatment of Anxiety Before Cervical Spine Surgery Improves Clinical Outcomes: A Prospective, Single-Institution Experience. World Neurosurgery 2015, 88: 625-630. PMID: 26585724, DOI: 10.1016/j.wneu.2015.11.014.Peer-Reviewed Original ResearchConceptsNeck Disability IndexNeck pain scoresVisual analog scaleSpine surgeryPain scoresPostoperative painClinical outcomesControl cohortAffective disordersDuke University Medical CenterAnxiety disordersVAS neck painLower postoperative painSF-12 PCSAnterior cervical discectomyCervical spine pathologyCervical spine surgeryNerve root injurySF-12 MCSSingle institution experienceShort Form-12Clinical outcome dataPatient reported outcomesBoard-certified psychiatristUniversity Medical CenterAssessing Patient Reported Outcomes Measures via Phone Interviews Versus Patient Self-Survey in the Clinic: Are We Measuring the Same Thing?
Adogwa O, Elsamadicy AA, Cheng J, Bagley C. Assessing Patient Reported Outcomes Measures via Phone Interviews Versus Patient Self-Survey in the Clinic: Are We Measuring the Same Thing? World Neurosurgery 2015, 87: 230-234. PMID: 26548832, DOI: 10.1016/j.wneu.2015.10.092.Peer-Reviewed Original ResearchConceptsOswestry Disability IndexPatient-reported outcomesBaseline PRO dataVisual analog scalePRO dataAnalog scalePhone interviewsBaseline Oswestry Disability IndexDuke University Medical CenterCoronary artery diseaseHistory of depressionUniversity Medical CenterRepeated-measures analysisVAS-BPVAS-LPBaseline painDisability IndexLeg painAdult patientsArtery diseaseBack painFunctional disabilityProspective studyEnrollment criteriaLumbar fusion