2020
Pre-operative headaches and obstructive hydrocephalus predict an extended length of stay following suboccipital decompression for pediatric Chiari I malformation
Elsamadicy AA, Koo AB, David WB, Kundishora AJ, Hong CS, Sarkozy M, Kahle KT, DiLuna M. Pre-operative headaches and obstructive hydrocephalus predict an extended length of stay following suboccipital decompression for pediatric Chiari I malformation. Child's Nervous System 2020, 37: 91-99. PMID: 32519127, DOI: 10.1007/s00381-020-04688-2.Peer-Reviewed Original ResearchConceptsPediatric CM-I patientsExtended LOSMultivariate logistic regressionCM-I patientsObstructive hydrocephalusSurgical decompressionSuboccipital decompressionElectrolyte disordersRisk factorsHeadache symptomsHospital-level risk factorsLogistic regressionChiari malformation type IPediatric Chiari I malformationPost-operative complicationsImpact of patientChiari I malformationRisk-adjusted LOSYoung childrenAdmission comorbiditiesMethodsThe KidsPediatric CMHospital stayPatient comorbiditiesPatient demographics
2019
Impact of patient and hospital-level risk factors on extended length of stay following spinal fusion for adolescent idiopathic scoliosis.
Elsamadicy AA, Koo AB, Kundishora AJ, Chouairi F, Lee M, Hengartner AC, Camara-Quintana J, Kahle KT, DiLuna ML. Impact of patient and hospital-level risk factors on extended length of stay following spinal fusion for adolescent idiopathic scoliosis. Journal Of Neurosurgery Pediatrics 2019, 24: 469-475. PMID: 31374544, DOI: 10.3171/2019.5.peds19161.Peer-Reviewed Original ResearchAdolescent idiopathic scoliosisPosterior spinal fusionElective posterior spinal fusionHospital-level risk factorsLOS cohortExtended LOSImpact of patientSpinal fusionRisk factorsPostoperative complicationsPatient comorbiditiesBlood transfusionInpatient DatabaseOdds ratioIdiopathic scoliosisMultivariate logistic regression modelExtended hospital LOSFluid-electrolyte disordersInpatient hospital lengthOverall complication rateKids' Inpatient DatabaseMultivariate logistic regressionRisk-adjusted LOSLogistic regression modelsHealth policy changes