2019
Association Between Preoperative Narcotic Use with Perioperative Complication Rates, Patient Reported Pain Scores, and Ambulatory Status After Complex Spinal Fusion (≥5 Levels) for Adult Deformity Correction
Elsamadicy AA, Drysdale N, Adil SM, Charalambous L, Lee M, Koo A, Freedman IG, Kundishora AJ, Camara-Quintana J, Qureshi T, Kolb L, Laurans M, Abbed K, Karikari IO. Association Between Preoperative Narcotic Use with Perioperative Complication Rates, Patient Reported Pain Scores, and Ambulatory Status After Complex Spinal Fusion (≥5 Levels) for Adult Deformity Correction. World Neurosurgery 2019, 128: e231-e237. PMID: 31009775, DOI: 10.1016/j.wneu.2019.04.107.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBone TransplantationDepressionFemaleHumansIntraoperative Neurophysiological MonitoringLaminectomyLength of StayMaleMiddle AgedMobility LimitationNarcoticsOsteotomyPainPain MeasurementPain, PostoperativePatient ReadmissionPatient Reported Outcome MeasuresPostoperative ComplicationsPreoperative PeriodSpinal DiseasesSpinal FusionConceptsComplex spinal fusionPain scoresPerioperative complication ratePreoperative narcotic useComplication rateSpinal fusionAmbulatory statusNarcotic usePatient demographicsDeformity correctionPatient-reported pain scoresPrimary complex spinal fusionAdult deformity correctionLast pain scoreNon-user cohortsPostoperative pain scoresPostoperative complication rateHigher pain scoresPhysical therapy regimensPrevalence of depressionGreater mean ageUse of narcoticsMajor academic institutionAmbulatory dayPreoperative use
2017
Depression as an independent predictor of postoperative delirium in spine deformity patients undergoing elective spine surgery.
Elsamadicy AA, Adogwa O, Lydon E, Sergesketter A, Kaakati R, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Depression as an independent predictor of postoperative delirium in spine deformity patients undergoing elective spine surgery. Journal Of Neurosurgery Spine 2017, 27: 209-214. PMID: 28574333, DOI: 10.3171/2017.4.spine161012.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAge FactorsComorbidityDecompression, SurgicalDeliriumDepressionElective Surgical ProceduresFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOperative TimePostoperative ComplicationsPrognosisRetrospective StudiesRisk FactorsSpinal CurvaturesSpinal FusionSpineConceptsElective spine surgeryMultivariate logistic regression analysisPostoperative deliriumIndependent risk factorPostoperative complication rateSpine surgeryLogistic regression analysisPatient demographicsComplication rateIndependent predictorsDeformity patientsRisk factorsDepression groupAffective disordersSuperficial surgical site infectionSignificant between-group differencesInferior surgical outcomesPostoperative delirium rateResults Patient demographicsInitial hospital stayProportion of patientsRate of complicationsSurgical site infectionUrinary tract infectionDeep vein thrombosis
2016
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
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 outcomes
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 Index