A5055308821- Frailty in Older Adults
- Cardiac, Anesthesia and Surgical Outcomes
- Hip and Femur Fractures
- Neurosurgical Procedures and Complications
- Pelvic and Acetabular Injuries
- Spinal Fractures and Fixation Techniques
- Trigeminal Neuralgia and Treatments
- Cerebrospinal fluid and hydrocephalus
- Traumatic Brain Injury and Neurovascular Disturbances
- Management of metastatic bone disease
- Intracerebral and Subarachnoid Hemorrhage Research
- Intracranial Aneurysms: Treatment and Complications
- Spine and Intervertebral Disc Pathology
- Cerebrovascular and Carotid Artery Diseases
- Pharmacological Effects and Toxicity Studies
- Musculoskeletal pain and rehabilitation
- Medical Imaging and Analysis
- Health Systems, Economic Evaluations, Quality of Life
- Spinal Dysraphism and Malformations
- Facial Nerve Paralysis Treatment and Research
- Scoliosis diagnosis and treatment
- Surgical site infection prevention
- Trauma and Emergency Care Studies
- Epilepsy research and treatment
University of New Mexico
2022-2024
University of New Mexico Hospital
2022-2023
Louisiana State University Health Sciences Center Shreveport
2023
Louisiana State University
2023
Risk stratification of epilepsy surgery patients remains difficult. The Analysis Index (RAI) is a frailty measurement that augments preoperative risk stratification.To evaluate RAI's discriminative threshold for nonhome discharge disposition (NHD) and mortality (or to hospice within 30 days operation) in patients.Patients were queried from the American College Surgeons-National Surgical Quality Improvement Program database (2012-2020) using diagnosis/procedure codes. Linear-by-linear trend...
The endoscopic spine surgery (ESS) approach is associated with high levels of patient satisfaction, shorter recovery time, and reduced complications. present study reports multicenter, international data, comparing ESS non-ESS approaches for singlelevel lumbar decompression, proposes a frailty-driven predictive model nonhome discharge (NHD) disposition.Cases decompression were queried from the American College Surgeons National Surgical Quality Improvement Program database (2017-2020)....
Abstract Introduction The aim of this study was to evaluate the discriminative accuracy preoperative Risk Analysis Index (RAI) frailty score for prediction mortality or transition hospice within 30 days brain tumor resection (BTR) in a large multicenter, international, prospective database. Methods Records BTR patients were extracted from American College Surgeons National Surgical Quality Improvement Program (2012–2020) relationship between RAI scale and primary end point (mortality...
OBJECTIVE When indicated, patients with symptomatic Chiari malformation type I (CM-I) may benefit from suboccipital decompression (SOD). Although SOD is considered a lower-risk neurosurgical procedure, preoperative risk assessment and careful surgical patient selection remain critical. The objectives of the present study were twofold: 1) describe 30-day outcomes for CM attention to impact frailty 2) design predictive model primary endpoint nonhome discharge (NHD). METHODS There 1015 CM-I who...
Introduction: Microvascular decompression (MVD) is an efficacious neurosurgical intervention for patients with medically intractable neurovascular compression syndromes. However, MVD may occasionally cause life-threatening or altering complications, particularly in unfit surgical operations. Recent literature suggests a lack of association between chronological age and outcomes MVD. The Risk Analysis Index (RAI) validated frailty tool populations (both clinical large database). present study...
OBJECTIVE Perioperative and/or postoperative cerebrovascular accidents (PCVAs) after intracranial tumor resection (ITR) are serious complications with devastating effects on quality of life and survival. Here, the authors retrospectively analyzed a prospectively maintained, multicenter surgical registry to design risk model for PCVA ITR support efforts in neurosurgical personalized medicine stratify patients potentially mitigate poor outcomes. METHODS The National Surgical Quality...
Subdural hematoma (SDH) is a common pathology found in neurosurgery. Infected SDH, however, less common, and reports have typically identified Escherichia coli as the causative organism.We present here case of an infected chronic SDH caused by Streptococcus mitis, likely for first time, following burn injury 40-year-old male patient.The workup should now include S. mitis possible culprit.
Objective: Microvascular decompression (MVD) is an efficacious neurosurgical intervention for patients with medically intractable neurovascular compression syndromes. However, MVD may occasionally cause life threatening or altering complications, particularly in unfit surgical operations. Recent literature suggests a lack of association between chronological age and outcomes MVD. The Risk Analysis Index (RAI) validated frailty tool populations (both clinical large database). present study...
We investigated frailty's impact on traumatic subdural hematoma (tSDH), examining its relationship with major complications, length of hospital stay (LOS), mortality, high level care discharges, and survival probabilities following nonoperative operative management.Despite frequency as a neurosurgical emergency, tSDH remains underexplored. Frailty characterized by multisystem impairments significantly predicts poor outcomes, necessitating further investigation.A retrospective study patients...
Abstract Purpose To evaluate the discriminative prognostic utility of Risk Analysis Index-Administrative (RAI-A) as compared to modified frailty index-5 (mFI-5) and patient age for postoperative outcomes brain tumor resection (BTR) patients. Methods Patients with BTR were queried from National Surgical Quality Improvement Program (NSIQP) years 2015 2019. Multivariable logistic regression was performed association between tools complications discharge outcomes. Results We identified 30,951...