Background: There has been an increasing use of national databases to conduct orthopaedic research. Questions regarding the validity and consistency these studies have not fully addressed. The purpose this study was test for similarity in reported measures between two commonly used Methods: A retrospective cohort patients undergoing lumbar spinal fusion procedures during 2009 2011 performed databases: Nationwide Inpatient Sample National Surgical Quality Improvement Program. Demographic...

National databases are being used with increasing frequency to conduct orthopaedic research. However, there important differences in these databases, which could result different answers similar questions; this potential limitation pertaining database research surgery has not been adequately explored.The purpose of study was explore the interdatabase reliability two commonly national Nationwide Inpatient Sample (NIS) and Surgical Quality Improvement Program (NSQIP), terms (1) demographics;...

Background: Total hip arthroplasty may be performed under general or spinal anesthesia. The purpose of the current study was to compare perioperative outcomes between anesthetic types for patients undergoing primary elective total arthroplasty. Methods: Patients who had undergone from 2010 2012 were identified American College Surgeons National Surgical Quality Improvement Program database. Operating room times, length stay, thirty-day adverse events, and readmission compared received...

Retrospective cohort study of the American College Surgeons National Surgical Quality Improvement Program database from 2005 to 2010 that included 1861 patients who had undergone elective posterior lumbar fusion.To characterize factors were independently associated with increased hospital length stay (LOS) in fusion.Posterior spine fusion is a common surgical procedure used treat pathology. LOS an important clinical variable and major determinant inpatient costs. There lack studies...

Ankle fractures are common and can be associated with severe morbidity. Risk factors for short-term adverse events readmission after open reduction internal fixation (ORIF) of ankle have not been fully characterized.The purpose our study was to determine patient rates risk (1) any event; (2) events; (3) infectious complications; (4) ORIF fractures.Patients who underwent fracture from 2005 2012 were identified in the American College Surgeons National Surgical Quality Improvement Program...

Background: For more than thirty-five years, the sliding hip screw, an extramedullary implant, has been standard treatment for stabilization of intertrochanteric fractures. Over last decade, intramedullary implants have replaced as most commonly used type implant in United States this condition, without strong evidence superior outcomes. Methods: We conducted a retrospective cohort study with use American College Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database....

Retrospective cohort.To determine the effect of non-insulin-dependent diabetes mellitus (NIDDM) and insulin-dependent (IDDM) on postoperative complications after elective lumbar fusion surgery.Diabetes (DM) is a common chronic disease. The effects NIDDM IDDM rates complications, extended length stay, readmission surgery are not well established.A retrospective cohort study was conducted using American College Surgeons National Surgical Quality Improvement Program database. Patients...

To identify factors associated with increased postoperative length of stay (LOS) and readmission after surgical repair geriatric hip fractures.Patients aged 70 years older who underwent fracture surgery from January 2011 through December 2012 were identified in the American College Surgeons National Surgical Quality Improvement Program database. Patient characteristics tested for association LOS using bivariate multivariate analyses.For 8434 patients identified, average age was 83.8 ± 5.9...

Retrospective cohort.To identify factors that were independently associated with increased postoperative length of stay (LOS) and readmission in patients who underwent elective laminectomy for lumbar spinal stenosis.Lumbar stenosis is a common pathology traditionally treated decompressive laminectomy. Risk LOS have not been fully characterized laminectomy.Patients during 2011 2012 identified from the American College Surgeons National Surgical Quality Improvement Program database. Patient...

The aim of this study was to compare the operating time, length stay (LOS), adverse events and rate re-admission for elderly patients with a fracture hip treated using either general or spinal anaesthesia. Patients aged ≥ 70 years who underwent surgery between 2010 2012 were identified from American College Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Of 9842 met inclusion criteria, 7253 (73.7%) anaesthesia 2589 (26.3%) On propensity-adjusted multivariate...

Posterior spinal fusion (PSF) is commonly performed for patients with adolescent idiopathic scoliosis (AIS). Identifying factors associated perioperative morbidity and PSF may lead to strategies reducing the frequency of adverse events (AEs) in total hospital costs.What what are postoperative: (1) AEs, (2) extended length stay (LOS), (3) readmission AIS undergoing PSF?Patients, aged 11 18 years, who underwent during 2012, were identified from American College Surgeons National Surgical...

In Brief Study Design. Cross-sectional study. Objective. To objectively evaluate the ability of International Classification Diseases, Ninth Revision (ICD-9) codes, which are used as foundation for administratively coded national databases, to identify preoperative anemia in patients undergoing spinal fusion. Summary Background Data. National database research spine surgery continues rise. However, validity studies based on data, such Nationwide Inpatient Sample, dependent accuracy ICD-9...

Recent studies have questioned the efficacy of meniscectomy in older patients with and without evidence osteoarthritis; however, it continues to be frequently performed. There is limited information about age other risk factors for adverse events readmission after procedure. This knowledge vital understand true profile this common surgery.To investigate if medical comorbidities were postoperative meniscectomy.Case-control study; Level evidence, 3.Patients who underwent arthroscopic between...

Retrospective cohort study of 183 patients who underwent elective anterior cervical discectomy and fusion (ACDF) at a single institution during 2-year period.To determine which preoperative factors were independently associated with prolonged hospital length stay (LOS) after ACDF.ACDF has become the most common treatment modality for addressing spine pathology. Extended LOS ACDF is increased costs complications. There lack conclusive data affecting ACDF. This aims to create multivariate...

To identify factors that are associated with short-term outcomes after open reduction and internal fixation (ORIF) for tibial plateau fracture.Patients who underwent ORIF fracture from 2009 to 2012 were identified in the American College of Surgeons National Surgical Quality Improvement Program database. Patient characteristics tested association any adverse event (AAE), severe events (SAEs), infectious complications, extended length stay (LOS), readmission within 30 days.A total 519...

Retrospective cohort.To evaluate for the presence and magnitude of "July effect" within elective spine surgery.The July effect is hypothetical increase in morbidity mortality thought to be associated with influx new (or newly promoted) trainees during first portion academic year. Studies evaluating have demonstrated conflicting results.We accessed American College Surgeons National Surgical Quality Improvement Program database from 2005-2010. Statistical analyses were conducted using...

Diabetes and hip fractures in geriatric patients are common, many elderly have a history of diabetes. However, the influence diabetes on surgical complications may vary based which particular type patient has. To our knowledge, no prior study has stratified with to compare noninsulin-dependent insulin-dependent regarding rates postoperative adverse events, length hospitalization, readmission rate after stabilization patients.We asked whether or at increased risk (1) sustaining an aggregated...

Retrospective cohort study.To compare the short-term outcomes for patients undergoing cervical laminoplasty versus posterior decompression and fusion multilevel pathology.There are conflicting data regarding merits of treatment pathology.Patients who underwent or were identified in American College Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database from 2010 to 2012. Baseline patient characteristics compared using bivariate logistic regression. Propensity-adjusted...

Retrospective cohort study.To identify factors that are independently associated with increased surgical drain output in patients who have undergone ACDF.Surgical drains typically placed after ACDF to reduce the risk of complications neck hematoma. The orthopedic literature has repeatedly challenged use many procedures, and there currently no guidelines for determining which most likely benefit from placement ACDF.Consecutive underwent elective at a single academic institution between...

In Brief Study Design. Retrospective cohort. Objective. To compare demographics and perioperative outcomes between the Spine Patient Outcomes Research Trial (SPORT) lumbar degenerative spondylolisthesis arm a similar population from National Surgical Quality Improvement Program (NSQIP) database. Summary of Background Data. SPORT is well-known surgical trial that investigated benefits versus nonsurgical treatment in patients with various pathologies. However, external validity has not been...