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...

Study Design. A retrospective review of data collected prospectively by the American College Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). Objective. The aim this study was to investigate association between preoperative hypoalbuminemia, a marker for malnutrition, and complications during 30 days following posterior lumbar fusion surgery. Summary Background Data. Malnutrition is potentially modifiable risk factor that may contribute spinal Although prior studies have...

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...

Background: Discharge from the hospital on day of (same-day) hip and knee arthroplasties has become more common; however, to our knowledge, few studies have compared morbidity between same-day inpatient surgical procedures. The aims this study were compare matched cohorts patients who underwent or arthroplasty in terms postoperative complications 30-day readmission rates. Methods: Patients primary elective total arthroplasty, unicompartmental 2005 2014 identified National Surgical Quality...

Retrospective review of the prospective American College Surgeons National Surgical Quality Improvement Project (ACS NSQIP) database with 30-day follow-up 2164 patients undergoing elective anterior cervical discectomy and fusion (ACDF).To determine factors independently associated increased length stay (LOS) complications after ACDF to facilitate preoperative planning setting realistic expectations for providers.The effect individual on LOS has been evaluated in small-scale studies. Large...

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...

Study Design. A retrospective cohort. Objective. The aim of this study was to characterize spinal fractures in patients with ankylosing spondylitis. Summary Background Data. Patients spondylitis are susceptible the column, even from minor trauma. However, literature describing and consists largely case reports small series. purpose is better ankylosed spine, including patient population, locations fracture, outcomes a large, nationally representative sample. Methods. All diagnoses both...

Industry payments made to physicians by drug and device manufacturers or group purchasing organizations are now reported the Centers for Medicare Medicaid Services (CMS) as a part of Physician Payments Sunshine Act. Initial reports from program show that orthopaedic surgeons lead all physician specialties in total average industry payments. However, before further discussion these their implications can take place, it remains be seen whether figures true reflection field surgery general,...

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....

The aim of the present study was to compare 30- and 90-day re-admission rates complication outpatient inpatient total shoulder arthroplasty (TSA).The United States Medicare Standard Analytical Files database questioned identify patients who had undergone or TSA between 2005 2012. Patient characteristics were compared two groups using chi-squared analysis. Multivariate logistic regression analysis used control for differences in baseline patient terms post-operative complications within 90...

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...

Study Design. Retrospective cohort study. Objective. To identify factors associated with blood transfusion for primary posterior lumbar fusion surgery, and to associations between other postoperative complications. Summary of Background Data. Blood is a relatively common occurrence patients undergoing fusion. There limited information available describing which are at increased risk transfusion, the relationship short-term outcomes poorly characterized. Methods. The American College Surgeons...

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...

Surgery for subdural hematoma (SDH) is a commonly performed neurosurgical procedure. This study identifies patient characteristics associated with adverse outcomes and prolonged length of stay (LOS) in patients who underwent surgical treatment SDH.All the American College Surgeons National Surgical Quality Improvement Program (ACS NSQIP) were treated via craniotomy or craniectomy SDH between 2005 2012 identified. Patient demographics, comorbidities, 30-day described. Multivariate regression...

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...