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National Surgical Quality Improvement Program

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https://www.readbyqxmd.com/read/29443839/how-common-and-how-serious-is-clostridium-difficile-colitis-after-geriatric-hip-fracture-findings-from-the-nsqip-dataset
#1
Patawut Bovonratwet, Daniel D Bohl, Glenn S Russo, Nathaniel T Ondeck, Denis Nam, Craig J Della Valle, Jonathan N Grauer
BACKGROUND: Patients with geriatric hip fractures may be at increased risk for postoperative Clostridium difficile colitis, which can cause severe morbidity and can influence hospital quality metrics. However, to our knowledge, no large database study has calculated the incidence of, factors associated with, and effect of C. difficile colitis on geriatric patients undergoing hip fracture surgery. QUESTIONS/PURPOSES: To use a large national database with in-hospital and postdischarge data (National Surgical Quality Improvement Program [NSQIP®]) to (1) determine the incidence and timing of C...
March 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29438790/cervical-spinal-fusion-16-year-trends-in-epidemiology-indications-and-in-hospital-outcomes-by-surgical-approach
#2
Stephan N Salzmann, Peter B Derman, Lukas P Lampe, Janina Kueper, Ting Jung Pan, Jingyan Yang, Jennifer Shue, Federico P Girardi, Stephen Lyman, Alexander P Hughes
BACKGROUND: The rate of cervical spinal fusion has been increasing significantly. However, there is paucity of literature describing trends based on surgical approach using complete population databases. We investigated the approach-based trends in epidemiology, indications and in-hospital outcomes of cervical spinal fusion. METHODS: New York's Statewide Planning and Research Cooperative System database was queried to identify patients who underwent primary subaxial cervical fusion from 1997-2012...
February 10, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29437066/missing-data-may-lead-to-changes-in-hip-fracture-database-studies-a-study-of-the-american-college-of-surgeons-national-surgical-quality-improvement-program
#3
B A Basques, R P McLynn, A M Lukasiewicz, A M Samuel, D D Bohl, J N Grauer
AIMS: The aims of this study were to characterize the frequency of missing data in the National Surgical Quality Improvement Program (NSQIP) database and to determine how missing data can influence the results of studies dealing with elderly patients with a fracture of the hip. PATIENTS AND METHODS: Patients who underwent surgery for a fracture of the hip between 2005 and 2013 were identified from the NSQIP database and the percentage of missing data was noted for demographics, comorbidities and laboratory values...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29437055/aseptic-revision-total-hip-arthroplasty-in-the-elderly-quantifying-the-risks-for-patients-over-80-years-old
#4
P Bovonratwet, R Malpani, T D Ottesen, V Tyagi, N T Ondeck, L E Rubin, J N Grauer
AIMS: The aim of this study was to compare the rate of perioperative complications following aseptic revision total hip arthroplasty (THA) in patients aged ≥ 80 years with that in those aged < 80 years, and to identify risk factors for the incidence of serious adverse events in those aged ≥ 80 years using a large validated national database. PATIENTS AND METHODS: Patients who underwent aseptic revision THA were identified in the 2005 to 2015 National Surgical Quality Improvement Program (NSQIP) database and stratified into two age groups: those aged < 80 years and those aged ≥ 80 years...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29436275/predictors-of-readmission-and-reoperation-in-patients-undergoing-parathyroidectomy-for-primary-hyperparathyroidism
#5
Ansley M Roche, Jason A Brant, And Raymond L Chai
Objective Identify risk factors for 30-day reoperation and readmission after parathyroidectomy for primary hyperparathyroidism. Study Design Retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database from 2012 through 2014. Subjects and Methods Patients undergoing parathyroidectomy and parathyroid reexploration for primary hyperparathyroidism. Univariate and multivariate analyses were conducted to determine risk factors for reoperation and readmission...
February 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29433878/the-effect-of-resident-involvement-on-bariatric-surgical-outcomes-an-acs-nsqip-analysis
#6
Ivy N Haskins, Jihad Kudsi, Kathleen Hayes, Richard L Amdur, Paul P Lin, Khashayar Vaziri
BACKGROUND: Surgical residency training programs in the United States are modeled on the principle of graduated responsibility. Residents are given greater responsibility and autonomy in the operating room and during perioperative care as they gain surgical skills and progress through their training. The impact of this method of surgical training on patient outcomes remains unknown. The purpose of this study is to compare early patient morbidity and mortality after bariatric surgery in cases with and without resident participation using the American College of Surgeons National Surgical Quality Improvement Program database...
March 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29433869/trends-in-laparoscopic-colorectal-surgery-over-time-from-2005-2014-using-the-nsqip-database
#7
Catherine H Davis, Beverly A Shirkey, Linda W Moore, Tanmay Gaglani, Xianglin L Du, H Randolph Bailey, Marianne V Cusick
BACKGROUND: Laparoscopy, originally pioneered by gynecologists, was first adopted by general surgeons in the late 1980s. Since then, laparoscopy has been adopted in the surgical specialties and colorectal surgery for treatment of benign and malignant disease. Formal laparoscopic training became a required component of surgery residency programs as validated by the Fundamentals of Laparoscopic Surgery curriculum; however, some surgeons may be more apprehensive of widespread adoption of minimally invasive techniques...
March 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29429579/databases-for-surgical-health-services-research-national-trauma-database-and-trauma-quality-improvement-program
#8
EDITORIAL
Jessica Y Liu, Q Lina Hu, Clifford Y Ko
No abstract text is available yet for this article.
February 8, 2018: Surgery
https://www.readbyqxmd.com/read/29428625/anterior-versus-posterior-approaches-for-thoracic-disc-herniation-association-with-postoperative-complications
#9
Panagiotis Kerezoudis, Kenan R Rajjoub, Sandy Goncalves, Mohammed Ali Alvi, Mohamed Elminawy, Abdullah Alamoudi, Ahmad Nassr, Elizabeth B Habermann, Mohamad Bydon
OBJECTIVE: Thoracic disc herniations (TDH) represent 1.5-4% of all intervertebral disc herniations. Surgical treatment can be divided into anterior, lateral and posterior approaches and is an area of contention in the literature. Available evidence consists mostly of single-arm, single-institutional studies with limited sample sizes. The objective of this study is to investigate 30-day surgical outcomes following excision of TDH utilizing a national surgical registry. PATIENTS AND METHODS: The American College of Surgeons - National Surgical Quality Improvement Program (ACS-NSQIP) was queried for cases that underwent anterior (thoracotomy or thoracoscopy), lateral (extracavitary or costotransversectomy) or posterior (transpedicular or laminectomy) surgery for a primary diagnosis of TDH between 2012 and 2015...
February 6, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29423742/the-effect-of-preoperative-pneumonia-on-postsurgical-mortality-and-morbidity-a-nsqip-analysis
#10
Sarah Jamali, Michael Dagher, Nadeem Bilani, Aurelie Mailhac, Mohamad Habbal, Salah Zeineldine, Hani Tamim
BACKGROUND: Currently, only indirect evidence suggests that preoperative pneumonia is a significant risk factor for poor postsurgical outcomes. Although this relationship is clinically intuitive, this is the first study that aims to quantify the extent to which pneumonia impacts morbidity and mortality. The objective of this study was to determine the impact of preoperative pneumonia on 30-day mortality and morbidity among both elective and emergency surgical patients. METHODS: We conducted a retrospective cohort study using 2008-2012 data from the American College of Surgeons National Surgical Quality Improvement Program database...
February 8, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29417211/predicting-morbidity-of-liver-resection
#11
Sudharsan Madhavan, Vishal G Shelat, Su-Lin Soong, Winston W L Woon, Terence Huey, Yiong H Chan, Sameer P Junnarkar
PURPOSE: Multiple models have attempted to predict morbidity of liver resection (LR). This study aims to determine the efficacy of American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) surgical risk calculator and the Physiological and Operative Severity Score in the enUmeration of Mortality and Morbidity (POSSUM) in predicting post-operative morbidity in patients who underwent LR. METHODS: A retrospective analysis was conducted on patients who underwent elective LR...
February 7, 2018: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29409000/the-standardized-antimicrobial-administration-ratio-a-new-metric-for-measuring-and-comparing-antibiotic-use
#12
Katharina L van Santen, Jonathan R Edwards, Amy K Webb, Lori A Pollack, Erin O'Leary, Melinda M Neuhauser, Arjun Srinivasan, Daniel A Pollock
Background: To provide a standardized, risk-adjusted method for summarizing antibiotic use (AU) and to enable hospitals to track their AU over time and compare their AU data to national benchmarks, CDC developed a new metric, the Standardized Antimicrobial Administration Ratio (SAAR). Methods: Hospitals reporting to the National Healthcare Safety Network (NHSN) AU Option collect and submit aggregated AU data electronically as antimicrobial days of therapy per patient days present...
February 2, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29406797/sequelae-of-index-complications-following-inpatient-head-and-neck-surgery-characterizing-secondary-complications
#13
Alexander N Goel, Karam W Badran, Alexander M Garrett, Maie A St John, Jennifer L Long
Objective To characterize patterns of secondary complications after inpatient head and neck surgery. Study Design Retrospective cohort study. Setting National Surgical Quality Improvement Program (2005-2015). Subjects and Methods We identified 18,584 patients who underwent inpatient otolaryngologic surgery. Four index complications were studied: pneumonia, bleeding or transfusion event (BTE), deep/organ space surgical site infection (SSI), and myocardial infarction (MI). Each patient with an index complication was matched to a control patient based on propensity for the index event and event-free days...
February 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29405845/areas-for-quality-improvement-for-airway-dilation-in-children-nsqip-pediatric-30-day-outcomes
#14
Jeffrey Cheng, Beiyu Liu, Alfredo E Farjat
Objective To identify predictors of adverse events and highlight areas for quality improvement for children who underwent laryngeal or tracheal dilation, without prior tracheostomy placement. Study Design Cross-sectional analysis using a US national database. Setting American College of Surgeons (ACS) National Surgical Quality Improvement Program (ACS NSQIP-pediatric), years 2012 to 2015. Subjects and Methods Patients 18 years and younger were included. Patients without prior tracheostomy placement were identified using 2017 Current Procedural Terminology ( CPT) codes: 31528, 31529, and 31630...
January 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29404734/hospital-variation-in-rates-of-concurrent-fundoplication-during-gastrostomy-enteral-access-procedures
#15
Anne M Stey, Charles D Vinocur, R Lawrence Moss, Bruce L Hall, Mark E Cohen, Kari Kraemer, Clifford Y Ko, Brian D Kenney, Loren Berman
BACKGROUND: This study aimed to determine whether (1) the propensity for concurrent fundoplication during gastrostomy varies among hospitals, and (2) postoperative morbidity differs among institutions performing fundoplication more or less frequently. METHODS: Children who underwent gastrostomy with or without concurrent fundoplication were identified in the American College of Surgeons National Surgical Quality Improvement Program Pediatric (ACS-NSQIP-P). A hierarchical multivariate regression modeled the excess effects that hospitals exerted over propensity for concurrent fundoplication adjusting for preoperative clinical variables...
February 5, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29402713/chronic-obstructive-pulmonary-disease-is-associated-with-short-term-complications-following-total-hip-arthroplasty
#16
George A Yakubek, Gannon L Curtis, Nipun Sodhi, Mhamad Faour, Alison K Klika, Michael A Mont, Wael K Barsoum, Carlos A Higuera
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality. Furthermore, COPD patients are at increased risk of complications following surgery. The purpose of this study was to evaluate the postoperative total hip arthroplasty (THA) outcomes of COPD patients. Specifically, we asked the following questions: (1) Is COPD associated with adverse perioperative outcomes and (2) Does COPD increase the risk of short-term complications following THA? METHODS: The American College of Surgeons National Surgical Quality Improvement Program database was used to identify 64,796 patients who underwent THA between 2008 and 2014...
January 9, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29402449/databases-for-surgical-health-services-research-american-college-of-surgeons-national-surgical-quality-improvement-program
#17
EDITORIAL
Ryan J Ellis, Jessica Y Liu, Clifford Y Ko
No abstract text is available yet for this article.
February 2, 2018: Surgery
https://www.readbyqxmd.com/read/29401127/gender-affirmation-surgery-a-synopsis-using-american-college-of-surgeons-national-surgery-quality-improvement-program-and-national-inpatient-sample-databases
#18
Bao Ngoc N Tran, Sherise Epstein, Dhruv Singhal, Bernard T Lee, Adam M Tobias, Oren Ganor
BACKGROUND: Gender affirmation surgery (GAS) is a heterogeneous group of body transformational procedures to match one's gender identity. There is a paucity of literature on the outcomes and safety profile of GAS. This study aims to examine trends and outcomes of GAS from 2010 to 2015 using the American College of Surgeons National Surgery Quality Improvement Program and National Inpatient Sample databases. METHODS: Patients with a primary diagnosis of gender dysphoria at the time of surgery were identified in both databases...
February 2, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29398990/revision-total-shoulder-arthroplasty-is-associated-with-increased-thirty-day-postoperative-complications-and-wound-infections-relative-to-primary-total-shoulder-arthroplasty
#19
Venkat Boddapati, Michael C Fu, William W Schairer, Lawrence V Gulotta, David M Dines, Joshua S Dines
Background: With an increasing volume of primary total shoulder arthroplasties (TSA), the number of revision TSA cases is expected to increase as well. However, the postoperative medical morbidity of revision TSA has not been clearly described. Questions/Purposes: The purpose of this study was to determine the rate of postoperative complications following revision TSA, relative to primary TSA. In addition, we sought to identify independent predictors of complications, as well as to compare operative time and postoperative length of stay between primary and revision TSA...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398036/what-matters-after-sleeve-gastrectomy-patient-characteristics-or-surgical-technique
#20
Vikrom K Dhar, Dennis J Hanseman, Brad M Watkins, Ian M Paquette, Shimul A Shah, Jonathan R Thompson
BACKGROUND: The impact of operative technique on outcomes in laparoscopic sleeve gastrectomy has been explored previously; however, the relative importance of patient characteristics remains unknown. Our aim was to characterize national variability in operative technique for laparoscopic sleeve gastrectomy and determine whether patient-specific factors are more critical to predicting outcomes. METHODS: We queried the database of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program for laparoscopic sleeve gastrostomies performed in 2015 (n = 88,845)...
February 2, 2018: Surgery
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