Publications by authors named "Bazydlo M"
Article Synopsis
- COVID-19, caused by the SARS-CoV-2 virus, has led to millions of deaths and significant lifestyle changes, particularly impacting patients with sepsis in ICUs, where septic complications have a high mortality rate.
- A clinical study was conducted at SS Annunziata Hospital in Italy, analyzing ICU patients diagnosed with sepsis from 2018 to 2021, dividing them into groups based on the pandemic and COVID-19 status.
- Out of 1,559 ICU admissions, 211 patients met the sepsis criteria, revealing high mortality rates, especially amongst COVID-19 patients, with a notable relationship between mortality and scores on APACHE III and SOFA assessments.
Sinonasal Packing is Not a Requisite for Successful Cerebrospinal Fluid Leak Repair.
J Neurol Surg B Skull Base
October 2022
Numerous methods have been described to repair nasal cerebrospinal fluid (CSF) leaks. Most studies have focused on optimizing CSF leak repair success, leading to closure rates of 90 to 95%. This study aimed to determine if excellent reconstruction rates could be achieved without using sinonasal packing.
View Article and Find Full Text PDFBackground Context: The indications for surgical intervention of axial back pain without leg pain for degenerative lumbar disorders have been limited in the literature, as most study designs allow some degree of leg symptoms in the inclusion criteria.
Purpose: To determine the outcome of surgery (decompression only vs. fusion) for pure axial back pain without leg pain.
Background: Early ambulation is considered a key element to Enhanced Recovery After Surgery protocol after spine surgery.
Objective: To investigate whether ambulation less than 8 hours after elective spine surgery is associated with improved outcome.
Methods: The Michigan Spine Surgery Improvement Collaborative database was queried to track all elective cervical and lumbar spine surgery between July 2018 and April 2021.
Objective: Socioeconomic factors have been shown to impact a host of healthcare-related outcomes. Level of education is a marker of socioeconomic status. This study aimed to investigate the relationship between patient education level and outcomes after elective lumbar surgery and to characterize any education-related disparities.
View Article and Find Full Text PDFObjective: Despite a general consensus regarding the administration of preoperative antibiotics, poorly defined comparison groups and underpowered studies prevent clear guidelines for postoperative antibiotics. Utilizing a data set tailored specifically to spine surgery outcomes, in this clinical study the authors aimed to determine whether there is a role for postoperative antibiotics in the prevention of surgical site infection (SSI).
Methods: The Michigan Spine Surgery Improvement Collaborative registry was queried for all lumbar operations performed for degenerative spinal pathologies over a 5-year period from 2014 to 2019.
Study Design: This is a retrospective, cohort analysis of multi-institutional database.
Objective: This study was designed to analyze the impact of drain use following elective anterior cervical discectomy and fusion (ACDF) surgeries.
Summary Of Background Data: After ACDF, a drain is often placed to prevent postoperative hematoma.
Study Design: Michigan Spine Surgery Improvement Collaborative (MSSIC) prospectively collects data on all patients undergoing operations for degenerative and/or deformity indications.
Objective: We aimed to identify which factors are significantly associated with return-to-work after lumbar surgery at long-term follow-up.
Summary Of Background Data: Prior publications have created a clinically relevant predictive model for return-to-work, wherein education, gender, race, comorbidities, and preoperative symptoms increased likelihood of return-to-work at 3 months after lumbar surgery.
Introduction: The patient-specific factors influencing postoperative improvement after total knee arthroplasty (TKA) are important considerations for the surgeon and patient. The primary purpose of this study was to determine which patient demographic factors influence the postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health (GH) scores. In addition, we aimed to compare the prognostic utility of preoperative PROMIS-GH scores and the Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS-JR) in predicting postoperative improvement.
View Article and Find Full Text PDFObjective: Most studies on racial disparities in spine surgery lack data granularity to control for both comorbidities and self-assessment metrics. Analyses from large, multicenter surgical registries can provide an enhanced platform for understanding different factors that influence outcome. In this study, the authors aimed to determine the effects of race on outcomes after lumbar surgery, using patient-reported outcomes (PROs) in 3 areas: the North American Spine Society patient satisfaction index, the minimal clinically important difference (MCID) on the Oswestry Disability Index (ODI) for low-back pain, and return to work.
View Article and Find Full Text PDFBackground: Opioids are prescribed routinely after cranial surgery despite a paucity of evidence regarding the optimal quantity needed. Overprescribing may adversely contribute to opioid abuse, chronic use, and diversion.
Objective: To evaluate the effectiveness of a system-wide campaign to reduce opioid prescribing excess while maintaining adequate analgesia.
Background: Few studies provide insight into risk factors (RFs) associated with postoperative deep vein thrombosis (DVT) following elective spinal surgery. DVTs are detrimental in this population because of the risk of pulmonary embolization or surgical site hemorrhage with treatment.
Objective: Elective spine surgery patients have a low incidence of DVT, thus a case-control study was selected to investigate RFs associated with postoperative, symptomatic DVT.
Objectives: The aim of the present study is to evaluate the incidence and prevalence of eating disorders in the population of Polish upper secondary school female students, while considering the type of school and living conditions.
Methods: The investigations of eating disorders were conducted between March and June 2017 and covered female students of the upper secondary schools of Szczecin. Selection for the survey was multistep.
Objective: We aimed to characterize the socioeconomic impact of glioma for patients with clinical and radiographic evidence of disease stability, using the standardized Medical Expenditure Panel Survey-Household Component (MEPS-HC).
Methods: The MEPS-HC questionnaire was used to investigate the degree of economic hardship referable to the patient's brain tumor and treatment. The questionnaire included demographic variables such as age at diagnosis, ethnicity, highest level of education, and annual household income.
Objectives: To discover the opinions of psychiatric patients about personnel attitudes and family participation in the treatment process.
Methods: 219 psychiatric patients took part in the study: 80 inpatients, 69 outpatients and 70 mental health clinic patients. The diagnostic survey method was applied using a patient questionnaire regarding: (1) the patient's opinion on his or her hospital stay as an inpatient, (2) the patient's opinion on his or her care as a hospital outpatient, mental health clinic patient, or community treatment patient, and (3) research on patient satisfaction with the administered medical service VSSS-54.
Background Context: Hospital readmission rates are an increasingly important focus. Identifying patients at risk for readmission can help decrease those rates and thus decrease the overall cost of care.
Purpose: We sought to report the rates and the risk factors associated with 90-day hospital readmission after degenerative cervical spine surgery via either an anterior or posterior approach.
Background: While consistently recommended, the significance of early ambulation after surgery has not been definitively studied.
Objective: To identify the relationship between ambulation on the day of surgery (postoperative day (POD)#0) and 90-d adverse events after lumbar surgery.
Methods: The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a prospective multicenter registry of spine surgery patients.
Objective: As compensation transitions from a fee-for-service to pay-for-performance healthcare model, providers must prioritize patient-centered experiences. Here, the authors' primary aim was to identify predictors of patient dissatisfaction at 1 and 2 years after lumbar surgery.
Methods: The Michigan Spine Surgery Improvement Collaborative (MSSIC) was queried for all lumbar operations at the 1- and 2-year follow-ups.
Background: It is important to delineate the relationship between opioid use and spine surgery outcomes.
Objective: To determine the association between preoperative opioid usage and postoperative adverse events, patient satisfaction, return to work, and improvement in Oswestry Disability Index (ODI) in patients undergoing lumbar fusion procedures by using 2-yr data from a prospective spine registry.
Methods: Preoperative opioid chronicity from 8693 lumbar fusion patients was defined as opioid-naïve (no usage), new users (<6 wk), short-term users (6 wk-3 mo), intermediate-term users (3-6 mo), and chronic users (>6 mo).
Objective: Although postoperative urinary retention (POUR) is common after spine surgery, the association of this adverse event with other morbidities and patient-reported outcomes is not fully understood. We sought to examine the sequelae of POUR after lumbar spine surgery.
Methods: The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a large prospective multicenter registry.
Objective: The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a prospective, longitudinal, multicenter, quality-improvement collaborative. Using MSSIC, the authors sought to identify the relationship between a positive Patient Health Questionnaire-2 (PHQ-2) screening, which is predictive of depression, and patient satisfaction, return to work, and achieving Oswestry Disability Index (ODI) minimal clinically important difference (MCID) scores up to 2 years after lumbar fusion.
Methods: Data from a total of 8585 lumbar fusion patients were analyzed.
Background: The Michigan Spine Surgery Improvement Collaborative is a statewide multicenter quality improvement registry. Because missing data can affect registry results, we used MSSIC to find demographic and surgical characteristics that affect the completion of patient-reported outcomes (PROs) at 90 days and 1 year.
Methods: A total of 24,404 patients who had lumbar surgery (17,813 patients) or cervical surgery (6591 patients) were included.
Objective: The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a statewide, multicenter quality improvement initiative. Using MSSIC data, the authors sought to identify 90-day adverse events and their associated risk factors (RFs) after cervical spine surgery.
Methods: A total of 8236 cervical spine surgery cases were analyzed.
Background: Most studies have evaluated 30-d readmissions after lumbar fusion surgery. Evaluation of the 90-d period, however, allows a more comprehensive assessment of factors associated with readmission.
Objective: To assess the reasons and risk factors for 90-d readmissions after lumbar fusion surgery.