Publications by authors named "I David Kaye"
Study Design: Retrospective cohort.
Objective: To explore the relationship between symptomatic pseudoarthrosis requiring revision after lumbar fusion and antidepressant use.
Summary Of Background Data: Approximately 25% of patients undergoing spine surgery are taking antidepressants.
Background Context: Previous research has demonstrated an association between socioeconomic status (SES) and patient health, specifically noting that patients of lower SES have poor health outcomes. Understanding how social factors, including socioeconomic status (SES), relate to disparities in health outcomes is critical to closing gaps in equitable care to patients. While several studies have examined the effect of SES on postoperative spine outcomes, there is limited spine literature evaluating SES in the context of barriers to spine care.
View Article and Find Full Text PDFObjective: Venous thromboembolism (VTE) is a serious postoperative adverse event after spine surgery. In patients with pain refractory to typical multimodal analgesia regimens after spine surgery, whom are often chronic opioid users, perioperative ketamine is an alternative analgesic that has grown in popularity. The aim of this study is to assess the risk of VTE in chronic opioid users undergoing spine surgery.
View Article and Find Full Text PDFBackground: The purpose of this study is to determine the impact of community-level socioeconomic status (SES) on surgical outcomes and patient-reported outcome measures (PROMs) following revision lumbar fusion.
Methods: Adult patients who underwent revision lumbar fusion surgery from 2011-2021 were grouped by Distressed Community Index (DCI) into Prosperous, Comfortable, Mid-tier, and At-Risk/Distressed cohorts. Demographics, surgical information, and PROMs were compared based on DCI community status.
Article Synopsis
- The study is a narrative review analyzing existing literature on the timing of surgeries for cervical trauma, specifically focusing on acute traumatic central cord syndrome, which is a common incomplete spinal cord injury.
- Recent consensus in clinical literature supports the safety and efficacy of early surgical intervention (within 24 hours) to alleviate the condition and respond to ischemic injury.
- Despite this emerging agreement, additional research is needed to determine the best timing for surgeries, particularly for ultra-early interventions (within 8 hours), and to improve patient screening processes.