Publications by authors named "Omid Barzideh"
Proper predictive tools are essential to guide patient selection, optimization, category of surgical admission (inpatient, outpatient surgery), and discharge disposition, and predict the risk of readmissions and complications after orthopaedic procedures. Therefore, identification and optimization of patients' perioperative risk for surgery is essential, and understanding these basic concepts is crucial to maximizing patient care quality. It is important to define risk, stratify the existing preoperative attributes, and review key concepts of patient-specific risk calculation and documentation.
View Article and Find Full Text PDFIntroduction: Malnutrition is associated with poorer outcomes after revision total joint arthroplasty (rTJA), though no universal metric for assessing malnutrition in rTJA patients has been reported. This study sought to determine if malnutrition as defined by the Geriatric Nutritional Risk Index (GNRI) can independently predict short-term complication rates and re-revision risk in patients undergoing rTJA.
Methods: All patients ≥ 65 years old undergoing rTJA from 2011 to 2021 at a single orthopaedic specialty hospital were identified.
Background: The optimal administration of dexamethasone for postoperative pain management and recovery following primary elective total joint arthroplasty (TJA) remains unclear. This study aimed to evaluate the effect of a second intravenous (IV) dose of dexamethasone on postoperative pain scores, inpatient opioid consumption, and functional recovery after total hip arthroplasty (THA) and total knee arthroplasty (TKA).
Methods: A retrospective review was conducted of 2,256 primary elective THAs and 1,951 primary elective TKAs between May 2020 and April 2021.
Article Synopsis
- The REGAIN trial found that spinal and general anesthesia provide similar outcomes regarding ambulation and survival after hip fracture surgery.
- In a secondary analysis, researchers compared pain levels, analgesic use, and patient satisfaction between the two anesthesia types.
- Results indicated that spinal anesthesia led to more severe pain in the first 24 hours post-surgery and higher prescription analgesic use at 60 days, while patient satisfaction remained comparable across both groups.
Article Synopsis
- The study assesses the use and outcomes of technology-assisted total knee arthroplasty (TA-TKA) compared to traditional unassisted total knee arthroplasty (U-TKA) using data from 402,284 patients between 2010 and 2018.* -
- TA-TKA was performed in only 2.6% of cases and was linked to shorter hospital stays, lower rates of major complications and transfusions, and higher discharge rates to home, but did not significantly impact operative times or rates of reoperation and readmission.* -
- Overall, while TA-TKA shows some clinical advantages, its adoption in orthopedic practice remains limited.*
Is There a Role for CT Pan-Scans in the Initial Workup of Fragility Fracture Patients?
Geriatr Orthop Surg Rehabil
April 2020
Introduction: Computed tomography (CT) pan-scans have become increasingly commonplace as part of the initial diagnostic workup for patients sustaining traumatic injuries. They have proven effective in improving diagnostic accuracy in those with high-energy mechanisms of injury. However, the utility of pan-scans in the geriatric population sustaining low-energy traumatic injuries remains unproven.
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