Search results for: Bheeshma Ravi

Items from 1 to 17 out of 17 results

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Variation in care for patients presenting with hip fracture in six high‐income countries: A cross‐sectional cohort study

Nitzan Burrack, Laura A. Hatfield, Pieter Bakx, Amitava Banerjee, more

Journal of the American Geriatrics Society > 71 > 12 > 3780 - 3791

Background Hip fractures are costly and common in older adults, but there is limited understanding of how treatment patterns and outcomes might differ between countries. Methods We performed a retrospective serial cross‐sectional cohort study of adults aged ≥66 years hospitalized with hip fracture between 2011 and 2018 in the US, Canada, England, the Netherlands, Taiwan, and Israel using population‐representative...

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Association between isolated abnormal coagulation profile on transfusion following major surgery: A NSQIP analysis of individuals without bleeding disorders

Kelvin Lim, Raj Satkunasivam, Cole Nipper, Jiaqiong Xu, more

Transfusion > 62 > 11 > 2223 - 2234

Introduction Preoperative coagulation screening for patients without bleeding disorders remains controversial. The combinatorial risk of INR, aPTT, and platelet count (PLT) abnormalities leading to bleeding requiring transfusion is not known in these patients. We examined the association between abnormal coagulation profile and the risk of transfusion following common elective surgery in patients...

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Relationship Between Patient‐Reported Readiness for Total Knee Arthroplasty and Likelihood of a Good Outcome at One‐Year Follow‐Up

Gillian A. Hawker, Barbara L. Conner‐Spady, Eric Bohm, Michael J. Dunbar, more

Arthritis Care & Research > 74 > 8 > 1374 - 1383

Objective To determine the relationship between patients' preoperative readiness for total knee arthroplasty (TKA) and surgical outcome at 1 year post‐TKA. Methods This prospective cohort study recruited patients with knee osteoarthritis (OA) who were ≥30 years and were referred for TKA at 2 hip/knee surgery centers in Alberta, Canada. Those who underwent primary unilateral TKA completed questionnaires...

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Reply

Gillian A. Hawker, Bheeshma Ravi, Eric Bohm, Michael J. Dunbar, more

Arthritis & Rheumatology > 73 > 10 > 1947 - 1948

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Patients’ Preoperative Expectations of Total Knee Arthroplasty and Satisfaction With Outcomes at One Year: A Prospective Cohort Study

Gillian A. Hawker, Barbara L. Conner‐Spady, Eric Bohm, Michael J. Dunbar, more

Arthritis & Rheumatology > 73 > 2 > 223 - 231

Objective To assess the relationship between patients’ expectations for total knee arthroplasty (TKA) and satisfaction with surgical outcome. Methods This prospective cohort study recruited patients with knee osteoarthritis (OA) ages ≥30 years who were referred for TKA at 2 hip/knee surgery centers in Alberta, Canada. Those who received primary, unilateral TKA completed questionnaires pre‐TKA to...

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Utilization and Short‐Term Outcomes of Primary Total Hip and Knee Arthroplasty in the United States and Canada

Peter Cram, Bruce E. Landon, John Matelski, Vicki Ling, more

Arthritis & Rheumatology > 70 > 4 > 547 - 554

Objective Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are common and effective surgical procedures. This study sought to compare utilization and short‐term outcomes of primary TKA and THA in adjacent regions of Canada and the United States. Methods The study was designed as a retrospective cohort study of patients who underwent primary TKA or THA, comparing administrative data...

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Fall Risk Score at the Time of Discharge Predicts Readmission Following Total Joint Arthroplasty

Bheeshma Ravi, Zhang Nan, Adam J. Schwartz, Henry D. Clarke

The Journal of Arthroplasty > 2017 > 32 > 7 > 2077-2081

Readmission among Medicare recipients is a leading driver of healthcare expenditure. To date, most predictive tools are too coarse for direct clinical application. Our objective in this study is to determine if a pre-existing tool to identify patients at increased risk for inpatient falls, the Hendrich Fall Risk Score, could be used to accurately identify Medicare patients at increased risk for readmission...

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Does Tibial Slope Affect Perception of Coronal Alignment on a Standing Anteroposterior Radiograph?

Adam J. Schwartz, Bheeshma Ravi, Mark J. Kransdorf, Henry D. Clarke

The Journal of Arthroplasty > 2017 > 32 > 7 > 2285-2288

A standing anteroposterior (AP) radiograph is commonly used to evaluate coronal alignment following total knee arthroplasty (TKA). The impact of coronal alignment on TKA outcomes is controversial, perhaps due to variability in imaging and/or measurement technique. We sought to quantify the effect of image rotation and tibial slope on coronal alignment.Using a standard extramedullary tibial alignment...

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Disparities in Knee and Hip Arthroplasty Outcomes: an Observational Analysis of the ACS-NSQIP Clinical Registry

Peter Cram, Gillian Hawker, John Matelski, Bheeshma Ravi, more

Journal of Racial and Ethnic Health Disparities > 2018 > 5 > 1 > 151-161

Background Disparities in total joint arthroplasty (TJA) have largely been studied in single center studies and using administrative data. Our objective was to investigate differences in TJA outcomes in white men, black men, white women, and black women using a large international registry. Methods We used 2010–2013 data from the ACS-NSQIP to identify four groups of adults (white men, black men,...

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What Drives Variation in Episode-of-care Payments for Primary TKA? An Analysis of Medicare Administrative Data

Peter Cram, Bheeshma Ravi, Mary S. Vaughan-Sarrazin, Xin Lu, more

Clinical Orthopaedics and Related Research® > 2015 > 473 > 11 > 3337-3347

Background Episode-of-care payments are defined as a single lump-sum payment for all services associated with a single medical event or surgery and are designed to incentivize efficiency and integration among providers and healthcare systems. A TKA is considered an exemplar for an episode-of-care payment model by many policymakers, but data describing variation payments between hospitals for TKA are...

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Intraarticular Hip Injection and Early Revision Surgery Following Total Hip Arthroplasty: A Retrospective Cohort Study

Bheeshma Ravi, Benjamin G. Escott, David Wasserstein, Ruth Croxford, more

Arthritis & Rheumatology > 67 > 1 > 162 - 168

ObjectiveTherapeutic intraarticular injections are used in the management of hip osteoarthritis (OA). Some studies suggest that their use increases the risk of infection and subsequent revision surgery after primary total hip arthroplasty (THA), while others do not. We undertook this study to clarify the relationship between prior intraarticular injection and the risk of complication in a subsequent...

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Predictors of Degenerative Spondylolisthesis and Loading Translation in Surgical Lumbar Spinal Stenosis Patients

Raja Y. Rampersaud, Rohit Amritanand, Bheeshma Ravi, Kenny S. David

The Spine Journal > 2014 > 14 > 11 Supplement > S150

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Computerized Virtual Surgery Demonstrates Where Acetabular Rim Osteophytes Most Reduce Range of Motion Following Total Hip Arthroplasty

Sebastian Rodriguez-Elizalde, Alyssa M. Yeager, Bheeshma Ravi, Joseph D. Lipman, more

HSS Journal ® > 2013 > 9 > 3 > 223-228

Background Acetabular osteophytes are common findings during total hip arthroplasty (THA). Purpose This study was designed to determine the extent to which osteophytes may limit range of motion (ROM) and in which locations impingement is likely to occur if osteophytes are not removed during surgery. Methods Computer-aided design was used to compare ROM of a modern hip implant in four cadaver models...

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A systematic review and meta‐analysis comparing complications following total joint arthroplasty for rheumatoid arthritis versus for osteoarthritis

Bheeshma Ravi, Benjamin Escott, Prakesh S. Shah, Richard Jenkinson, more

Arthritis & Rheumatology > 64 > 12 > 3839 - 3849

ObjectiveMost of the evidence regarding complications following total hip arthroplasty (THA) and total knee arthroplasty (TKA) is based on studies of patients with osteoarthritis (OA), with little being known about outcomes in patients with rheumatoid arthritis (RA). The objective of the present study was to review the current evidence regarding rates of THA/TKA complications in RA versus OA. MethodsData...

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The changing demographics of total joint arthroplasty recipients in the United States and Ontario from 2001 to 2007

Bheeshma Ravi, Ruth Croxford, William M. Reichmann, Elena Losina, more

Best Practice & Research Clinical Rheumatology > 2012 > 26 > 5 > 637-647

The rates of total joint arthroplasty (TJA) of the hip and knee have increased in North America over the last decade. While initially designed for elderly patients (>70 years of age), several reports suggest that an increasing number of younger patients are undergoing joint replacements. This suggests that more people are meeting the indication for TJA earlier in their lives. Alternatively, it...

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Anatomic Bankart Repair Compared With Nonoperative Treatment and/or Arthroscopic Lavage for First-Time Traumatic Shoulder Dislocation

Jaskarndip Chahal, Paul H. Marks, Peter B. MacDonald, Prakesh S. Shah, more

Arthroscopy: The Journal of Arthroscopic and Related Surgery > 2012 > 28 > 4 > 565-575

The objective of this systematic review was to determine the efficacy of anatomic Bankart repair in patients with a first-time shoulder dislocation compared with either arthroscopic lavage or traditional sling immobilization. We searched the Cochrane Central Register of Controlled Trials, Medline, Embase, CINAHL, Web of Science, LILACS, and a clinical trials registry for ongoing and completed randomized...

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CONDITIONAL OVER-EXPRESSION OF A SPECIFICALLY DESIGNED GI-COUPLED RECEPTOR IN ARTERIAL SMOOTH MUSCLE CELLS OF TRANSGENIC MICE

Abdul Momen, Bheeshma Ravi, Robert Gros, Golam Kabir, more

Cardiovascular Pathology > 2004 > 13 > 3 Supplement > 53

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