Is Psychiatric Illness Associated With Risk for Postoperative Complications in the Outpatient Setting?

Autor:	Verma P; Private Practitioner, Former Resident, Division of Oral and Maxillofacial surgery, University of Cincinnati, currently in private practice, Rockville, MD., Curtis C; Chief Resident, Division of Oral & Maxillofacial Surgery, Department of Surgery, University of Cincinnati, Cincinnati, OH., Darisi RD; Clinical Research Coordinator, Former MPH Candidate, University of Cincinnati, currently the Early Childhood Program and Research Coordinator at Chiricahua Community Health Centers, Inc, Sierra Vista, AZ., Hooker KJ; Project Administrator, Former Research Professional, Division of Oral and Maxillofacial Surgery, University of Cincinnati, currently the at Rensselaer Polytechnic Institute, Troy, NY., Yin B; Student Research Volunteer, Division of Oral & Maxillofacial Surgery, Department of Surgery, University of Cincinnati, Cincinnati, OH., Tewari A; Student Research Volunteer, Division of Oral & Maxillofacial Surgery, Department of Surgery, University of Cincinnati, Cincinnati, OH., Triana RR; Clinical Research Professional, Division of Oral & Maxillofacial Surgery, Department of Surgery, University of Cincinnati, Cincinnati, OH., Krishnan DG; Associate Professor of Surgery, Section Chief, Division of Oral & Maxillofacial Surgery, Department of Surgery, University of Cincinnati, Cincinnati, OH. Electronic address: deepak.krishnan@uc.edu.
Jazyk:	angličtina
Zdroj:	Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [J Oral Maxillofac Surg] 2023 Jun; Vol. 81 (6), pp. 763-771. Date of Electronic Publication: 2023 Feb 23.
DOI:	10.1016/j.joms.2023.01.013
Abstrakt:	Purpose: Little is known about the association between psychiatric illness and the risk for postoperative complications following outpatient oral and maxillofacial surgery treatment. The purpose of this study was to examine the significance of the presence of psychiatric illness on postoperative complications. Materials/methods: This was a retrospective cohort study conducted in 2018 that identified patients by searching through the University of Cincinnati's electronic health records. The predictor variable in this study is the presence of psychiatric illness and the outcome variable is the presence or absence of postoperative complications. Additional covariates such as age, race, location, procedure type, and anesthesia type were also included. Results of appropriate descriptive statistics and multivariate logistic regression were presented. Statistical significance was set at P value < .05. Results: The total number of patients who underwent procedures involving local anesthetic and intravenous sedition in clinic in 2018 were 3,874, of which 1,588 were males (40.99%) and 2,286 were females (59.01%) with a mean age of 36.14 and 35.08 years, respectively. The sample consisted of White (45.87%), Black (35.34%), Hispanic/Latino (2.27%), Asians (1.60%), other races (3.33%), and 11.59% patients have missing data on race. A psychiatric diagnosis was found in 21.37% patients (n = 828). The percentage of patients with 2 or more psychiatric diagnoses was 5.78% (n = 224). The rate of postoperative was reported as 11.33%. A bivariate logistic regression analysis of postoperative complications as an outcome variable found that postoperative complications were not associated with psychiatric history (Odds ratio = 1.049, 95% confidence interval: 0.825 to 1.333, P value = .695). However, sex (P value = < .0001), surgical procedure (P value = < .0001), and anesthetic technique (P value = < .0001) had statistically significant associations with postoperative complications. Other covariates like race (P value = .5943), American Society of Anesthesiologists score (P value = .2539), location (P value = .5323), and multiple psychiatric diagnoses (P value = .7256) were not found to be significantly associated with postoperative complications. Conclusion: Although our study did show a higher prevalence of psychiatric illnesses in our patient population, it did not show any statistically significant correlation between psychiatric illness and postoperative complications. In addition, there were no statistically significant differences in postoperative complications between different Diagnostic and Statistical Manual of Mental Disorders classes. (Copyright © 2023 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu