Preoperative Depression Is Associated With Increased Complications Following Distal Radius Fracture Surgery.

Autor:	Broggi MS; Emory University, Atlanta, GA, USA., Runge WO; Emory University, Atlanta, GA, USA., Hurt JT; Emory University, Atlanta, GA, USA., Dawes AA; Emory University, Atlanta, GA, USA., Toston RJ; Emory University, Atlanta, GA, USA., Ojemakinde AA; Emory University, Atlanta, GA, USA., Cooke HL; Emory University, Atlanta, GA, USA., Gottschalk MB; Emory University, Atlanta, GA, USA., Wagner ER; Emory University, Atlanta, GA, USA.
Jazyk:	angličtina
Zdroj:	Hand (New York, N.Y.) [Hand (N Y)] 2023 Nov 09, pp. 15589447231207910. Date of Electronic Publication: 2023 Nov 09.
DOI:	10.1177/15589447231207910
Abstrakt:	Background: Depression is a known risk factor for inferior outcomes after orthopedic procedures, but its specific relationship with distal radius fractures remains unknown. This study investigates the relationship between preoperative diagnosed depression and common postoperative complications occurring within the first year after open reduction internal fixation (ORIF) for distal radius fractures. Methods: This retrospective study used Truven MarketScan database and the Current Procedural Terminology (CPT) codes to identify distal radius fracture patients who underwent ORIF in the United States between January 1, 2009, and December 31, 2019. International Classification of Diseases (ICD) codes were used to identify patients with and without a diagnosis of preoperative depression. Univariate, multivariate, t test, and χ 2 analyses were performed to determine the association between preoperative depression and postoperative complications following a distal radius fracture surgery. Results: Of the 75 098 eligible patients, 9.9% had at least one ICD code associated with preoperative depression. Preoperative depression was associated with increased odds for surgical site infection (odds ratio [OR] 1.25, confidence interval [CI] 1.14-1.37), emergency department visits for postoperative pain (OR 1.28, CI 1.15-1.36), hardware complication (OR 1.18, CI 1.07-1.30), removal of hardware within 1 year (OR 1.16, CI 1.09-1.27), wound complication (OR 1.17, CI 1.08-1.27), and 30-day readmission (OR 1.21, CI 1.07-1.31). Conclusions: Preoperative diagnosed depression is associated with increased complications following distal radius fracture surgery. These results can help guide preoperative and postoperative protocols in these higher risk patients. More research is needed to investigate if depression is a modifiable risk factor, as depression treatment could potentially improve postsurgical outcomes. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: M.S.B., W.O.R., J.T.H., A.A.D., R.J.T., A.A.O., and H.L.C. have nothing to disclose. M.B.G. receives institutional research support from Stryker and Konica Minolta. He is a board or committee member of the American Society for Surgery of the Hand. He is an editor for Journal of Hand Surgery and Surgical Techniques in Orthopedics. E.R.W. receives consulting fees from Stryker, Biomet, Acumed, and Osteoremedies and research support from Arthrex and Konica Minolta.
Databáze:	MEDLINE
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