Patients with psychiatric diagnoses have increased odds of morbidity and mortality in elective orthopedic surgery
| Autor: | Peter G. Passias, Cole Bortz, Haddy Alas, Daniel J. Kaplan, Aaron Hockley, Avery E. Brown, Jonathan D. Haskel, Bassel G. Diebo, Michael C. Gerling, Frank A. Segreto, Anand H. Segar, Rivka C. Ihejirika, Dennis Vasquez-Montes, Katherine E. Pierce |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Odds Cohort Studies Orthopedic surgery procedures 03 medical and health sciences Postoperative Complications 0302 clinical medicine Spine surgery health services administration Physiology (medical) Humans Medicine Orthopedic Procedures Elective surgery health care economics and organizations Aged Retrospective Studies business.industry Mental Disorders General surgery General Medicine Middle Aged Neurology Elective Surgical Procedures 030220 oncology & carcinogenesis Psychiatric diagnosis Orthopedic surgery Female Surgery Neurology (clinical) business Complication 030217 neurology & neurosurgery |
| Zdroj: | Journal of Clinical Neuroscience. 84:42-45 |
| ISSN: | 0967-5868 |
| Popis: | Psychiatric diagnoses (PD) present a significant burden on elective surgery patients and may have potentially dramatic impacts on outcomes. As ailments of the spine can be particularly debilitating, the effect of PD on outcomes was compared between elective spine surgery patients and other common elective orthopedic surgery procedures. This study included 412,777 elective orthopedic patients who were concurrently diagnosed with PD within the years 2005 to 2016. 30.2% of PD patients experienced a post-operative complication, compared to 25.1% for non-PD patients (p 0.001). Mood Disorders (bipolar or depressive disorders) were the most commonly diagnosed PD for all elective Orthopedic procedures, followed by anxiety, then dementia (p 0.001). Logistic regression analysis found PD to be a significant predictor of higher cost to charge ratio (CCR), length of stay (LOS), and death (all p 0.001). Between, hand, elbow, and shoulder specialties, spine patients had the highest odds of increased CCR and unfavorable discharge, and the second highest odds of death (all p 0.001). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect