The impact of preoperative psychological status on postoperative stress responses in patients undergoing dynamic hip...

This study investigates the psychological status of patients before undergoing dynamic hip screw fixation and analyzes the association between the preoperative psychological status and the occurrence of postoperative stress responses. A retrospective study was conducted on all patients who underwent dynamic hip screw fixation for intertrochanteric femoral fractures between January 2022 and March 2024. Baseline data, preoperative psychological status, and perioperative information were collected. Univariate and multivariate logistic regression analyses were performed to identify risk factors for postoperative stress responses following dynamic hip screw fixation. Postoperative stress occurred in 16.07% (9/56) of patients who underwent dynamic hip screw fixation. In the postoperative stress group, diabetes (P = .006) and preoperative psychological status (P = .001) showed statistically significant differences compared to the non-stress group. Univariate logistic regression analysis identified diabetes (P = .011) and preoperative psychological status (P = .001) as risk factors for postoperative stress. Multivariate regression analysis revealed that preoperative psychological status (P = .001) was an independent risk factor for the development of postoperative stress responses. Preoperative psychological status is an independent risk factor for postoperative stress following dynamic hip screw fixation responses.