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抑郁症作为不良结果的风险因素和减肥手术患者医疗保健利用率的增加
Juliana L Ramirez1, Erin Kim2, Andrew C Fregenal1
1University of Michigan Medical School, Ann Arbor, MI, USA.
Surgical endoscopy
|September 21, 2023
概括
近三分之一的减肥手术患者患有抑郁症. 术前抑郁症与更长的住院时间和增加的物质使用有关,但并没有更多的并发症.
科学领域:
- 腹部外科手术的结果
- 外科手术患者的心理健康
- 药物使用障碍 药物使用障碍
背景情况:
- 抑郁症在肥胖患者和接受减肥手术的患者中很常见.
- 抑郁症对早期术后结果和物质使用的影响尚不清楚.
研究的目的:
- 评估术前抑郁症和早期术后结果之间的关联.
- 为了检查抑郁症和物质使用在减肥手术患者之间的关系.
主要方法:
- 对44,301名经过Roux-en-Y胃绕道或袖子胃切除术的患者 (2017-2022) 的分析.
- 在基线对自我报告的抑郁症 (PHQ-8) 和物质使用 (酒精,吸烟,阿片类药物,大麻) 的评估.
- 与患有抑郁症和没有抑郁症的患者之间的30天术后结果的比较.
主要成果:
- 30.8%的患者患有抑郁症;10.5%患有中度至重度抑郁症.
- 抑郁症与显著更长的逗留时间 (LOS) 有关.
- 严重的抑郁与更高的吸烟率,酒精使用障碍,阿片类药物使用和大麻使用相关.
结论:
- 手术前的抑郁症在减肥手术候选人中很普遍.
- 抑郁症状与延长的LOS和手术后增加的物质使用有关.
- 抑郁症没有显著影响并发症,重新手术,急救诊所或再入院.
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