术前抑郁症与远距离半径骨折手术后的并发症增加有关
Matthew S Broggi1, William O Runge1, John T Hurt1
1Emory University, Atlanta, GA, USA.
Hand (New York, N.Y.)
|November 9, 2023
概括
手术前的抑郁症增加了远端半径骨折手术后并发症的风险. 治疗抑郁症可能会改善这些患者的外科治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 精神病学是一个精神病学.
- 健康 结果 研究 研究 结果
背景情况:
- 抑郁症是骨科手术中较差结果的已知危险因素.
- 抑郁症对远端半径骨折的具体影响以前尚不清楚.
研究的目的:
- 研究术前抑郁症和术后并发症之间的关联.
- 对远半径骨折的开放性减少内部固定 (ORIF) 后一年内分析结果.
主要方法:
- 对Truven MarketScan数据库 (2009-2019) 的回顾性分析.
- 使用CPT代码识别接受ORIF治疗的患者,用于远距离半径骨折.
- 通过ICD代码确定手术前抑郁症的诊断;进行统计分析以确定关联.
主要成果:
- 在75,098名患者中,9.9%患有手术前抑郁症.
- 抑郁症与手术部位感染,术后疼痛 (ED访问),硬件并发症,硬件移除,伤口并发症和30天再入院的可能性更高.
结论:
- 手术前的抑郁症与远距离半径骨折手术后的术后并发症增加有显著的关联.
- 研究结果表明,需要调整患有抑郁症的患者的术后治疗方案.
- 进一步研究抑郁症作为可修改的风险因素是有必要的,以改善外科手术的结果.
关键词:
并发症可能导致并发症.抑郁 抑郁症 抑郁症 抑郁症 抑郁症距离半径 距离半径骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折.结果就是结果.更多相关视频
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