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抑郁症和三骨折:对结果和成本的分析
Maddie Fudala1,2, Lindsay Blank1,2, Ameer Tabbaa2
1College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York.
Foot & ankle specialist
|July 27, 2024
概括
抑郁症显著增加了三角骨折手术后再入院和医疗并发症的风险. 外科医生应在进行开放式缩减/内部固定 (ORIF) 的术前评估时考虑抑郁症.
科学领域:
- 整形外科手术 整形外科手术
- 精神病的并发症 精神病的并发症
- 患者的治疗结果.
背景情况:
- 抑郁症与骨科手术中的不良结果有关.
- 抑郁症对三角骨折或ORIF并发症的具体影响尚不清楚.
研究的目的:
- 为了调查抑郁症和90天再入院之间的关联.
- 为了确定抑郁是否与三角骨折后医疗并发症的增加相关,ORIF.
主要方法:
- 对50154名接受三极性ORIF的患者进行了回顾性队列研究 (2020年1月至2021年3月).
- 抑郁症患者与基于人口统计和并发症的对照进行1:1匹配.
- 分析90天的所有原因再入院和医学并发症的分析,使用几率比率.
主要成果:
- 患有抑郁症的患者有更高的90天再入院几率 (OR: 1.37).
- 抑郁症与90天内出现医疗并发症的几率显著增加 (OR:4.61).
结论:
- 抑郁症增加了三极性ORIF后再入院和并发症的风险.
- 术前抑郁查对于骨科外科医生管理这些骨折至关重要.
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