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抑郁症对全膝关节关节整形术的影响
Travis Kotzur1, Aaron Singh, Lindsey Peng
1From the Department of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX.
概括
经过全膝关节整形术 (TKA) 的抑郁症患者面临医疗和手术并发症,再入院和修复手术的风险显著增加. 这些发现凸显了综合护理的必要性,以改善抑郁症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.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抑郁症是一种普遍存在的精神疾病,影响着数百万人.
- 抑郁症对外科手术结果的影响,特别是全膝关节整形手术 (TKA),仍未得到充分研究.
- 了解这些影响对于优化患者护理至关重要.
研究的目的:
- 调查诊断重大抑郁症和TKA后的术后结果之间的关联.
- 量化TKA患者患有抑郁症的并发症,再入院和修复手术的风险.
主要方法:
- 使用国家再接收数据库 (2016-2019) 进行回顾性队列研究.
- 使用ICD-10代码识别了患有抑郁症和没有抑郁症的TKA患者.
- 员工倾向得分匹配和多变量回归分析.
主要成果:
- 分析了超过190万名TKA患者;15.68%的人被诊断患有抑郁症.
- 患有抑郁症的患者出现医疗并发症 (OR 1.90) 和手术并发症 (OR 1.86) 的几率明显更高,包括周围假肢骨折 (OR 2.27).
- 在抑郁症组中观察到30天再入院 (OR 1.98) 和修复手术 (OR 1.83) 的几率增加.
结论:
- 在TKA人群中,抑郁症很普遍 (15.9%).
- 患有抑郁症的TKA患者患上术后并发症,再入院和修复手术的风险要高得多.
- 这些发现表明,TKA患者患有抑郁症的结果可能更差,需要针对性的干预措施.
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