心理健康障碍对外围半径骨折外科修复后30天术后结果的影响
Colin Zieminski1, Paul Pottanat1, Julia DeSalvo1
1Medical University of South Carolina, Charleston, USA.
概括
心理健康障碍显著影响远端半径骨折手术后的康复,导致急诊和再入院的增加. 患有这些疾病的患者可能需要更有针对性的术后护理来改善结果.
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:
- 关于精神健康障碍 (MHDs) 对远半径骨折 (DRF) 手术结果的影响的研究有限.
- 大型抑郁症 (MDD),泛性焦虑症 (GAD) 和创伤后应激障碍 (PTSD) 在美国很普遍.
- 这项研究调查了这些MHDs对DRF手术后术后恢复的影响.
研究的目的:
- 评估MDD,GAD和PTSD对DRF手术修复的患者手术后结果的影响.
- 确定与这些心理健康状况相关的特定的术后挑战和医疗保健利用模式.
主要方法:
- 利用TriNetX研究网络识别了经过手术治疗的DRF患者.
- 根据MDD,GAD和PTSD诊断对患者进行分层分组.
- 雇员倾向与控制人口统计和并发症变化相匹配.
- 采集了使用ICD和CPT代码在手术后30天重新手术,感染,阿片类药物使用和医疗保健利用的数据.
主要成果:
- 患有MDD,GAD和PTSD的队列显示,与对照组相比,急诊室服务的利用率增加,再接收率更高 (P < .01).
- 患有MHD的患者更有可能使用职业治疗和参加术后访问 (P < .01).
- MDD队列显示阿片类药物使用减少 (9%,P <.01),而PTSD队列显示阿片类药物使用增加 (15%,P <.01).
结论:
- MHD与DRF手术后的术后急诊和住院服务使用增加有关.
- 在MHD患者中,术后访问和职业治疗的减少可能导致结果较差.
- 创伤后应激障碍与手术后阿片类药物消费增加有关.
- 在早期的术后护理中解决心理健康缺陷对于改善DRF手术结果至关重要.
关键词:
人体解剖学 解剖学 解剖学诊断 诊断 诊断 诊断 诊断 诊断距离半径 距离半径骨折 / 脱位 骨折/脱位疼痛管理 疼痛管理康复康复康复康复康复康复专业的专业专业的专业.手术 手术 手术 手术 手术 手术 手术他们的手腕.更多相关视频
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