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在全肩关节整形术后,新发抑郁症的发生率和危险因素
Wesley Day1, Gwyneth C Maloy, Rahul H Jayaram
1From the Albert Einstein College of Medicine, Bronx, NY (Day); the Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT (Day, Maloy, Jayaram, Doshi, Dr. Ansah-Twum, and Dr. Grauer); and the Department of Orthopedic Surgery, Montefiore Health System, Bronx, NY (Dr. Yang).
概括
新发性抑郁症 (NOD) 影响3%的患者在肩部全关节整形术 (TSA) 后. NOD与术后并发症增加和更高的修订率有关,突出显示了需要风险减轻策略的需要.
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:
- 新发性抑郁症 (NOD) 是肩膀全关节整形术 (TSA) 后的一个新兴问题.
- NOD显著影响患者的康复和TSA后的整体结果.
- 了解NOD的发生率和预测因素对于改善患者护理至关重要.
研究的目的:
- 为了确定TSA后一年内NOD的发生率.
- 确定与NOD相关的风险因素和术后并发症.
- 评估NOD对五年内修复手术率的影响.
主要方法:
- 对PearlDiver Mariner数据库 (2010-2022) 的回顾性分析包括了接受初级TSA的成年患者.
- 排除标准侧重于先前存在的疾病,如瘤,创伤,感染和先前的精神病史.
- 有和没有NOD的患者被匹配并使用统计分析对90天并发症和5年修订率进行了比较.
主要成果:
- 在144,773名TSA患者中,3.0% (4,321) 在一年内被诊断出NOD.
- 在女性和具有较高伴随性疾病负担的人群中,NOD的流行率更高.
- 患有NOD的患者出现90天并发症,急诊,再入院和5年修订TSA的几率增加.
结论:
- 手术后的NOD影响了3%的接受TSA的患者.
- NOD与术后不良结果显著相关,包括并发症和更高的修订率.
- 识别有NOD风险的患者可以指导有针对性的干预措施,以减轻负面后果.
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