Journal
JOURNAL OF ARTHROPLASTY
Volume 30, Issue 2, Pages 165-170Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2014.08.034
Keywords
total knee arthroplasty; total hip arthroplasty; depression: anxiety; schizophrenia; dementia
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Studies conflict regarding the impact of psychiatric illnesses including depression, anxiety, dementia and schizophrenia on perioperative outcomes following total hip (THA) and knee arthroplasty (TKA). Psychiatric comorbidity incidence, in-hospital adverse events, discharge disposition, and mortality were assessed for THA or TKA patients between 1990 and 2007 using the US National Hospital Discharge Survey. A cohort representative of 8,379,490 patients was identified and analyzed using multivariable regression analysis. Diagnoses of depression, dementia and schizophrenia were associated with increased odds of adverse events (P < 0.001). Schizophrenia and depression were associated with higher odds of perioperative blood transfusion (P < 0.001). All psychiatric comorbidities were associated with higher odds of non-routine discharge (P < 0.001). Diagnosis of dementia was associated with higher in-hospital mortality (P < 0.001). (C) 2014 Elsevier Inc. All rights reserved.
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