期刊
JOURNAL OF ARTHROPLASTY
卷 30, 期 2, 页码 165-170出版社
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2014.08.034
关键词
total knee arthroplasty; total hip arthroplasty; depression: anxiety; schizophrenia; dementia
类别
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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