Abstract | BACKGROUND: Psychiatric comorbidity has been associated with increased health risks and poor long-term treatment outcomes in numerous medical disciplines, but its effect in short-term perioperative settings is incompletely understood. The purpose of this study was to evaluate the influence of a preoperative diagnosis of depressive disorder, anxiety disorder, schizophrenia, or dementia on in-hospital (1) adverse events, (2) blood transfusion, and (3) nonroutine discharge in patients undergoing shoulder arthroplasty. METHODS: Using the National Hospital Discharge Survey (NHDS) database, we identified 348,824 discharges having undergone partial or total shoulder arthroplasty from 1990 to 2007. Multivariable regression analysis was performed for each of the outcome variables. RESULTS: CONCLUSIONS:
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Authors | Arjan G J Bot, Mariano E Menendez, Valentin Neuhaus, David Ring |
Journal | Journal of shoulder and elbow surgery
(J Shoulder Elbow Surg)
Vol. 23
Issue 4
Pg. 519-27
(Apr 2014)
ISSN: 1532-6500 [Electronic] United States |
PMID | 24630546
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved. |
Topics |
- Adult
- Aged
- Arthroplasty
(adverse effects, psychology)
- Cohort Studies
- Comorbidity
- Female
- Humans
- Joint Diseases
(epidemiology)
- Male
- Mental Disorders
(epidemiology)
- Middle Aged
- Prognosis
- Regression Analysis
- Retrospective Studies
- Shoulder Joint
(surgery)
- Treatment Outcome
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