Pre-injury depression and anxiety in patients with orthopedic trauma and their treatment

Haupt, Edward T.; Vincent, Heather K.; Harris, Andrew B.; Vasilopoulos, Terrie; Guenther, Robert; Sharififar, Sharareh; Hagen, Jennifer

doi:10.1016/j.injury.2018.03.024

Cited by 34 publications

(34 citation statements)

References 22 publications

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Section: Related Workmentioning

confidence: 99%

“…The position and posture of the end of the passive arm (or connected tool) can be determined by the geometric model of the mechanical arm and the encoder. The output value is calculated in real time [ 10 ]. The robot arm positioner has a high spatial positioning accuracy, which can reach within a millimeter, but it is relatively heavy and troublesome to install.…”

Section: Related Workmentioning

confidence: 99%

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Clinical Research of Orthopedic Trauma Based on Computer 3D Image Analysis

Zhang

Fang

et al. 2021

Computational and Mathematical Methods in Medicine

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In order to improve the clinical research effect of orthopedic trauma, this paper applies computer 3D image analysis technology to the clinical research of orthopedic trauma and proposes the BOS technology based on FFT phase extraction. The background image in this technique is a “cosine blob” background image. Moreover, this technology uses the FFT phase extraction method to process this background image to extract the image point displacement. The BOS technology based on FFT phase extraction does not need to select a diagnostic window. Finally, this paper combines computer 3D image analysis technology to build an intelligent system. According to the experimental research results, the clinical analysis system of orthopedic trauma based on computer 3D image analysis proposed in this paper can play an important role in the clinical diagnosis and treatment of orthopedic trauma and improve the diagnosis and treatment effect of orthopedic trauma.

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Section: Related Workmentioning

confidence: 99%

Section: Related Workmentioning

confidence: 99%

Clinical Research of Orthopedic Trauma Based on Computer 3D Image Analysis

Zhang

Fang

et al. 2021

Computational and Mathematical Methods in Medicine

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“…14,19 Even with the clear influence of mental health on surgical outcomes, there is evidence to suggest that anxiety/depression is underreported in orthopedic surgery patients. 24 In spine surgery specifically, mental health has been documented as a risk factor for postoperative complications, adverse outcomes, and increased health utilization following several common procedures, including ACDF and lumbar decompression. 2,18 Specifically, Harris et al found patients with anxiety/depression to be at increased risk for multi-day hospitalization, 90-day readmission, revision surgery within 2 years, chronic postoperative opioid use, and increased hospital payments following ACDF.…”

Section: Discussionmentioning

confidence: 99%

Presence and Severity of Mental Illness Is Associated With Increased Risk of Postoperative Emergency Visits, Readmission, and Reoperation Following Outpatient ACDF: A National Database Analysis

Kamalapathy

Wang

Puvanesarajah

et al. 2021

Global Spine Journal

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Study Design: Retrospective cohort study. Objective: The purpose was to compare rates of postoperative ED visits, readmission, and reoperation between patients with and without preexisting mental illness undergoing outpatient anterior cervical discectomy and fusion (ACDF). Methods: A retrospective review of the Mariner Database was conducted on patients who underwent ACDF between 2010 and 2017. Exclusion criteria included same day revision surgery and patients with a history of spine infection, trauma, or neoplasm. Patients were grouped into 3 categories: those with existing history of anxiety and/or depression, those with severe mental illness, and those without any history of mental illness. Severe mental illness was defined as a combination of diagnosis including schizophrenia, bipolar disorder, and/or psychotic disorder. Outcome measures were analyzed by comparing groups using multivariate logistic regression. Significance was set at P < 0.05. Results: Patients with anxiety/depression and patients with severe mental illness both had significantly increased risk of ED visits and readmission at 30-day and 90-day intervals. Compared to patients without mental illness, patients with severe mental illness (OR 1.93, P < 0.001) had significantly increased rates of reoperation at 90-days and 1-years postoperatively. Patients with anxiety/depression did not have increased rates of reoperation relative to patients without anxiety/depression at any time interval ( P > 0.05). Conclusion: Anxiety/depression as well as more severe psychiatric disease such as Schizophrenia and Bipolar disorder were significantly associated with increased healthcare utilization following outpatient ACDF. Patients with preexisting mental illness undergoing outpatient ACDF should be carefully evaluated preoperatively and closely followed postoperatively to reduce risk of adverse events.

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“…At the end of treatment, significant numbers of patients suffer from anxiety, depression, and post-traumatic stress disorder (PTSD). As a step of "whole patient care," psychiatric support must be organized for these patients [4].…”

Section: Introductionmentioning

confidence: 99%

Depression, Anxiety, and Post-Traumatic Stress Disorder Following Orthopedic War Injuries

Biçen¹,

Akdemir²,

Gülveren³

et al. 2021

Cureus

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Introduction There are ongoing wars worldwide, during which significant numbers of people are injured. Several studies have indicated that high rates of depression and anxiety are seen in war-injured patients. Methods Eighty-one male patients treated between November 2019 and January 2021 far from home in a Turkish hospital due to war injuries that happened in the Libyan Civil War were investigated. Demographic characteristics and injury data of the patients were evaluated regarding age, Injury Severity Score (ISS), location of injuries, type and mechanism of injuries, operations, and accompanying traumas. The psychological statuses of the patients were evaluated with the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and post-traumatic stress disorder (PTSD) records filled out at the first admission to the hospital. Results The mean age of the patients was 29.8±7.7 (19-56) years. While 59 patients had fractures, 22 patients had only soft tissue injuries. Eighteen patients suffered from other accompanying injuries. While 85.2% of the patients showed symptoms of depression, 82.7% of the patients suffered from anxiety and PTSD symptoms were seen in 86.4% of the patients. Statistical analysis was performed to investigate the effects of injury severity, duration of hospitalization, number of operations, and age on depression, anxiety, and PTSD among these patients with war injuries. The results did not indicate any significant effect of injury severity, hospitalization duration, or operations. Conclusion Depression, anxiety, and PTSD are common in patients injured in wars. Injury severity does not seem to affect depression, anxiety, or PTSD in these patients.

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Pre-injury depression and anxiety in patients with orthopedic trauma and their treatment

Cited by 34 publications

References 22 publications

Clinical Research of Orthopedic Trauma Based on Computer 3D Image Analysis

Clinical Research of Orthopedic Trauma Based on Computer 3D Image Analysis

Presence and Severity of Mental Illness Is Associated With Increased Risk of Postoperative Emergency Visits, Readmission, and Reoperation Following Outpatient ACDF: A National Database Analysis

Depression, Anxiety, and Post-Traumatic Stress Disorder Following Orthopedic War Injuries

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