The Influence of Psychiatric Comorbidity on Perioperative Outcomes Following Primary Total Hip and Knee Arthroplasty; A 17-year Analysis of the National Hospital Discharge Survey Database

Buller, Leonard T.; Klika, Alison K.; Barsoum, Wael K.

doi:10.1016/j.arth.2014.08.034

Cited by 123 publications

(87 citation statements)

References 44 publications

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“…However, studies investigating the postdischarge morbidity of psychiatric disease are scarce. Small cohorts limit existing studies and large database studies combine the results of total hip and total knee replacement [6,7]. The results of the study herein showed that patients with preoperative psychiatric diseases were more likely to be younger, female, and have more medical comorbidities than patients without the PD comorbidity.…”

Section: Discussionmentioning

confidence: 83%

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Psychiatric disorders increase complication rate after primary total knee arthroplasty

et al. 2016

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Section: Discussionmentioning

confidence: 83%

“…Critical patient selection and evaluation of modifiable comorbidities will be essential to achieve the best outcome for patients. Depression and psychiatric disease (PD) have been previously associated with increased complications after total joint replacement and may be more prevalent than traditionally reported [2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 98%

Psychiatric disorders increase complication rate after primary total knee arthroplasty

et al. 2016

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“…In our study, inflammatory markers were not different between women and men (data not shown). Since pain is a critical element to induce depression, particularly in chronic conditions, sensory hyperinnervation can be an important forerunner of depressive symptoms in these patients.…”

Section: Discussionmentioning

confidence: 99%

Increased pain and sensory hyperinnervation of the ligamentum flavum in patients with lumbar spinal stenosis

Benditz

Sprenger

Rauch

et al. 2019

Journal Orthopaedic Research

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Nociceptive sensory nerve fibers have never been investigated in the ligamentum flavum (LF) of patients with LSS. The aim was to analyze nociceptive sensory nerve fibers in the ligamentum flavum (LF) of patients with LSS. A prospective study in patients with lumbar spinal stenosis (LSS) undergoing invasive surgical treatment for lumbar spinal stenosis (LSS) with flavectomy was performed. Patients with LSS were subjected to flavectomy and density of sensory and sympathetic nerve fibers, macrophages, vessels, activated fibroblasts, and cells were investigated by immunostaining techniques. A group of patients with acute disc herniation served as control group. We found a higher density of sensory nerve fibers in LSS patients versus controls. These findings support the role of LF in associated low back pain. Density of sensory nerve fibers in LSS, was positively correlated with typical markers of clinical pain and functional disability, but not with LF density of activated fibroblasts. Inflammation as estimated by macrophage infiltration and higher vascularity does not play a marked role in LF in our LSS patients. In the present study, compared to men with LSS, women with LSS demonstrate more pain and depression, and show a higher density of sensory nerve fibers in LF. This study shed new light on nociceptive nerve fibers, which are increased in LSS compared to controls. The findings speak against a strong inflammatory component in LSS. A higher pain levels in women compared to men can be explained by a higher density of nociceptive nerve fibers. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 9999:1–7, 2019.

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“…In addition, psychotic disorders such as schizophrenia and delirium have been implicated in worse postoperative outcome and leaving the hospital against medical advice[77-80]. In orthopaedic patients, it has been suggested that patients with psychiatric disease may have increased hypothalamic-pituitary-adrenal (HPA) responses to the stress of surgery[34].…”

Section: Other Psychiatric Disease and Aclrmentioning

confidence: 99%

Depression and psychiatric disease associated with outcomes after anterior cruciate ligament reconstruction

Wu¹,

Liu²,

Dines³

et al. 2016

WJO

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While most patients with an anterior cruciate ligament (ACL) injury indicate satisfaction with surgical intervention, a significant proportion still do not return to pre-injury level of function or sport. Psychiatric comorbidities, such as depression, have recently been associated with poor clinical outcomes after ACL reconstruction (ACLR). To date, no article has yet examined how depression affects ACLR outcomes and how potential screening and intervention for psychological distress may affect postoperative activity level. The purpose of this review is to delineate potential relationships between depression and ACLR outcome, discuss clinical implications and identify future directions for research.

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The Influence of Psychiatric Comorbidity on Perioperative Outcomes Following Primary Total Hip and Knee Arthroplasty; A 17-year Analysis of the National Hospital Discharge Survey Database

Cited by 123 publications

References 44 publications

Psychiatric disorders increase complication rate after primary total knee arthroplasty

Psychiatric disorders increase complication rate after primary total knee arthroplasty

Increased pain and sensory hyperinnervation of the ligamentum flavum in patients with lumbar spinal stenosis

Depression and psychiatric disease associated with outcomes after anterior cruciate ligament reconstruction

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