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The Role of Psychiatric Diagnoses for Outcome After Hip and Knee Arthroplasty

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Harvard

Gylvin, SH, Jørgensen, CC, Fink-Jensen, A, Gislason, GH, Kehlet, H & Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement Collaborative Group (Henrik Husted, Søren Solgaard members) 2017, 'The Role of Psychiatric Diagnoses for Outcome After Hip and Knee Arthroplasty', The Journal of arthroplasty, bind 32, nr. 12, s. 3611-3615. https://doi.org/10.1016/j.arth.2017.06.051

APA

Gylvin, S. H., Jørgensen, C. C., Fink-Jensen, A., Gislason, G. H., Kehlet, H., & Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement Collaborative Group (Henrik Husted, Søren Solgaard members) (2017). The Role of Psychiatric Diagnoses for Outcome After Hip and Knee Arthroplasty. The Journal of arthroplasty, 32(12), 3611-3615. https://doi.org/10.1016/j.arth.2017.06.051

CBE

Gylvin SH, Jørgensen CC, Fink-Jensen A, Gislason GH, Kehlet H, Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement Collaborative Group (Henrik Husted, Søren Solgaard members). 2017. The Role of Psychiatric Diagnoses for Outcome After Hip and Knee Arthroplasty. The Journal of arthroplasty. 32(12):3611-3615. https://doi.org/10.1016/j.arth.2017.06.051

MLA

Vancouver

Gylvin SH, Jørgensen CC, Fink-Jensen A, Gislason GH, Kehlet H, Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement Collaborative Group (Henrik Husted, Søren Solgaard members). The Role of Psychiatric Diagnoses for Outcome After Hip and Knee Arthroplasty. The Journal of arthroplasty. 2017 jul 8;32(12):3611-3615. https://doi.org/10.1016/j.arth.2017.06.051

Author

Gylvin, Silas H ; Jørgensen, Christoffer C ; Fink-Jensen, Anders ; Gislason, Gunnar H ; Kehlet, Henrik ; Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement Collaborative Group (Henrik Husted, Søren Solgaard members). / The Role of Psychiatric Diagnoses for Outcome After Hip and Knee Arthroplasty. I: The Journal of arthroplasty. 2017 ; Bind 32, Nr. 12. s. 3611-3615.

Bibtex

@article{057e088395424d1f9b30b82238d44b6f,
title = "The Role of Psychiatric Diagnoses for Outcome After Hip and Knee Arthroplasty",
abstract = "BACKGROUND: Surgical patients receiving psychopharmacologic treatment have been associated with adverse outcomes in total hip and knee arthroplasty (THA and TKA). The purpose of this study was to investigate whether a specific high-risk group of patients receiving psychopharmacologic treatment could be identified based upon a nationwide psychiatric diagnosis register.METHODS: From 7 different orthopedic centers, 8288 THA and TKA patients were included from January 2010 to November 2012 of which 943 (11.4%) received psychopharmacologic treatment. Patients receiving preoperative psychopharmacologic treatment were divided into 2 groups based on the presence or absence of a psychiatric diagnosis in a nationwide administrative database and analyzed with respect to length of hospital stay (LOS >4 days) and 30- and 90-day readmissions using multivariable logistic regression models.RESULTS: A total of 191 patients receiving psychopharmacologic treatment were registered with a psychiatric diagnosis while 752 patients received psychopharmacologic treatment without a registered psychiatric diagnosis. No significantly increased risk was found in patients with a preoperative registered psychiatric diagnosis compared to patients without, with regard to LOS >4 days (odds ratio [OR], 1.19; P = .51), 30-day readmission (OR, 0.56; P = .086), or 90-day readmission (OR, 0.81; P = .446), respectively. However, both groups had an increased risk of LOS >4 days and readmissions compared to a control population without psychopharmacologic treatment or any registered psychiatric diagnoses.CONCLUSION: No further risk was found for psychopharmacologically treated THA/TKA patients with an additional hospital-related psychiatric diagnosis compared to patients without, suggesting that the psychopharmacologic treatment per se is an outcome risk factor independent of severity of the psychiatric disorder.",
keywords = "Journal Article",
author = "Gylvin, {Silas H} and J{\o}rgensen, {Christoffer C} and Anders Fink-Jensen and Gislason, {Gunnar H} and Henrik Kehlet and {Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement Collaborative Group (Henrik Husted, S{\o}ren Solgaard members)} and Henrik Husted and S{\o}ren Solgaard",
note = "Members of the Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group are the following: Frank Madsen, DMSci, Department of Orthopedics, Aarhus University Hospital, Aarhus University, Aarhus, Denmark; Torben B. Hansen, DMSci, Department of Orthopedics, Regional Hospital Holstebro, Aarhus University, Aarhus, Denmark; Henrik Husted, DMSci, Orthopedic Department, Hvidovre University Hospital, Copenhagen University, Copenhagen, Denmark; Mogens B. Laursen, PhD, Orthopedic Division, Aalborg Hospital, Aalborg University, Aalborg, Denmark; Lars T. Hansen, MD, Orthopedic Department, Sydvestjysk Hospital Esbjerg/Grindsted, Esbjerg, Denmark; Per Kj{\ae}rsgaard-Andersen, MD, Department of Orthopedics, Vejle Hospital, University of Southern Denmark, Odense, Denmark; and S{\o}ren Solgaard, DMSci, Department of Orthopedics, Gentofte University Hospital, Hellerup, Denmark.",
year = "2017",
month = jul,
day = "8",
doi = "10.1016/j.arth.2017.06.051",
language = "English",
volume = "32",
pages = "3611--3615",
journal = "Journal of Arthroplasty",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "12",

}

RIS

TY - JOUR

T1 - The Role of Psychiatric Diagnoses for Outcome After Hip and Knee Arthroplasty

AU - Gylvin, Silas H

AU - Jørgensen, Christoffer C

AU - Fink-Jensen, Anders

AU - Gislason, Gunnar H

AU - Kehlet, Henrik

AU - Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement Collaborative Group (Henrik Husted, Søren Solgaard members)

A2 - Husted, Henrik

A2 - Solgaard, Søren

N1 - Members of the Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group are the following: Frank Madsen, DMSci, Department of Orthopedics, Aarhus University Hospital, Aarhus University, Aarhus, Denmark; Torben B. Hansen, DMSci, Department of Orthopedics, Regional Hospital Holstebro, Aarhus University, Aarhus, Denmark; Henrik Husted, DMSci, Orthopedic Department, Hvidovre University Hospital, Copenhagen University, Copenhagen, Denmark; Mogens B. Laursen, PhD, Orthopedic Division, Aalborg Hospital, Aalborg University, Aalborg, Denmark; Lars T. Hansen, MD, Orthopedic Department, Sydvestjysk Hospital Esbjerg/Grindsted, Esbjerg, Denmark; Per Kjærsgaard-Andersen, MD, Department of Orthopedics, Vejle Hospital, University of Southern Denmark, Odense, Denmark; and Søren Solgaard, DMSci, Department of Orthopedics, Gentofte University Hospital, Hellerup, Denmark.

PY - 2017/7/8

Y1 - 2017/7/8

N2 - BACKGROUND: Surgical patients receiving psychopharmacologic treatment have been associated with adverse outcomes in total hip and knee arthroplasty (THA and TKA). The purpose of this study was to investigate whether a specific high-risk group of patients receiving psychopharmacologic treatment could be identified based upon a nationwide psychiatric diagnosis register.METHODS: From 7 different orthopedic centers, 8288 THA and TKA patients were included from January 2010 to November 2012 of which 943 (11.4%) received psychopharmacologic treatment. Patients receiving preoperative psychopharmacologic treatment were divided into 2 groups based on the presence or absence of a psychiatric diagnosis in a nationwide administrative database and analyzed with respect to length of hospital stay (LOS >4 days) and 30- and 90-day readmissions using multivariable logistic regression models.RESULTS: A total of 191 patients receiving psychopharmacologic treatment were registered with a psychiatric diagnosis while 752 patients received psychopharmacologic treatment without a registered psychiatric diagnosis. No significantly increased risk was found in patients with a preoperative registered psychiatric diagnosis compared to patients without, with regard to LOS >4 days (odds ratio [OR], 1.19; P = .51), 30-day readmission (OR, 0.56; P = .086), or 90-day readmission (OR, 0.81; P = .446), respectively. However, both groups had an increased risk of LOS >4 days and readmissions compared to a control population without psychopharmacologic treatment or any registered psychiatric diagnoses.CONCLUSION: No further risk was found for psychopharmacologically treated THA/TKA patients with an additional hospital-related psychiatric diagnosis compared to patients without, suggesting that the psychopharmacologic treatment per se is an outcome risk factor independent of severity of the psychiatric disorder.

AB - BACKGROUND: Surgical patients receiving psychopharmacologic treatment have been associated with adverse outcomes in total hip and knee arthroplasty (THA and TKA). The purpose of this study was to investigate whether a specific high-risk group of patients receiving psychopharmacologic treatment could be identified based upon a nationwide psychiatric diagnosis register.METHODS: From 7 different orthopedic centers, 8288 THA and TKA patients were included from January 2010 to November 2012 of which 943 (11.4%) received psychopharmacologic treatment. Patients receiving preoperative psychopharmacologic treatment were divided into 2 groups based on the presence or absence of a psychiatric diagnosis in a nationwide administrative database and analyzed with respect to length of hospital stay (LOS >4 days) and 30- and 90-day readmissions using multivariable logistic regression models.RESULTS: A total of 191 patients receiving psychopharmacologic treatment were registered with a psychiatric diagnosis while 752 patients received psychopharmacologic treatment without a registered psychiatric diagnosis. No significantly increased risk was found in patients with a preoperative registered psychiatric diagnosis compared to patients without, with regard to LOS >4 days (odds ratio [OR], 1.19; P = .51), 30-day readmission (OR, 0.56; P = .086), or 90-day readmission (OR, 0.81; P = .446), respectively. However, both groups had an increased risk of LOS >4 days and readmissions compared to a control population without psychopharmacologic treatment or any registered psychiatric diagnoses.CONCLUSION: No further risk was found for psychopharmacologically treated THA/TKA patients with an additional hospital-related psychiatric diagnosis compared to patients without, suggesting that the psychopharmacologic treatment per se is an outcome risk factor independent of severity of the psychiatric disorder.

KW - Journal Article

U2 - 10.1016/j.arth.2017.06.051

DO - 10.1016/j.arth.2017.06.051

M3 - Journal article

C2 - 28800859

VL - 32

SP - 3611

EP - 3615

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

IS - 12

ER -

ID: 51520851