Anxiety and depression as risk factors for postoperative complications and pain in lumbar spine surgery: A national database study

医学 焦虑 萧条(经济学) 逻辑回归 腰椎 内科学 物理疗法 精神科 外科 经济 宏观经济学
作者
Ruimin Wu,Pengcheng Gao,Shuxia Liu,Qinfeng Yang,Jian Wang,Fangguo Liang,Yuhang Chen,Lin Yang
出处
期刊:Journal of orthopaedic surgery [SAGE]
卷期号:32 (3)
标识
DOI:10.1177/10225536241280190
摘要

Objective: To investigate the potential association between anxiety and depression and surgical outcomes in patients undergoing LSS. By analyzing data from the Nationwide Inpatient Sample (NIS) database, we aim to identify whether anxiety and depression serve as predictors for postoperative complications and pain-related symptoms. Methods: A retrospective analysis was conducted via the NIS database. Those undergoing LSS from 2010 to 2019 were divided into four groups: those with a diagnosis of anxiety, depression, both depression and anxiety, and neither depression nor anxiety. The chi-squared test, rank sum test, the Student-Newman-Keuls, least significant difference, and Bonferroni tests were used to identify differences between these groups. Logistic regression analysis was utilized to determine if anxiety and depression were predictors for postoperative complications and pain-related symptoms. Results: From 2010 to 2019, 832,099 patients undergoing LSS were identified. Patients with either anxiety or depression were associated with heavier economic burdens ($85,375, $76,840, $88,542 in the anxiety, depression, and comorbid group, respectively, p < 0.001) and prolonged hospital stay ( p < 0.001). They were identified to experience higher risks of various complications especially thrombophilia (OR = 1.82, and 1.55 in the anxiety and the depression group, respectively, p < 0.01). Multiple pain-related symptoms, but face reduced risks of inpatient mortality (OR = 0.71, 0.75, and 0.63 in the anxiety, depression, and comorbid group, respectively, p < 0.01). Conclusions: The overall morbidities of depression and anxiety were relatively high. Psychiatric comorbidities were closely correlated with the negative outcomes after LSS. The psychological health of patients receiving LSS requires necessary attention to ensure pain control and prevent complications postoperatively.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
研友_nq2JrZ完成签到,获得积分10
1秒前
卿沐完成签到,获得积分20
1秒前
b162发布了新的文献求助10
1秒前
1秒前
充电宝应助cjq采纳,获得10
2秒前
3秒前
哎健身完成签到,获得积分10
3秒前
外向跳跳糖关注了科研通微信公众号
3秒前
毛毛发布了新的文献求助10
4秒前
TT发布了新的文献求助10
5秒前
阿迦完成签到,获得积分10
5秒前
bkagyin应助哲子子采纳,获得10
5秒前
tommy999发布了新的文献求助10
6秒前
科研小白发布了新的文献求助10
6秒前
佳佳完成签到,获得积分10
6秒前
6秒前
高震东发布了新的文献求助10
7秒前
自由宛筠发布了新的文献求助10
7秒前
7秒前
小二郎应助俭朴的雅彤采纳,获得10
7秒前
8秒前
小二郎应助小米采纳,获得10
8秒前
77完成签到,获得积分10
9秒前
Erid完成签到,获得积分10
10秒前
10秒前
田様应助lu采纳,获得10
10秒前
vinh完成签到,获得积分10
10秒前
清晾油完成签到,获得积分10
10秒前
111完成签到,获得积分10
12秒前
Edison完成签到,获得积分10
12秒前
13秒前
13秒前
甜甜十三发布了新的文献求助10
13秒前
高震东完成签到,获得积分10
14秒前
14秒前
称心不尤完成签到,获得积分10
14秒前
爱学习的小趴菜完成签到,获得积分10
14秒前
15秒前
ikuya发布了新的文献求助10
15秒前
高分求助中
Sustainability in Tides Chemistry 2000
Microlepidoptera Palaearctica, Volumes 1 and 3 - 13 (12-Volume Set) [German] 1122
Дружба 友好报 (1957-1958) 1000
The Data Economy: Tools and Applications 1000
Mantiden - Faszinierende Lauerjäger – Buch gebraucht kaufen 600
PraxisRatgeber Mantiden., faszinierende Lauerjäger. – Buch gebraucht kaufe 600
A Dissection Guide & Atlas to the Rabbit 600
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3105631
求助须知:如何正确求助?哪些是违规求助? 2756681
关于积分的说明 7641226
捐赠科研通 2410796
什么是DOI,文献DOI怎么找? 1279097
科研通“疑难数据库(出版商)”最低求助积分说明 617641
版权声明 599262