| Literature DB >> 29556113 |
Bassel G Diebo1, Denis Cherkalin2, Cyrus M Jalai3, Neil V Shah1, Greg W Poorman3, George A Beyer2, Frank A Segreto1,3, Virginie Lafage4, Qais Naziri1, Jared M Newman1, William P Urban1, Thomas J Errico3, Frank J Schwab4, Carl B Paulino1, Peter G Passias3.
Abstract
Retrospective review of National Inpatient Sample (2000-2012) revealed that 31.28% of musculoskeletal (MSK) patients were found to have in-hospital psychological burdens (PBs). Adult spinal deformity (ASD), degenerative disc disease (DDD) and lung cancer patients had highest PB-prevalence. MSK patients with PB were more often young, white females with increased Deyo index compared to no-PB patients. Patients who underwent spinal revision procedures had higher PB rates than with primary procedures; a converse trend was observed for total hip/knee arthroplasty. Psychological disorders were identified as significant predictors of increased total-hospital charges. Augmenting counseling with psychological screening/support is recommended to complement MSK management.Entities:
Keywords: Comorbidity; Epidemiology; Hospital course; Medical comorbidity; Musculoskeletal disease; Psychological burden
Year: 2018 PMID: 29556113 PMCID: PMC5856674 DOI: 10.1016/j.jor.2018.02.010
Source DB: PubMed Journal: J Orthop ISSN: 0972-978X