Journal article
Preoperative Depression Influences Outcomes Following Total Ankle Arthroplasty
Foot and ankle specialist, Vol.15(4), pp.193864002095165-329
08/31/2020
DOI: 10.1177/1938640020951657
Abstract
Introduction
Total ankle arthroplasty (TAA) is increasing in incidence. While preoperative depression is known to affect outcomes following other procedures, its effect on outcomes following TAA are unknown. Therefore, the purpose of this study was to investigate this relationship.
Methods
This is a retrospective cohort study using the Nationwide Readmission Database (NRD). All patients undergoing TAA were included. Two cohorts (those with and without preoperative depression) were created. Logistic regression was then performed to assess the contribution of a preoperative diagnosis of depression on rates of 90-day complications, while controlling for patient demographic and comorbid data.
Results
Overall, 8047 patients were included, of whom, 11.4% (918) were depressed. Compared to patients without depression, patients with depression had increased odds of the following: nonhome discharge (OR 1.61, 95% CI 1.31-1.98), extended length of stay (>2 days; OR 1.34, 95% CI 1.15-1.57), prosthetic complication (OR 1.39, 95% CI 1.10-1.74), wound complication (OR 1.59, 95% CI 1.11-2.29), prosthetic joint infection (OR 1.82, 95% CI 1.06-3.15), superficial surgical site infection (OR 1.62, 95% CI 1.02-2.58), and medical complication (OR 1.32, 95% CI 1.03-1.68).
Discussion
Depression in patients undergoing TAA is common and is associated with increased health care utilization and complications following surgery. The modifiability of depression should be investigated with future studies.
Levels of Evidence:
Prognostic, Level III: Comparative study
Details
- Title: Subtitle
- Preoperative Depression Influences Outcomes Following Total Ankle Arthroplasty
- Creators
- Jacob M. Wilson - Emory UniversityAndrew M. Schwartz - Emory UniversityKevin X. Farley - Emory UniversityJason T. Bariteau - Emory University
- Resource Type
- Journal article
- Publication Details
- Foot and ankle specialist, Vol.15(4), pp.193864002095165-329
- DOI
- 10.1177/1938640020951657
- ISSN
- 1938-6400
- eISSN
- 1938-7636
- Language
- English
- Date published
- 08/31/2020
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984303982602771
Metrics
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