Depression and postoperative complications: an overview
TLDR
Depression is a frequent cause of morbidity in surgery patients suffering from a wide range of conditions and counseling interventions may be useful in ameliorating depression, but should be subject to clinical trials.Abstract:
The interaction of depression and anesthesia and surgery may result in significant increases in morbidity and mortality of patients. Major depressive disorder is a frequent complication of surgery, which may lead to further morbidity and mortality.read more
Citations
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Postoperative pain management in the postanesthesia care unit: an update
TL;DR: Current evidence suggests that regional analgesic techniques are effective in the reduction of pain and stay in the PACU, and perineural techniques and infiltrative techniques have played a more important role for their effectiveness and safety.
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Perioperative depression or anxiety and postoperative mortality in cardiac surgery: a systematic review and meta-analysis
TL;DR: In the association of depression with late mortality, there was no evidence of significant publication bias and meta-regression indicated that the effects of depression are not modulated by the duration of follow-up.
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Prospective Evaluation of Utilization Patterns and Prescribing Guidelines of Opioid Consumption Following Orthopedic Foot and Ankle Surgery
Sundeep Saini,Elizabeth McDonald,Rachel Shakked,Kristen Nicholson,Ryan G. Rogero,Megan C. Chapter,Brian S. Winters,David I. Pedowitz,Steven M. Raikin,Joseph Daniel +9 more
TL;DR: Patients who underwent orthopedic foot and ankle procedures were overprescribed narcotic medication by nearly twice the amount that was actually consumed, suggesting that there remains a substantial degree of unexplained variance of opioid consumption observed in the patient population.
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Preoperative Depression Is Negatively Associated With Function and Predicts Poorer Outcomes After Hip Arthroscopy for Femoroacetabular Impingement
Kyle R. Sochacki,Lindsey Brown,Kathleen Cenkus,Stephanie Di Stasi,Joshua D. Harris,Thomas J. Ellis +5 more
TL;DR: Most patients undergoing hip arthroscopy for FAI have minimal depressive symptoms with the overall prevalence higher than the general population, and patients with minimal or mild depressive symptoms have statistically and clinically better preoperative and postoperative patient-reported outcomes.
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Factors Associated With 30-Day Readmission After Primary Total Hip Arthroplasty: Analysis of 514 455 Procedures in the UK National Health Service.
TL;DR: Clinicians and policy makers should consider these alternative readmission metrics in strategies for risk reduction and cost savings as well as patient-related predictors of all-cause, surgical, and RTT readmission after THA differ and which predictors are most significant.
References
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Journal ArticleDOI
The PHQ-9: validity of a brief depression severity measure.
TL;DR: In addition to making criteria-based diagnoses of depressive disorders, the PHQ-9 is also a reliable and valid measure of depression severity, which makes it a useful clinical and research tool.
Journal Article
[Affective disorders in the fourth edition of the classification of mental disorders prepared by the American Psychiatric Association -- diagnostic and statistical manual of mental disorders].
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Mild cognitive impairment
Serge Gauthier,Barry Reisberg,Michael Zaudig,Ronald C. Petersen,Karen Ritchie,Karl Broich,Sylvie Belleville,Henry Brodaty,David A. Bennett,Howard Chertkow,Jeffrey L. Cummings,Mony J. de Leon,Howard Feldman,Mary Ganguli,Harald Hampel,Philip Scheltens,Mary C. Tierney,Peter J. Whitehouse,Bengt Winblad +18 more
TL;DR: Mild cognitive impairment can be regarded as a risk state for dementia, and its identification could lead to secondary prevention by controlling risk factors such as systolic hypertension.
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Persistent postsurgical pain: risk factors and prevention
TL;DR: Strategies for identification of patients at risk and for prevention and possible treatment of this important entity of chronic pain are outlined.