We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Preoperative veterans RAND-12 mental composite score of < 35 is associated with increased length of stay and high rates of discharge to rehab after primary total joint arthroplasty.
- Authors
Patel, Kisan; Ang, Bryan; Katchis, Christopher; Lafage, Virginie; Oh, Jason H.
- Abstract
Purpose: The association between preoperative mental health and immediate postoperative ambulation in primary Total Joint Arthroplasty (TJA) has sparsely been studied. Thus, this study's objective was to investigate the association between mental health (measured by the Mental Component Score (MCS) from the Veterans RAND 12 (VR-12)) and peri-operative metrics. Methods: We conducted a retrospective study of patients who underwent primary TJA and completed a VR-12 questionnaire between January 2018 and June 2023 at a single academic hospital. Patients were stratified into terciles based on preoperative MCS. Patient demographics, ambulation within 4 h postop, LOS, and discharge location were compared. The effect of MCS on LOS while controlling discharge location was assessed using negative binomial regression. Results: 1120 patients were included in this analysis (432 THA and 688 TKA). After stratification into terciles (Low: 34.7 ± 6.6, Middle: 49.3 ± 3.7, High:62.1 ± 4.4), comparison of demographics revealed significant differences in age (p = 0.005) and sex distribution (p = 0.04) but no difference in surgery type (p = 0.857). There was no significant difference in ambulation rate between MCS groups (p = 0.789) or in distance covered during first ambulation (p = 0.251). Low MCS patients had a longer LOS (p = 0.000, p = 0.002) and a lower rate of discharged home (p = 0.016). After controlling discharge location, no significant association was found between MCS and LOS (p = 0.288). Conclusion: Patient with low MCS tended to be younger, women, and had poorer preoperative HOOS/KOOS scores. Low MCS was associated with longer LOS and lower rates of discharge home. However, MCS was not associated with early ambulation rate and LOS after controlling discharge location.
- Subjects
PEARSON correlation (Statistics); TOTAL hip replacement; MENTAL health; ACADEMIC medical centers; T-test (Statistics); PATIENT readmissions; QUESTIONNAIRES; KRUSKAL-Wallis Test; EARLY ambulation (Rehabilitation); DISCHARGE planning; PREOPERATIVE care; RETROSPECTIVE studies; CHI-squared test; MANN Whitney U Test; DESCRIPTIVE statistics; ORTHOPEDIC surgery; REHABILITATION centers; ARTIFICIAL joints; TOTAL knee replacement; MEDICAL records; ACQUISITION of data; ANALYSIS of variance; LENGTH of stay in hospitals; DATA analysis software; REGRESSION analysis; REHABILITATION
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2024, Vol 34, Issue 5, p2533
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-024-03959-x