Zieminski Colin, Pottanat Paul, DeSalvo Julia, Martino John A, Daley Dane, Daly Charles
Medical University of South Carolina, Charleston, USA.
Hand (N Y). 2025 Jul 23:15589447251352012. doi: 10.1177/15589447251352012.
There is scarce literature describing the effects of mental health disorders (MHDs) on outcomes of distal radius fractures (DRFs). Major depressive disorder (MDD), generalized anxiety disorder (GAD), and post-traumatic stress disorder (PTSD) are the leading psychiatric ailments in the United States. This study evaluates how mental health affects postoperative outcomes after surgical for DRFs.
The TriNetX research network was queried for DRFs treated operatively. Patients with MDD, GAD, and PTSD were identified and stratified among the cohorts. Data were collected using and codes. Cohorts were propensity matched to control for demographics and comorbidities. Demographic information was obtained. Outcomes including reoperation, infection, opioid use, and health care utilization were obtained at 30 days. Prevalence, risk ratios, and associated values were calculated.
The MDD, GAD and PTSD cohorts had 4198, 4527, and 1658 patients each, respectively. Mental health disorder cohorts were more likely to use emergency department (ED) services and have readmissions compared with controls ( < .01). The MHD groups were more likely to use occupational therapy (OT) resources and postoperative visits ( < .01). The MDD group was 9% ( < .01) less likely to use opioids, whereas the PTSD group was 15% ( < .01) more likely.
Mental health disorders were associated with more postoperative emergency department and inpatient services. Individuals with MHDs were less likely to attend postoperative visits and use occupational therapy resources, which could explain poorer postoperative outcomes reported in other studies. Post-traumatic stress disorder had a higher opioid usage. Mental health disorders have significant impacts on postoperative outcomes for DRF, and practitioners should direct their efforts at these deficiencies in early postoperative care.
关于心理健康障碍（MHDs）对桡骨远端骨折（DRFs）治疗结果影响的文献较少。重度抑郁症（MDD）、广泛性焦虑症（GAD）和创伤后应激障碍（PTSD）是美国主要的精神疾病。本研究评估心理健康如何影响DRFs手术治疗后的术后结果。
查询TriNetX研究网络中接受手术治疗的DRFs患者。识别出患有MDD、GAD和PTSD的患者，并在队列中进行分层。使用[具体代码1]和[具体代码2]收集数据。对队列进行倾向匹配以控制人口统计学和合并症。获取人口统计学信息。在30天时获取包括再次手术、感染、阿片类药物使用和医疗保健利用等结果。计算患病率、风险比和相关的[具体值]。
MDD、GAD和PTSD队列分别有4198、4527和1658名患者。与对照组相比，心理健康障碍队列更有可能使用急诊科（ED）服务并再次入院（P <.01）。MHD组更有可能使用职业治疗（OT）资源和术后就诊（P <.01）。MDD组使用阿片类药物的可能性低9%（P <.01），而PTSD组高15%（P <.01）。
心理健康障碍与更多的术后急诊科和住院服务相关。患有MHDs的个体术后就诊和使用职业治疗资源的可能性较小，这可能解释了其他研究中报道的较差术后结果。创伤后应激障碍的阿片类药物使用量较高。心理健康障碍对DRF的术后结果有重大影响，从业者应在术后早期护理中针对这些不足采取措施。
