ArticleThe Permanente journal2018
Association of Psychiatric Diagnostic Conditions with Hospital Care Outcomes of Patients with Orthopedic Injuries.
Article in The Permanente journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- The effect of psychiatric comorbidities on in-hospital outcomes and mortality following isolated traumatic brain injury: a retrospective cohort analysis study.Journal of trauma and injury · 2026Article
- Prevalence of Depressive Disorders in Operatively Treated Pelvic Trauma Patients.Diseases (Basel, Switzerland) · 2025Article
- Delay of fixation increases 30-day complications and mortality in traumatic pelvic ring injuries.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- The association of pre-existing mental health conditions and patient outcomes after lower extremity orthopaedic trauma: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Mental health disorders and pain modulation in orthopedic shoulder patients.JSES international · 2023Article
- Botulinum Toxin as an Adjunctive Therapy for Immobilization of a Distal Humerus Fracture in Parkinson's Disease-Associated Psychosis: A Case Report.The American journal of case reports · 2023Article
- Is Psychiatric Illness Associated With Worse Outcomes Following Pilon Fracture?The Iowa orthopaedic journal · 2022Article
- Orthopedic Patients with Mental Disorder: Literature Review on Preoperative and Postoperative Precautions.Clinics in orthopedic surgery · 2022Review
- Clinical outcomes following major trauma for patients with a diagnosis of depression: a large UK database analysis.Trauma surgery & acute care open · 2021Article
- Relation of length of stay and other hospital variables to posttraumatic stress disorder and depression after orthopedic trauma.Proceedings (Baylor University. Medical Center) · 2020Article
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Authors and funding
6 authors.
Funding
Abstract
contextPsychiatric comorbidity is common in orthopedic injury, but the effects on hospital care outcomes have been identified only generally.
objectiveTo quantify psychiatric comorbidity and its outcome effects in a large, multicenter population of inpatients with orthopedic injuries.
designRetrospective analysis of patient discharge data from 507 California hospitals from 2001 to 2010. Study sample included orthopedic diagnoses using International Classification of Diseases codes for major pelvic and lower extremity injuries in patients older than age 17 years. From the injury data, we extracted psychiatric diagnoses, alcoholism, substance abuse, and sociodemographic characteristics.
main outcome measuresLength of stay, surgical complications, and inpatient deaths.
resultsThe entire injury admissions represented about 1.9% of all hospital admissions and were predominantly older than age 64 years, white, and women with conventional health care insurance. The most common comorbidity in the patients with injury was psychiatric illness (24.7%). The most common psychiatric diagnoses in orthopedic injury admissions were dementia (14.3%) and depression (6.9%) without association. Compared with the injury admissions with no psychiatric diagnosis, admissions with psychiatric diagnosis had higher odds of a hospital stay of 7 or more days, surgical treatment complications, and inhospital death.
conclusionPsychiatric comorbidity adversely affects several hospital outcomes in patients with orthopedic injuries: Length of stay, surgical complications, and inpatient mortality. In low-income populations, the adverse psychiatric effects are incrementally worse. The adverse effects of psychiatric comorbidity, particularly dementia and depression, on hospital outcomes should stimulate improved psychiatric care of many patients at risk of poor clinical outcomes.
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