ArticleJournal of craniovertebral junction & spine
Depression and psychotic disorders elevate inpatient burden after posterior cervical decompression and fusion: Prioritizing screening and targeted discharge planning.
Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Context: Psychiatric comorbidity has been associated with worse perioperative outcomes and greater healthcare utilization after spine surgery. Aims: This study compared complications and healthcare utilization among posterior cervical decompression and fusion (PCDF) patients with depression, psychotic disorders, or no mental-health diagnosis. Settings and Design: Retrospective cohort analysis of the National Inpatient Sample from 2016 to 2022. Materials and Methods: The database was queried for elective adult PCDF encounters. Mental-health exposures were defined using Elixhauser indicators for depression and psychoses. Outcomes included medical complications, non-routine discharge, inpatient mortality, length of stay (LOS), and costs. Statistical Analysis Used: Chi-square and multivariate logistic regression analyses were performed. Significance was set at the Results: We identified 167,480 weighted admissions: 129,205 with no mental-health diagnosis, 32,500 with depression, and 5,775 with psychotic disorders. Depression was associated with higher odds of cardiovascular complications (odds ratio [OR]: 1.20, Conclusions: Depression and psychotic disorders are common in PCDF and are linked to worse outcomes and higher resource use.
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