Direct Cost and Complications Associated With Total Joint Arthroplasty in Patients With Preoperative Anxiety and Depression

Rasouli, Mohammad R.; Menendez, Mariano E.; Sayadipour, A.; Purtill, James J.; Parvızı, Javad

doi:10.1016/j.arth.2015.09.015

Cited by 116 publications

(75 citation statements)

References 29 publications

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“…Our study indicated that older age adults had less anxiety than younger patients. Several studies address preoperative anxiety and age, such as a young age had more preoperative anxiety levels than older age, [11] and hence based on these findings, anxiety decreases with age. This may indicate that young people are less experienced with hospitalisation or surgery, as in the case of our findings, that the majority was undergoing surgery for the first time.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with traumatic injuries may undergo surgeries with the likelihood of disfigurement [10] and may believe that they will not resume their pre-trauma health status. [11] Patients undergoing spine surgery had higher anxiety levels than patients with limb surgery (p <0.05), [17] and those facing coronary bypass surgery. [19] Patients who had cesareans had less anxiety as the procedure is considered life saving for many and a joyful event with a new baby.…”

Section: Discussionmentioning

confidence: 99%

“…Patients may also experience increased tension, fear, nervousness, and agitation, [8,9] and have longer hospitalization and increased healthcare costs. [10,11] Preoperative anxiety is a major concern and much could be done by nurses and physicians involved in patient care on pre-surgery wards to reduce anxiety levels and improve patient outcomes. There is limited information and research on perioperative anxiety in Rwanda.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of anxiety in patients awaiting surgery in a referral hospital in Rwanda

Ryamukuru¹,

Ndateba²,

Mukamana³

et al. 2019

Rwanda Journal of Medicine and Health Sciences

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BackgroundPreoperative anxiety is a common occurrence in patients awaiting surgery. Preoperative anxiety adversely affects anaesthesia and surgical process and increases the risk of postoperative complications. Level of anxiety in patients awaiting surgical procedures in Rwanda is not well known or documented. Objective To assess preoperative anxiety and associated factors of patients awaiting surgery at a teaching hospital in Kigali. Methods A cross-sectional study design was adopted. A convenience sampling method was used to recruit 151 adult patients, and the instrument entitled "Pre-operative Intrusive Thoughts Inventory (PITI)" anxiety scale was used to assess anxiety. Descriptive and inferential statistics were used to analyse data. ResultsNearly three quarters (72.8%) of participants had a high level of clinically significant preoperative anxiety. Patients awaiting orthopaedic surgery were 10 times more likely to have clinically significant pre-operative anxiety (OR 10.22; 95%; CI 1.144 -91.304; P= 0.037), whereas participants with impending Cesarean (OR: 0.03; 95% CI-0.002-0.568; P=0.018), and older participants had decreased pre-operative anxiety levels (OR: 0.22; 95% CI 0.075 -0.650; P=0.006). ConclusionPatients awaiting surgery had clinically significant pre-operative anxiety level (72.8%) associated with age, medical diagnosis and type of surgical intervention. A preoperative intervention incorporating individual characteristics is needed to reduce preoperative anxiety.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of anxiety in patients awaiting surgery in a referral hospital in Rwanda

Ryamukuru¹,

Ndateba²,

Mukamana³

et al. 2019

Rwanda Journal of Medicine and Health Sciences

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“…Critical patient selection and evaluation of modifiable comorbidities will be essential to achieve the best outcome for patients. Depression and psychiatric disease (PD) have been previously associated with increased complications after total joint replacement and may be more prevalent than traditionally reported [2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 98%

Psychiatric disorders increase complication rate after primary total knee arthroplasty

et al. 2016

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“…() reported a positive relationship between preoperative anxiety and postoperative nausea. Total joint arthroplasty patients with higher levels of preoperative anxiety and depression have been found to exhibit higher rates of postoperative complications, leading to higher costs (Rasouli et al , ). All of these studies indicate that preoperative anxiety has a negative effect on the postoperative period and that reducing preoperative anxiety could reduce negative outcomes.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effectiveness of two different interventions to reduce preoperative anxiety: A randomized controlled study

Ertuğ

Ulusoylu²,

Bal³

et al. 2017

Nursing & Health Sciences

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This study was conducted to determine and compare the effectiveness of nature sounds and relaxation exercises for reducing preoperative anxiety. A repeated measures randomized controlled trial design was used. We divided 159 preoperative patients into three groups: nature sounds (n = 53), relaxation exercises (n = 53), and control groups (n = 53). We evaluated anxiety using the visual analog scale and state anxiety inventory scores immediately before, immediately after, and 30 min after interventions in nature sounds and relaxation exercises groups, and silent rest in the control. We found no differences between the measurement values in the intervention groups, but we did observe a difference between the intervention and control groups. The two interventions were similarly effective in reducing preoperative anxiety. These simple and low-cost interventions can be used to reduce preoperative anxiety in surgical clinics.

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Direct Cost and Complications Associated With Total Joint Arthroplasty in Patients With Preoperative Anxiety and Depression

Cited by 116 publications

References 29 publications

Assessment of anxiety in patients awaiting surgery in a referral hospital in Rwanda

Assessment of anxiety in patients awaiting surgery in a referral hospital in Rwanda

Psychiatric disorders increase complication rate after primary total knee arthroplasty

Comparison of the effectiveness of two different interventions to reduce preoperative anxiety: A randomized controlled study

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