Psychiatric Illness Is Common Among Patients with Orthopaedic Polytrauma and Is Linked with Poor Outcomes

Weinberg, Douglas S.; Narayanan, Arvind S.; Boden, Kaeleen A.; Breslin, Mary A.; Vallier, Heather A.

doi:10.2106/jbjs.15.00751

Cited by 95 publications

(90 citation statements)

References 65 publications

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“…Several of these patient characteristics have been substantiated in the published literature [4][5][6][12][13][14].…”

Section: Discussionmentioning

confidence: 79%

“…Townsend and colleagues (2017) reported on characteristics of PMI + trauma patients using the Nationwide Inpatient Sample (2012) and found that 44% of trauma patients ≥ 18 years of age were PMI + across 36.5 million patients, and similarly, PMI + trauma patients were signi cantly more likely to be female, to be an average age of 61 years (vs. 56 years), and have a higher number of comorbidities compared to PMI-trauma patients [4]. In a single center study, Weinberg et al (2016) described the prevalence and characteristics of psychiatric illness among orthopedic polytrauma patients and also discovered a signi cantly higher percentage of PMI + patients (vs. PMI-) were female (38.5% vs. 23.7%) and had depression (22.3%) [5].…”

Section: Discussionmentioning

confidence: 99%

“…According to an estimation from the National Trauma Data Bank in 2016, 10% of patient records contained a comorbidity related to a major mental illness and estimates in the general population have reported between 18-26% [1][2][3]. Preexisting mental illness can cause additional burdens for hospitalized trauma patients and has been associated with increased hospital length of stay (LOS), complications, and higher costs of care, compared to those without mental illness [4][5][6]. These challenges are ampli ed for older trauma patients, who often already face functional and cognitive decline.…”

Section: Introductionmentioning

confidence: 99%

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Is Preexisting Mental Illness Associated with Lower Patient Satisfaction for Older Trauma Patients? A Cross-sectional Descriptive Study

McGraw

Pekarek²,

Redmond

et al. 2020

Preprint

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Background The purpose of this study was to examine if satisfaction with care differs among older trauma patients with and without preexisting mental illness (PMI+/PMI-). Methods Data from two level I trauma centers were examined 11/2016-12/2017. Trauma patients ≥ 55 years were included and satisfaction of those who had a diagnosis of mental illness prior to the trauma admission (PMI+) to those without a diagnosis (PMI-) (n = 299; 62 PMI + and 237 PMI-) were compared. Enrolled patients completed the Family Satisfaction with Advanced Care Cancer Scale Patient Survey (FAMCARE-P13) prior to discharge. Associations between mental illness status and patient baseline characteristics, overall mean satisfaction, and mean satisfaction by question were compared. Generalized linear models adjusted for differences in patient satisfaction by mental illness status. Analyses were stratified by hospital to account for the interaction between hospital and mental illness status. Results Compared to PMI- patients, PMI + patients were more likely to be younger, female, have multiple comorbidities, and to report lower overall satisfaction with care. Among PMI + patients, the most common diagnoses were depression and anxiety. After adjustment, PMI + was associated with lower patient satisfaction at hospital 1; after examining individual questions lower satisfaction was associated with information provided on procedures and questions surrounding “Physical care.” Conversely, PMI + did not affect satisfaction at hospital 2 after adjustment. Conclusions At hospital 1, room for improvement was identified in providing information about prognosis and procedures, symptom management, and continuity of care. Reexamining practices for older PMI + trauma patients is warranted.

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“…Several of these patient characteristics have been substantiated in the published literature [4][5][6][12][13][14].…”

Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Is Preexisting Mental Illness Associated with Lower Patient Satisfaction for Older Trauma Patients? A Cross-sectional Descriptive Study

McGraw

Pekarek²,

Redmond

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Social, economic and psychological parameters are becoming increasingly accepted as having substantial bearing on recovery after traumatic injury. Preinjury mental illness is pervasive among trauma patient populations with reported rates as high as 45% 1–8. Substance use is also ubiquitous among trauma patients 9 10.…”

Section: Introductionmentioning

confidence: 99%

Implementing psychosocial programming at a level 1 trauma center: results from a 5-year period

Simske

Rivera

Breslin

et al. 2020

Trauma Surg Acute Care Open

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BackgroundThe primary goal of the present study is to describe the psychosocial support services provided at our institution and the evolution of such programming through time. This study will also report the demographics and injury patterns of patients using available resources.MethodsTrauma Recovery Services (TRS) is a social and psychological support program that provides services and resources to patients and families admitted to our hospital. It includes a number of different services such as emotional coaching from licensed counselors, educational materials, peer mentorship from trauma survivors, monthly support groups, post-traumatic stress disorder (PTSD) screening and programming for victims of crime. Patients using services were prospectively recorded by hired staff, volunteers and students who engaged in distributing programming. Demographics and injury characteristics were retrospectively gathered from patient’s medical records.ResultsFrom May of 2013 through December 2018, a total of 4977 discrete patients used TRS at an urban level 1 trauma center. During the study period, 31.4% of the 15 640 admitted adult trauma patients were exposed to TRS and this increased from 7.2% in 2013 to 60.1% in 2018. During the period of 5.5 years, 3317 patients had ‘direct contact’ (coaching and/or educational materials) and 1827 patients had at least one peer visit. The average number of peer visits was 2.7 per patient (range: 2–15). Of the 114 patients who attended support groups over 4 years, 55 (48%) attended more than one session, with an average of 3.9 visits (range: 2–10) per patient. After the establishment of PTSD screening and Victims of Crime Advocacy and Recovery Program (VOCARP) services in 2017, a total of 482 patients were screened for PTSD and 974 patients used VOCARP resources during the period of 2 years, with substantial growth from 2017 to 2018.ConclusionsHospital-provided resources aimed at educating patients, expanding support networks and bolstering resiliency were popular at our institution, with nearly 5000 discrete patients accessing services during a period of 5.5 years. Moving forward, greater investigation of program usage, development, and efficacy is necessary.Level of evidenceLevel II therapeutic.

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“…The relatively high prevalence of mental health problems before and after surgical interventions for FGM may negatively affect treatment outcomes . This has raised the need for specialized health services that provide psychological care and counselling for girls and women living with FGM .…”

Section: Introductionmentioning

confidence: 99%

Supportive psychotherapy or client education alongside surgical procedures to correct complications of female genital mutilation: A systematic review

Abayomi

Chibuzor

Okusanya

et al. 2017

Intl J Gynecology & Obste

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Psychiatric Illness Is Common Among Patients with Orthopaedic Polytrauma and Is Linked with Poor Outcomes

Abstract: Psychiatric illness was common among individuals who sustained orthopaedic polytrauma, and patients with depression had more complications. This study highlights the need for greater attention to mental health disorders in this population.

Cited by 95 publications

References 65 publications

Is Preexisting Mental Illness Associated with Lower Patient Satisfaction for Older Trauma Patients? A Cross-sectional Descriptive Study

Is Preexisting Mental Illness Associated with Lower Patient Satisfaction for Older Trauma Patients? A Cross-sectional Descriptive Study

Implementing psychosocial programming at a level 1 trauma center: results from a 5-year period

Supportive psychotherapy or client education alongside surgical procedures to correct complications of female genital mutilation: A systematic review

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