Perioperative complications of emergent and elective procedures in psychiatric patients
Patients with psychiatric disorders have an increased risk for morbidity and mortality from other medical conditions. Medical records of all the patients undergoing appendectomy (n = 2594) and laparoscopic cholecystectomy (n = 2874) from 2009 to 2014 in one hospital were reviewed. For each patient w...
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| Veröffentlicht in: | The Journal of surgical research 2017-12, Vol.220, p.293-299 |
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| container_title | The Journal of surgical research |
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| creator | Hassidim, Ayal Bratman Morag, Sharon Giladi, Moshe Dagan, Yael Tzadok, Roie Reissman, Petachia Dagan, Amir |
| description | Patients with psychiatric disorders have an increased risk for morbidity and mortality from other medical conditions.
Medical records of all the patients undergoing appendectomy (n = 2594) and laparoscopic cholecystectomy (n = 2874) from 2009 to 2014 in one hospital were reviewed. For each patient with a documented psychiatric disorder undergoing surgery, four controls were matched.
The final sample of patients undergoing appendectomy included 96 patients, whereas those undergoing laparoscopic cholecystectomy included 260 patients. In the emergent scenario, psychiatric patients had longer time from symptom appearance to admission, longer hospitalization duration, and increased rate and severity of postoperative complications. In the elective scenario, psychiatric patients were shown to have more postoperative respiratory complications.
Our results, together with the high prevalence of psychiatric disorders in the population, underscore the importance of screening for psychiatric disorders and their proper documentation in surgical patients. |
| doi_str_mv | 10.1016/j.jss.2017.07.018 |
| format | Article |
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Medical records of all the patients undergoing appendectomy (n = 2594) and laparoscopic cholecystectomy (n = 2874) from 2009 to 2014 in one hospital were reviewed. For each patient with a documented psychiatric disorder undergoing surgery, four controls were matched.
The final sample of patients undergoing appendectomy included 96 patients, whereas those undergoing laparoscopic cholecystectomy included 260 patients. In the emergent scenario, psychiatric patients had longer time from symptom appearance to admission, longer hospitalization duration, and increased rate and severity of postoperative complications. In the elective scenario, psychiatric patients were shown to have more postoperative respiratory complications.
Our results, together with the high prevalence of psychiatric disorders in the population, underscore the importance of screening for psychiatric disorders and their proper documentation in surgical patients.</description><identifier>ISSN: 0022-4804</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2017.07.018</identifier><identifier>PMID: 29180194</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Appendectomy ; Appendectomy - adverse effects ; Appendectomy - statistics & numerical data ; Cholecystectomy ; Cholecystectomy, Laparoscopic - adverse effects ; Cholecystectomy, Laparoscopic - statistics & numerical data ; Complications ; Female ; Humans ; Intraoperative Complications - epidemiology ; Intraoperative Complications - etiology ; Israel - epidemiology ; Male ; Mental Disorders - complications ; Middle Aged ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Prevalence ; Psychiatry ; Retrospective Studies</subject><ispartof>The Journal of surgical research, 2017-12, Vol.220, p.293-299</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-7b3675e4210ace75093c62a816be06bec1b78ab5e86f4d5e63bdf404c0da41383</citedby><cites>FETCH-LOGICAL-c353t-7b3675e4210ace75093c62a816be06bec1b78ab5e86f4d5e63bdf404c0da41383</cites><orcidid>0000-0002-8565-6433</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022480417304900$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29180194$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hassidim, Ayal</creatorcontrib><creatorcontrib>Bratman Morag, Sharon</creatorcontrib><creatorcontrib>Giladi, Moshe</creatorcontrib><creatorcontrib>Dagan, Yael</creatorcontrib><creatorcontrib>Tzadok, Roie</creatorcontrib><creatorcontrib>Reissman, Petachia</creatorcontrib><creatorcontrib>Dagan, Amir</creatorcontrib><title>Perioperative complications of emergent and elective procedures in psychiatric patients</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>Patients with psychiatric disorders have an increased risk for morbidity and mortality from other medical conditions.
Medical records of all the patients undergoing appendectomy (n = 2594) and laparoscopic cholecystectomy (n = 2874) from 2009 to 2014 in one hospital were reviewed. For each patient with a documented psychiatric disorder undergoing surgery, four controls were matched.
The final sample of patients undergoing appendectomy included 96 patients, whereas those undergoing laparoscopic cholecystectomy included 260 patients. In the emergent scenario, psychiatric patients had longer time from symptom appearance to admission, longer hospitalization duration, and increased rate and severity of postoperative complications. In the elective scenario, psychiatric patients were shown to have more postoperative respiratory complications.
Our results, together with the high prevalence of psychiatric disorders in the population, underscore the importance of screening for psychiatric disorders and their proper documentation in surgical patients.</description><subject>Adult</subject><subject>Aged</subject><subject>Appendectomy</subject><subject>Appendectomy - adverse effects</subject><subject>Appendectomy - statistics & numerical data</subject><subject>Cholecystectomy</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Cholecystectomy, Laparoscopic - statistics & numerical data</subject><subject>Complications</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Complications - epidemiology</subject><subject>Intraoperative Complications - etiology</subject><subject>Israel - epidemiology</subject><subject>Male</subject><subject>Mental Disorders - complications</subject><subject>Middle Aged</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Retrospective Studies</subject><issn>0022-4804</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo7rr6A7xIj15aJ02aNngS8QsW9KB4DGk61ZR-mXQX9t-bdVePwgzDwDMvyUPIOYWEAhVXTdJ4n6RA8wRC0eKAzCnILC5Ezg7JHCBNY14An5ET7xsIu8zZMZmlkhZAJZ-T9xd0dhjR6cmuMTJDN7bWhGXofTTUEXboPrCfIt1XEbZofrDRDQarlUMf2T4a_cZ8Wj05a6IxnAbcn5KjWrcez_ZzQd7u715vH-Pl88PT7c0yNixjU5yXTOQZ8pSCNphnIJkRqS6oKBFCG1rmhS4zLETNqwwFK6uaAzdQaU5ZwRbkcpcbnvS1Qj-pznqDbat7HFZeUSmkZFxmIqB0hxo3eO-wVqOznXYbRUFtfapGBZ9q61NBKLqNv9jHr8oOq7-LX4EBuN4BGD65tuiUN0FAsGNdkKWqwf4T_w3XyYex</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Hassidim, Ayal</creator><creator>Bratman Morag, Sharon</creator><creator>Giladi, Moshe</creator><creator>Dagan, Yael</creator><creator>Tzadok, Roie</creator><creator>Reissman, Petachia</creator><creator>Dagan, Amir</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8565-6433</orcidid></search><sort><creationdate>201712</creationdate><title>Perioperative complications of emergent and elective procedures in psychiatric patients</title><author>Hassidim, Ayal ; Bratman Morag, Sharon ; Giladi, Moshe ; Dagan, Yael ; Tzadok, Roie ; Reissman, Petachia ; Dagan, Amir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-7b3675e4210ace75093c62a816be06bec1b78ab5e86f4d5e63bdf404c0da41383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Appendectomy</topic><topic>Appendectomy - adverse effects</topic><topic>Appendectomy - statistics & numerical data</topic><topic>Cholecystectomy</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Cholecystectomy, Laparoscopic - statistics & numerical data</topic><topic>Complications</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Complications - epidemiology</topic><topic>Intraoperative Complications - etiology</topic><topic>Israel - epidemiology</topic><topic>Male</topic><topic>Mental Disorders - complications</topic><topic>Middle Aged</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Prevalence</topic><topic>Psychiatry</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hassidim, Ayal</creatorcontrib><creatorcontrib>Bratman Morag, Sharon</creatorcontrib><creatorcontrib>Giladi, Moshe</creatorcontrib><creatorcontrib>Dagan, Yael</creatorcontrib><creatorcontrib>Tzadok, Roie</creatorcontrib><creatorcontrib>Reissman, Petachia</creatorcontrib><creatorcontrib>Dagan, Amir</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hassidim, Ayal</au><au>Bratman Morag, Sharon</au><au>Giladi, Moshe</au><au>Dagan, Yael</au><au>Tzadok, Roie</au><au>Reissman, Petachia</au><au>Dagan, Amir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perioperative complications of emergent and elective procedures in psychiatric patients</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2017-12</date><risdate>2017</risdate><volume>220</volume><spage>293</spage><epage>299</epage><pages>293-299</pages><issn>0022-4804</issn><eissn>1095-8673</eissn><abstract>Patients with psychiatric disorders have an increased risk for morbidity and mortality from other medical conditions.
Medical records of all the patients undergoing appendectomy (n = 2594) and laparoscopic cholecystectomy (n = 2874) from 2009 to 2014 in one hospital were reviewed. For each patient with a documented psychiatric disorder undergoing surgery, four controls were matched.
The final sample of patients undergoing appendectomy included 96 patients, whereas those undergoing laparoscopic cholecystectomy included 260 patients. In the emergent scenario, psychiatric patients had longer time from symptom appearance to admission, longer hospitalization duration, and increased rate and severity of postoperative complications. In the elective scenario, psychiatric patients were shown to have more postoperative respiratory complications.
Our results, together with the high prevalence of psychiatric disorders in the population, underscore the importance of screening for psychiatric disorders and their proper documentation in surgical patients.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29180194</pmid><doi>10.1016/j.jss.2017.07.018</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8565-6433</orcidid></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Appendectomy Appendectomy - adverse effects Appendectomy - statistics & numerical data Cholecystectomy Cholecystectomy, Laparoscopic - adverse effects Cholecystectomy, Laparoscopic - statistics & numerical data Complications Female Humans Intraoperative Complications - epidemiology Intraoperative Complications - etiology Israel - epidemiology Male Mental Disorders - complications Middle Aged Postoperative Complications - epidemiology Postoperative Complications - etiology Prevalence Psychiatry Retrospective Studies |
| title | Perioperative complications of emergent and elective procedures in psychiatric patients |
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