Relationship Between Mental Health Disorders and Readmissions Following Total Joint Arthroplasty: A Systematic Review and Meta-Analysis
There is limited evidence exploring the relationship between mental health disorders and the readmissions following total joint arthroplasty (TJA). Therefore, we conducted a meta-analysis to evaluate the relationship between mental health disorders and the risk of readmission following TJA. We searc...
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| Veröffentlicht in: | The Journal of arthroplasty 2023-01, Vol.38 (1), p.188-193.e1 |
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| container_title | The Journal of arthroplasty |
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| creator | Sumbal, Ramish Murtaza, Minha Sumbal, Anusha Farooq, Aamna Ali Baig, Mirza M. Qadar, Laila Tul |
| description | There is limited evidence exploring the relationship between mental health disorders and the readmissions following total joint arthroplasty (TJA). Therefore, we conducted a meta-analysis to evaluate the relationship between mental health disorders and the risk of readmission following TJA.
We searched PubMed, Cochrane, and Google Scholar from their inception till April 19, 2022. Studies exploring the association of mental health disorders and readmission risk following TJA were selected. The outcomes were divided into 30-day readmission, 90-day readmission, and readmission after 90 days. We also performed subgroup analyses based on the type of arthroplasty: total hip arthroplasty (THA) and total knee arthroplasty (TKA). A total of 12 studies were selected, of which 11 were included in quantitative analysis. A total of 1,345,893 patients were evaluated, of which 73,953 patients suffered from mental health disorders.
The risk of 30-day readmission (odds ratio = 1.43, 95% CI 1.14-1.80, P = .002, I2 = 87%) and 90-day readmission (OR = 1.35, 95% CI 1.22-1.49, P < .00001, I2 = 89%) was significantly associated with mental health disorders. On subgroup analyses, 30-day readmission was significantly associated with THA (OR = 1.29, 95% CI 1.04-1.60, P = .02), but not with TKA (OR = 1.44, 95% CI 0.51-4.06, P = .50). Similarly, 90-day readmission was significantly associated with both THA (OR = 1.21, 95% CI 1.14-1.29, P |
| doi_str_mv | 10.1016/j.arth.2022.08.017 |
| format | Article |
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We searched PubMed, Cochrane, and Google Scholar from their inception till April 19, 2022. Studies exploring the association of mental health disorders and readmission risk following TJA were selected. The outcomes were divided into 30-day readmission, 90-day readmission, and readmission after 90 days. We also performed subgroup analyses based on the type of arthroplasty: total hip arthroplasty (THA) and total knee arthroplasty (TKA). A total of 12 studies were selected, of which 11 were included in quantitative analysis. A total of 1,345,893 patients were evaluated, of which 73,953 patients suffered from mental health disorders.
The risk of 30-day readmission (odds ratio = 1.43, 95% CI 1.14-1.80, P = .002, I2 = 87%) and 90-day readmission (OR = 1.35, 95% CI 1.22-1.49, P < .00001, I2 = 89%) was significantly associated with mental health disorders. On subgroup analyses, 30-day readmission was significantly associated with THA (OR = 1.29, 95% CI 1.04-1.60, P = .02), but not with TKA (OR = 1.44, 95% CI 0.51-4.06, P = .50). Similarly, 90-day readmission was significantly associated with both THA (OR = 1.21, 95% CI 1.14-1.29, P < .00001) and TKA (OR = 1.33, 95% CI 1.17-1.51, P < .0001).
Mental health disorders are significantly associated with increased 30-day and 90-day readmissions. Increasing awareness regarding mental health disorders and readmission in arthroplasty will help in efficient preoperative risk stratification and better postoperative management in these patients.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2022.08.017</identifier><identifier>PMID: 35987494</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Knee - adverse effects ; Humans ; Mental Health ; mental health disorders ; Patient Readmission ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Period ; psychiatric disorders ; readmission ; Retrospective Studies ; Risk Factors ; TJA ; total joint arthroplasty</subject><ispartof>The Journal of arthroplasty, 2023-01, Vol.38 (1), p.188-193.e1</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-1feb0437eddfcd8118842e15525e723c632c2eb810e1ca4d4f53ba804f32d9dc3</citedby><cites>FETCH-LOGICAL-c356t-1feb0437eddfcd8118842e15525e723c632c2eb810e1ca4d4f53ba804f32d9dc3</cites><orcidid>0000-0003-1653-734X ; 0000-0003-3656-9197</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2022.08.017$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35987494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sumbal, Ramish</creatorcontrib><creatorcontrib>Murtaza, Minha</creatorcontrib><creatorcontrib>Sumbal, Anusha</creatorcontrib><creatorcontrib>Farooq, Aamna</creatorcontrib><creatorcontrib>Ali Baig, Mirza M.</creatorcontrib><creatorcontrib>Qadar, Laila Tul</creatorcontrib><title>Relationship Between Mental Health Disorders and Readmissions Following Total Joint Arthroplasty: A Systematic Review and Meta-Analysis</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>There is limited evidence exploring the relationship between mental health disorders and the readmissions following total joint arthroplasty (TJA). Therefore, we conducted a meta-analysis to evaluate the relationship between mental health disorders and the risk of readmission following TJA.
We searched PubMed, Cochrane, and Google Scholar from their inception till April 19, 2022. Studies exploring the association of mental health disorders and readmission risk following TJA were selected. The outcomes were divided into 30-day readmission, 90-day readmission, and readmission after 90 days. We also performed subgroup analyses based on the type of arthroplasty: total hip arthroplasty (THA) and total knee arthroplasty (TKA). A total of 12 studies were selected, of which 11 were included in quantitative analysis. A total of 1,345,893 patients were evaluated, of which 73,953 patients suffered from mental health disorders.
The risk of 30-day readmission (odds ratio = 1.43, 95% CI 1.14-1.80, P = .002, I2 = 87%) and 90-day readmission (OR = 1.35, 95% CI 1.22-1.49, P < .00001, I2 = 89%) was significantly associated with mental health disorders. On subgroup analyses, 30-day readmission was significantly associated with THA (OR = 1.29, 95% CI 1.04-1.60, P = .02), but not with TKA (OR = 1.44, 95% CI 0.51-4.06, P = .50). Similarly, 90-day readmission was significantly associated with both THA (OR = 1.21, 95% CI 1.14-1.29, P < .00001) and TKA (OR = 1.33, 95% CI 1.17-1.51, P < .0001).
Mental health disorders are significantly associated with increased 30-day and 90-day readmissions. Increasing awareness regarding mental health disorders and readmission in arthroplasty will help in efficient preoperative risk stratification and better postoperative management in these patients.</description><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Humans</subject><subject>Mental Health</subject><subject>mental health disorders</subject><subject>Patient Readmission</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Period</subject><subject>psychiatric disorders</subject><subject>readmission</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>TJA</subject><subject>total joint arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1uEzEUhS1ERUPhBVggL9nM4L-ZcRCbUCilalWplLXl2HeII8dObYcoT8Br4yGFZVd3c75z77kHoTeUtJTQ_v261amsWkYYa4lsCR2eoRntOGukIP1zNCNS8qYThJ-ilzmvCaG068QLdMq7uRzEXMzQ7zvwurgY8spt8Scoe4CAbyAU7fElaF9W-LPLMVlIGetg8R1ou3E5Twy-iN7HvQs_8X2ciKvoQsGLelaKW69zOXzAC_z9kAts6hpT6V8O9n-NbqDoZhG0P2SXX6GTUfsMrx_nGfpx8eX-_LK5vv367Xxx3Rje9aWhIyyJ4ANYOxorKZVSMKipWAcD46bnzDBYSkqAGi2sGDu-1JKIkTM7t4afoXdH322KDzvIRdUsBrzXAeIuKzYQIXs5UFKl7Cg1KeacYFTb5DY6HRQlaipArdVUgJoKUESqWkCF3j7675YbsP-Rfx-vgo9HAdSU9RdJZeMgGLAugSnKRveU_x91ipmU</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Sumbal, Ramish</creator><creator>Murtaza, Minha</creator><creator>Sumbal, Anusha</creator><creator>Farooq, Aamna</creator><creator>Ali Baig, Mirza M.</creator><creator>Qadar, Laila Tul</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/0000-0003-1653-734X</orcidid><orcidid>https://orcid.org/0000-0003-3656-9197</orcidid></search><sort><creationdate>202301</creationdate><title>Relationship Between Mental Health Disorders and Readmissions Following Total Joint Arthroplasty: A Systematic Review and Meta-Analysis</title><author>Sumbal, Ramish ; Murtaza, Minha ; Sumbal, Anusha ; Farooq, Aamna ; Ali Baig, Mirza M. ; Qadar, Laila Tul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-1feb0437eddfcd8118842e15525e723c632c2eb810e1ca4d4f53ba804f32d9dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Humans</topic><topic>Mental Health</topic><topic>mental health disorders</topic><topic>Patient Readmission</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Period</topic><topic>psychiatric disorders</topic><topic>readmission</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>TJA</topic><topic>total joint arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sumbal, Ramish</creatorcontrib><creatorcontrib>Murtaza, Minha</creatorcontrib><creatorcontrib>Sumbal, Anusha</creatorcontrib><creatorcontrib>Farooq, Aamna</creatorcontrib><creatorcontrib>Ali Baig, Mirza M.</creatorcontrib><creatorcontrib>Qadar, Laila Tul</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 arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sumbal, Ramish</au><au>Murtaza, Minha</au><au>Sumbal, Anusha</au><au>Farooq, Aamna</au><au>Ali Baig, Mirza M.</au><au>Qadar, Laila Tul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship Between Mental Health Disorders and Readmissions Following Total Joint Arthroplasty: A Systematic Review and Meta-Analysis</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2023-01</date><risdate>2023</risdate><volume>38</volume><issue>1</issue><spage>188</spage><epage>193.e1</epage><pages>188-193.e1</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>There is limited evidence exploring the relationship between mental health disorders and the readmissions following total joint arthroplasty (TJA). Therefore, we conducted a meta-analysis to evaluate the relationship between mental health disorders and the risk of readmission following TJA.
We searched PubMed, Cochrane, and Google Scholar from their inception till April 19, 2022. Studies exploring the association of mental health disorders and readmission risk following TJA were selected. The outcomes were divided into 30-day readmission, 90-day readmission, and readmission after 90 days. We also performed subgroup analyses based on the type of arthroplasty: total hip arthroplasty (THA) and total knee arthroplasty (TKA). A total of 12 studies were selected, of which 11 were included in quantitative analysis. A total of 1,345,893 patients were evaluated, of which 73,953 patients suffered from mental health disorders.
The risk of 30-day readmission (odds ratio = 1.43, 95% CI 1.14-1.80, P = .002, I2 = 87%) and 90-day readmission (OR = 1.35, 95% CI 1.22-1.49, P < .00001, I2 = 89%) was significantly associated with mental health disorders. On subgroup analyses, 30-day readmission was significantly associated with THA (OR = 1.29, 95% CI 1.04-1.60, P = .02), but not with TKA (OR = 1.44, 95% CI 0.51-4.06, P = .50). Similarly, 90-day readmission was significantly associated with both THA (OR = 1.21, 95% CI 1.14-1.29, P < .00001) and TKA (OR = 1.33, 95% CI 1.17-1.51, P < .0001).
Mental health disorders are significantly associated with increased 30-day and 90-day readmissions. Increasing awareness regarding mental health disorders and readmission in arthroplasty will help in efficient preoperative risk stratification and better postoperative management in these patients.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>35987494</pmid><doi>10.1016/j.arth.2022.08.017</doi><orcidid>https://orcid.org/0000-0003-1653-734X</orcidid><orcidid>https://orcid.org/0000-0003-3656-9197</orcidid></addata></record> |
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| subjects | Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Knee - adverse effects Humans Mental Health mental health disorders Patient Readmission Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Period psychiatric disorders readmission Retrospective Studies Risk Factors TJA total joint arthroplasty |
| title | Relationship Between Mental Health Disorders and Readmissions Following Total Joint Arthroplasty: A Systematic Review and Meta-Analysis |
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