Longer hospitalizations, more complications, and greater readmissions for patients with comorbid psychiatric disorders undergoing pulmonary lobectomy
To examine the influence of comorbid psychiatric disorders (PSYD) on postoperative outcomes in patients undergoing pulmonary lobectomy. A retrospective analysis of the Healthcare Cost and Utilization Project Nationwide Readmissions Database from 2016 to 2018 was performed. Patients with lung cancer...
Gespeichert in:
| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 2024-04, Vol.167 (4), p.1502-1511.e11 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1511.e11 |
|---|---|
| container_issue | 4 |
| container_start_page | 1502 |
| container_title | The Journal of thoracic and cardiovascular surgery |
| container_volume | 167 |
| creator | Kim, Alexander T. Ding, Li Lee, Hochang B. Ashbrook, Matthew J. Ashrafi, Arman Wightman, Sean C. Atay, Scott M. David, Elizabeth A. Harano, Takashi Kim, Anthony W. |
| description | To examine the influence of comorbid psychiatric disorders (PSYD) on postoperative outcomes in patients undergoing pulmonary lobectomy.
A retrospective analysis of the Healthcare Cost and Utilization Project Nationwide Readmissions Database from 2016 to 2018 was performed. Patients with lung cancer with and without psychiatric comorbidities who underwent pulmonary lobectomy were collated and analyzed (International Classification of Diseases, 10th Revision, Clinical Modification Mental, Behavioral and Neurodevelopmental disorders [F01-99]). The association of PSYD with complications, length of stay, and readmissions was assessed using a multivariable regression analysis. Additional subgroup analyses were performed.
A total of 41,691 patients met inclusion criteria. Of these, 27.84% (11,605) of the patients had at least 1 PSYD. PSYD was associated with a significantly increased risk of postoperative complications (relative risk, 1.041; 95% CI, 1.015-1.068; P = .0018), pulmonary complications (relative risk, 1.125; 95% CI, 1.08-1.171; P |
| doi_str_mv | 10.1016/j.jtcvs.2023.05.021 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2820337167</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022522323004452</els_id><sourcerecordid>2820337167</sourcerecordid><originalsourceid>FETCH-LOGICAL-c309t-7f47a81a31334d45494f557b391ad1bff86e75b22c832162ea6ee47c5c7f443c3</originalsourceid><addsrcrecordid>eNp9kc1O3DAUha2Kqkxpn6BS5SULEvwTx8mCRYXojzQSG5C6sxz7ZsajJA62Axreg_etpwNddnUk3-_c63sPQl8oKSmh9eWu3CXzGEtGGC-JKAmj79CKklYWdSN-n6AVIYwVgjF-ij7GuCOESELbD-iUS1aJmtUr9LL20wYC3vo4u6QH96yT81O8wKMPgI0f58GZtzc9WbwJoFN2ZLGji_FQwb0PeM4UTCniJ5e2B6cPnbN4jnuzdToFZ7B10QcLIeJlyrLxbtrgeRlGP-mwx4PvwCQ_7j-h970eInx-1TN0__3m7vpnsb798ev627ownLSpkH0ldUM1p5xXthJVW_VCyI63VFva9X1TgxQdY6bhjNYMdA1QSSNMdlbc8DN0fuw7B_-wQEwqb2RgGPQEfomKNYxwLmktM8qPqAk-xgC9moMb868VJeqQh9qpv3moQx6KCJXzyK6vrwOWbgT7z_MWQAaujgDkNR8dBBVNvqIB60K-hbLe_XfAH3tVog4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2820337167</pqid></control><display><type>article</type><title>Longer hospitalizations, more complications, and greater readmissions for patients with comorbid psychiatric disorders undergoing pulmonary lobectomy</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Kim, Alexander T. ; Ding, Li ; Lee, Hochang B. ; Ashbrook, Matthew J. ; Ashrafi, Arman ; Wightman, Sean C. ; Atay, Scott M. ; David, Elizabeth A. ; Harano, Takashi ; Kim, Anthony W.</creator><creatorcontrib>Kim, Alexander T. ; Ding, Li ; Lee, Hochang B. ; Ashbrook, Matthew J. ; Ashrafi, Arman ; Wightman, Sean C. ; Atay, Scott M. ; David, Elizabeth A. ; Harano, Takashi ; Kim, Anthony W.</creatorcontrib><description>To examine the influence of comorbid psychiatric disorders (PSYD) on postoperative outcomes in patients undergoing pulmonary lobectomy.
A retrospective analysis of the Healthcare Cost and Utilization Project Nationwide Readmissions Database from 2016 to 2018 was performed. Patients with lung cancer with and without psychiatric comorbidities who underwent pulmonary lobectomy were collated and analyzed (International Classification of Diseases, 10th Revision, Clinical Modification Mental, Behavioral and Neurodevelopmental disorders [F01-99]). The association of PSYD with complications, length of stay, and readmissions was assessed using a multivariable regression analysis. Additional subgroup analyses were performed.
A total of 41,691 patients met inclusion criteria. Of these, 27.84% (11,605) of the patients had at least 1 PSYD. PSYD was associated with a significantly increased risk of postoperative complications (relative risk, 1.041; 95% CI, 1.015-1.068; P = .0018), pulmonary complications (relative risk, 1.125; 95% CI, 1.08-1.171; P < .0001), longer length of stay (PSYD mean, 6.79 days and non-PSYD mean, 5.68 days; P < .0001), higher 30-day readmission rate (9.2% vs 7.9%; P < .0001), and 90-day readmission rate (15.4% vs 12.9%; P < .007). Among patients with PSYD, those with cognitive disorders and psychotic disorders (eg, schizophrenia) appear to have the highest rates and risks of postoperative morbidity and in-hospital mortality.
Patients with lung cancer with comorbid psychiatric disorders undergoing lobectomy experience worse postoperative outcomes with longer hospitalization, increased rates of overall and pulmonary complications, and greater readmissions suggesting potential opportunities for improved psychiatric care during the perioperative period.
[Display omitted]</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/j.jtcvs.2023.05.021</identifier><identifier>PMID: 37245626</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>complications ; Hospitalization ; Humans ; Length of Stay ; lung cancer ; Lung Neoplasms - complications ; Lung Neoplasms - surgery ; Mental Disorders - complications ; Mental Disorders - epidemiology ; Patient Readmission ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; postoperative outcomes ; psychiatric disorders ; pulmonary lobectomy ; retrospective analysis ; Retrospective Studies ; risk</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2024-04, Vol.167 (4), p.1502-1511.e11</ispartof><rights>2023</rights><rights>Copyright © 2023. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c309t-7f47a81a31334d45494f557b391ad1bff86e75b22c832162ea6ee47c5c7f443c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022522323004452$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37245626$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Alexander T.</creatorcontrib><creatorcontrib>Ding, Li</creatorcontrib><creatorcontrib>Lee, Hochang B.</creatorcontrib><creatorcontrib>Ashbrook, Matthew J.</creatorcontrib><creatorcontrib>Ashrafi, Arman</creatorcontrib><creatorcontrib>Wightman, Sean C.</creatorcontrib><creatorcontrib>Atay, Scott M.</creatorcontrib><creatorcontrib>David, Elizabeth A.</creatorcontrib><creatorcontrib>Harano, Takashi</creatorcontrib><creatorcontrib>Kim, Anthony W.</creatorcontrib><title>Longer hospitalizations, more complications, and greater readmissions for patients with comorbid psychiatric disorders undergoing pulmonary lobectomy</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>To examine the influence of comorbid psychiatric disorders (PSYD) on postoperative outcomes in patients undergoing pulmonary lobectomy.
A retrospective analysis of the Healthcare Cost and Utilization Project Nationwide Readmissions Database from 2016 to 2018 was performed. Patients with lung cancer with and without psychiatric comorbidities who underwent pulmonary lobectomy were collated and analyzed (International Classification of Diseases, 10th Revision, Clinical Modification Mental, Behavioral and Neurodevelopmental disorders [F01-99]). The association of PSYD with complications, length of stay, and readmissions was assessed using a multivariable regression analysis. Additional subgroup analyses were performed.
A total of 41,691 patients met inclusion criteria. Of these, 27.84% (11,605) of the patients had at least 1 PSYD. PSYD was associated with a significantly increased risk of postoperative complications (relative risk, 1.041; 95% CI, 1.015-1.068; P = .0018), pulmonary complications (relative risk, 1.125; 95% CI, 1.08-1.171; P < .0001), longer length of stay (PSYD mean, 6.79 days and non-PSYD mean, 5.68 days; P < .0001), higher 30-day readmission rate (9.2% vs 7.9%; P < .0001), and 90-day readmission rate (15.4% vs 12.9%; P < .007). Among patients with PSYD, those with cognitive disorders and psychotic disorders (eg, schizophrenia) appear to have the highest rates and risks of postoperative morbidity and in-hospital mortality.
Patients with lung cancer with comorbid psychiatric disorders undergoing lobectomy experience worse postoperative outcomes with longer hospitalization, increased rates of overall and pulmonary complications, and greater readmissions suggesting potential opportunities for improved psychiatric care during the perioperative period.
[Display omitted]</description><subject>complications</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>lung cancer</subject><subject>Lung Neoplasms - complications</subject><subject>Lung Neoplasms - surgery</subject><subject>Mental Disorders - complications</subject><subject>Mental Disorders - epidemiology</subject><subject>Patient Readmission</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>postoperative outcomes</subject><subject>psychiatric disorders</subject><subject>pulmonary lobectomy</subject><subject>retrospective analysis</subject><subject>Retrospective Studies</subject><subject>risk</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1O3DAUha2Kqkxpn6BS5SULEvwTx8mCRYXojzQSG5C6sxz7ZsajJA62Axreg_etpwNddnUk3-_c63sPQl8oKSmh9eWu3CXzGEtGGC-JKAmj79CKklYWdSN-n6AVIYwVgjF-ij7GuCOESELbD-iUS1aJmtUr9LL20wYC3vo4u6QH96yT81O8wKMPgI0f58GZtzc9WbwJoFN2ZLGji_FQwb0PeM4UTCniJ5e2B6cPnbN4jnuzdToFZ7B10QcLIeJlyrLxbtrgeRlGP-mwx4PvwCQ_7j-h970eInx-1TN0__3m7vpnsb798ev627ownLSpkH0ldUM1p5xXthJVW_VCyI63VFva9X1TgxQdY6bhjNYMdA1QSSNMdlbc8DN0fuw7B_-wQEwqb2RgGPQEfomKNYxwLmktM8qPqAk-xgC9moMb868VJeqQh9qpv3moQx6KCJXzyK6vrwOWbgT7z_MWQAaujgDkNR8dBBVNvqIB60K-hbLe_XfAH3tVog4</recordid><startdate>202404</startdate><enddate>202404</enddate><creator>Kim, Alexander T.</creator><creator>Ding, Li</creator><creator>Lee, Hochang B.</creator><creator>Ashbrook, Matthew J.</creator><creator>Ashrafi, Arman</creator><creator>Wightman, Sean C.</creator><creator>Atay, Scott M.</creator><creator>David, Elizabeth A.</creator><creator>Harano, Takashi</creator><creator>Kim, Anthony W.</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></search><sort><creationdate>202404</creationdate><title>Longer hospitalizations, more complications, and greater readmissions for patients with comorbid psychiatric disorders undergoing pulmonary lobectomy</title><author>Kim, Alexander T. ; Ding, Li ; Lee, Hochang B. ; Ashbrook, Matthew J. ; Ashrafi, Arman ; Wightman, Sean C. ; Atay, Scott M. ; David, Elizabeth A. ; Harano, Takashi ; Kim, Anthony W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-7f47a81a31334d45494f557b391ad1bff86e75b22c832162ea6ee47c5c7f443c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>complications</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>lung cancer</topic><topic>Lung Neoplasms - complications</topic><topic>Lung Neoplasms - surgery</topic><topic>Mental Disorders - complications</topic><topic>Mental Disorders - epidemiology</topic><topic>Patient Readmission</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>postoperative outcomes</topic><topic>psychiatric disorders</topic><topic>pulmonary lobectomy</topic><topic>retrospective analysis</topic><topic>Retrospective Studies</topic><topic>risk</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Alexander T.</creatorcontrib><creatorcontrib>Ding, Li</creatorcontrib><creatorcontrib>Lee, Hochang B.</creatorcontrib><creatorcontrib>Ashbrook, Matthew J.</creatorcontrib><creatorcontrib>Ashrafi, Arman</creatorcontrib><creatorcontrib>Wightman, Sean C.</creatorcontrib><creatorcontrib>Atay, Scott M.</creatorcontrib><creatorcontrib>David, Elizabeth A.</creatorcontrib><creatorcontrib>Harano, Takashi</creatorcontrib><creatorcontrib>Kim, Anthony W.</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 thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Alexander T.</au><au>Ding, Li</au><au>Lee, Hochang B.</au><au>Ashbrook, Matthew J.</au><au>Ashrafi, Arman</au><au>Wightman, Sean C.</au><au>Atay, Scott M.</au><au>David, Elizabeth A.</au><au>Harano, Takashi</au><au>Kim, Anthony W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longer hospitalizations, more complications, and greater readmissions for patients with comorbid psychiatric disorders undergoing pulmonary lobectomy</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2024-04</date><risdate>2024</risdate><volume>167</volume><issue>4</issue><spage>1502</spage><epage>1511.e11</epage><pages>1502-1511.e11</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><abstract>To examine the influence of comorbid psychiatric disorders (PSYD) on postoperative outcomes in patients undergoing pulmonary lobectomy.
A retrospective analysis of the Healthcare Cost and Utilization Project Nationwide Readmissions Database from 2016 to 2018 was performed. Patients with lung cancer with and without psychiatric comorbidities who underwent pulmonary lobectomy were collated and analyzed (International Classification of Diseases, 10th Revision, Clinical Modification Mental, Behavioral and Neurodevelopmental disorders [F01-99]). The association of PSYD with complications, length of stay, and readmissions was assessed using a multivariable regression analysis. Additional subgroup analyses were performed.
A total of 41,691 patients met inclusion criteria. Of these, 27.84% (11,605) of the patients had at least 1 PSYD. PSYD was associated with a significantly increased risk of postoperative complications (relative risk, 1.041; 95% CI, 1.015-1.068; P = .0018), pulmonary complications (relative risk, 1.125; 95% CI, 1.08-1.171; P < .0001), longer length of stay (PSYD mean, 6.79 days and non-PSYD mean, 5.68 days; P < .0001), higher 30-day readmission rate (9.2% vs 7.9%; P < .0001), and 90-day readmission rate (15.4% vs 12.9%; P < .007). Among patients with PSYD, those with cognitive disorders and psychotic disorders (eg, schizophrenia) appear to have the highest rates and risks of postoperative morbidity and in-hospital mortality.
Patients with lung cancer with comorbid psychiatric disorders undergoing lobectomy experience worse postoperative outcomes with longer hospitalization, increased rates of overall and pulmonary complications, and greater readmissions suggesting potential opportunities for improved psychiatric care during the perioperative period.
[Display omitted]</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37245626</pmid><doi>10.1016/j.jtcvs.2023.05.021</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-5223 |
| ispartof | The Journal of thoracic and cardiovascular surgery, 2024-04, Vol.167 (4), p.1502-1511.e11 |
| issn | 0022-5223 1097-685X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2820337167 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | complications Hospitalization Humans Length of Stay lung cancer Lung Neoplasms - complications Lung Neoplasms - surgery Mental Disorders - complications Mental Disorders - epidemiology Patient Readmission Postoperative Complications - epidemiology Postoperative Complications - etiology postoperative outcomes psychiatric disorders pulmonary lobectomy retrospective analysis Retrospective Studies risk |
| title | Longer hospitalizations, more complications, and greater readmissions for patients with comorbid psychiatric disorders undergoing pulmonary lobectomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T12%3A35%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Longer%20hospitalizations,%20more%20complications,%20and%20greater%20readmissions%20for%20patients%20with%20comorbid%20psychiatric%20disorders%20undergoing%20pulmonary%20lobectomy&rft.jtitle=The%20Journal%20of%20thoracic%20and%20cardiovascular%20surgery&rft.au=Kim,%20Alexander%20T.&rft.date=2024-04&rft.volume=167&rft.issue=4&rft.spage=1502&rft.epage=1511.e11&rft.pages=1502-1511.e11&rft.issn=0022-5223&rft.eissn=1097-685X&rft_id=info:doi/10.1016/j.jtcvs.2023.05.021&rft_dat=%3Cproquest_cross%3E2820337167%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2820337167&rft_id=info:pmid/37245626&rft_els_id=S0022522323004452&rfr_iscdi=true |