Psychiatric disease as a risk factor in fast-track hip and knee replacement
نویسندگان
چکیده
Recent studies suggest that patients with psychiatric disorders tend to do worse than patients without a psychiatric diagnosis when undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA). Whether this is due to their psychiatric condition, pharmacological treatment, a combination of the two, or something else has not been thoroughly analyzed-and there are no internationally accepted guidelines for perioperative management of psychiatric patients. This overview summarizes our current knowledge on perioperative risks in patients with preoperative psychiatric disorders and the possible role of psychotropic drugs in the perioperative course. This will be useful when planning future strategies for improvement of surgical outcome following hip and knee arthroplasty.
منابع مشابه
Preoperative prediction of potentially preventable morbidity after fast-track hip and knee arthroplasty: a detailed descriptive cohort study.
OBJECTIVES Construction of a simple preoperative risk score for patients in high risk of potentially preventable 'medical' complications. Secondary objectives were to construct simple preoperative risk scores for 'severe medical', 'surgical' and 'total' potentially preventable complications. DESIGN Prospective observational study. SETTING Elective primary unilateral total hip and knee arthr...
متن کاملHip and knee replacement—do we need to bother about psychiatry?
In the present issue of Acta Orthopaedica, Gylvin et al. (2016) present a narrative review on the negative effects of psychiatric medication and psychiatric disease on the perioperative course and long-term outcome after knee or hip replacement. They also refer to their own experience from a recently published study of 8,757 procedures, which is one of very few prospective studies in this area ...
متن کاملFast-track hip and knee replacement — what are the issues?
Surgical injury is followed by pain, stress-induced catabolism, impairment of organ function, and a risk of thromboembolism and impaired cognitive function. These events may contribute to complications, a need for prolonged hospitalization, postoperative fatigue, delayed convalescence, and the need for rehabilitation. Optimization of the individual care components in perioperative care (the fas...
متن کاملKnee and Hip Joint Replacement Surgery in a Patient with Ochronotic Arthropathy: Surgical Tips
Ochronosis or black joints disorder is a rare autosomal recessive disorder caused by deficiency of homogentisic acidoxidase. Orthopaedic manifestations are common and mostly involve spine and large joints such as knee and hip.Arthropathy is progressive and will eventually leads to arthroplasty. Not being familiar with this disorder might lead todevastating complications. We present a 57 year-ol...
متن کاملPreoperative physical optimization in fast-track hip and knee arthroplasty.
INTRODUCTION The aim of this study was to investigate if screening and optimization of risk patients combined with a motivational conversation is effective in reducing complications in patients scheduled for a fast-track hip and knee arthroplasty. MATERIAL AND METHODS We included 78 patients in the intervention group and 54 patients in a control group before the intervention. In the intervent...
متن کامل