Modelling the effect of minor orthopaedic day surgery on patient mood at the early post-operative period: a prospective population-based cohort study.

Details

Serval ID
serval:BIB_6D74758370ED
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Modelling the effect of minor orthopaedic day surgery on patient mood at the early post-operative period: a prospective population-based cohort study.
Journal
European Psychiatry
Author(s)
Tsapakis E.M., Tsiridis E., Hunter A., Gamie Z., Georgakarakos N., Thomas P., Schizas C., West R.M.
ISSN
0924-9338
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
24
Number
2
Pages
112-118
Language
english
Abstract
OBJECTIVE: The effect of minor orthopaedic day surgery (MiODS) on patient's mood. METHODS: A prospective population-based cohort study of 148 consecutive patients with age above 18 and less than 65, an American Society of Anaesthesiology (ASA) score of 1, and the requirement of general anaesthesia (GA) were included. The Medical Outcomes Study - Short Form 36 (SF-36), Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) were used pre- and post-operatively. RESULTS: The mean physical component score of SF-36 before surgery was 45.3 (SD=+/-10.1) and 8 weeks following surgery was 44.9 (SD=+/-11.04) [n=148, p=0.51, 95% CI=(-1.03 to 1.52)]. For the measurement of the changes in mood using BDI, BAI and SF-36, latent construct modelling was employed to increase validity. The covariance between mood pre- and post-operatively (cov=69.44) corresponded to a correlation coefficient, r=0.88 indicating that patients suffering a greater number of mood symptoms before surgery continue to have a greater number of symptoms following surgery. When the latent mood constructs were permitted to have different means the model fitted well with chi(2) (df=1)=0.86 for which p=0.77, thus the null hypothesis that MiODS has no effect on patient mood was rejected. CONCLUSIONS: MiODS affects patient mood which deteriorates at 8 weeks post-operatively regardless of the pre-operative patient mood state. More importantly patients suffering a greater number of mood symptoms before MiODS continue to have a greater number of symptoms following surgery.
Keywords
Adolescent, Adult, Affect, Aged, Ambulatory Surgical Procedures/statistics & numerical data, Anxiety Disorders/diagnosis, Cohort Studies, Depressive Disorder/diagnosis, Female, Follow-Up Studies, Humans, Male, Middle Aged, Models, Psychological, Mood Disorders/diagnosis, Orthopedic Procedures/statistics & numerical data, Postoperative Complications/diagnosis, Postoperative Period, Prospective Studies, Psychiatric Status Rating Scales, Surgical Procedures, Minor/statistics & numerical data, Young Adult
Pubmed
Web of science
Create date
03/10/2009 12:53
Last modification date
20/08/2019 15:27
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