Key result
Mental health disorders in general surgery patients increased post-surgical pain, length of stay, complications, readmissions, and mortality, with schizophrenia having the poorest outcomes.
Why the study?
Mental health disorders are a growing concern whose significant impact on surgical outcomes has only recently started to be understood.
How do mental health disorders impact the outcomes of general surgery patients and what strategies can improve these outcomes?
How do mental health disorders impact the outcomes of general surgery patients and what strategies can improve these outcomes?
Mental health disorders negatively impact general surgery outcomes, highlighting the need for integrated perioperative screening and targeted interventions.
Supports incorporating mental health into perioperative risk models; hypothesis-generating for targeted interventions pending prospective data.
Mental Health Disorders (MHD) are a growing concern nationwide. The significant impact MHD have on surgical outcomes has only recently started to be understood. This literature review investigated how mental health impacts the outcomes of general surgery patients and what can be done to make improvements. Patients with schizophrenia had the poorest surgical outcomes. Mental health disorders increased post-surgical pain, hospital length of stay, complications, readmissions, and mortality. Mental health disorders decreased wound healing and quality of care. Optimizing outcomes will be best accomplished through integrating more effective perioperative screening tools and interventions. Screenings tools can incorporate artificial intelligence, MHD data, resilience and its biomarkers, and patient mental health questionnaires. Interventions include cognitive behavioral therapy, virtual reality, spirituality, pharmacology, and resilience training.
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Josephs et al. (2022) conducted a review in General surgery patients with mental health disorders. Mental health disorders was evaluated on Surgical outcomes including post-surgical pain, length of stay, complications, readmissions, and mortality. Mental health disorders in general surgery patients increased post-surgical pain, length of stay, complications, readmissions, and mortality, with schizophrenia having the poorest outcomes.
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