October 1, 2010Archives of Surgery

Influence of Psychiatric Comorbidity on Surgical Mortality

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Why the study?

Does existing psychiatric comorbidity increase mortality in surgical patients admitted to intensive care units?

Population

35,539 surgical patients admitted to intensive care units of Veterans Health Administration hospitals from…

Comparison

Existing psychiatric comorbidity identified in… vs Patients without psychiatric comorbidity

Design

Cohort

Follow-up

30 days

Authors

TAThad E. AbramsIowa City VA Health Care System

Discussion

Member takes

Implication

Psychiatric comorbidity was associated with higher 30-day mortality in postsurgical ICU patients; leaves open whether targeted interventions improve outcomes.

Structured PICO

Does existing psychiatric comorbidity increase mortality in surgical patients admitted to intensive care units?

Population

35,539 surgical patients admitted to intensive care units of Veterans Health Administration hospitals from October 1, 2003, through September 30, 2006.

Intervention

Existing psychiatric comorbidity (depression, anxiety, posttraumatic stress disorder, bipolar disease, and schizophrenia) identified in the 12 months preceding admission

Comparator

Patients without psychiatric comorbidity

Outcome

In-hospital and 30-day mortalityhard clinical

Existing psychiatric comorbidity is associated with a modest increased risk of 30-day mortality among postsurgical ICU patients.

Limitations

Higher unmeasured severity
Unique management issues in patients with psychiatric comorbidity

Cite This Study

Thad E. Abrams (2010) studied this question.

synapsesocial.com/papers/6a707cdeac440176ef2925f6 https://doi.org/10.1001/archsurg.2010.190

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Implication

Psychiatric comorbidity was associated with higher 30-day mortality in postsurgical ICU patients; leaves open whether targeted interventions improve outcomes.