Key result
Patients with psychiatric disorders tend to have worse outcomes following total hip or knee arthroplasty compared to those without a psychiatric diagnosis.
Why the study?
Does the presence of psychiatric disorders or psychotropic drug use affect perioperative risks and surgical outcomes in patients undergoing total hip or knee arthroplasty?
Does the presence of psychiatric disorders or psychotropic drug use affect perioperative risks and surgical outcomes in patients undergoing total hip or knee arthroplasty?
This review highlights the need for better understanding and guidelines for the perioperative management of patients with psychiatric disorders undergoing hip and knee arthroplasty.
Highlights need for tailored perioperative strategies in psychiatric arthroplasty patients; leaves open development of evidence-based guidelines.
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.
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Gylvin et al. (2016) conducted a review in Total hip arthroplasty (THA) or total knee arthroplasty (TKA) in patients with psychiatric disorders. Psychiatric disorders and psychotropic drugs vs. Patients without a psychiatric diagnosis was evaluated on Perioperative risks and surgical outcome. Patients with psychiatric disorders tend to have worse outcomes following total hip or knee arthroplasty compared to those without a psychiatric diagnosis.
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