Key result
Active mental illness linked to ~292% higher readmission rates and more ER visits after elective surgery.
Why the study?
Comparable data on the impact of depression, anxiety, PTSD, and substance abuse on outcomes after elective general surgery were lacking.
Does active mental illness increase the risk of 30-day complications, readmissions, and ER visits in patients undergoing elective general surgery?
Population
183 consecutive patients undergoing elective general surgery at a single tertiary hospital
Comparison
Patients with active mental illness vs without mental illness
Design
Cohort study
Follow-up
30 days
Authors
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May warrant mental health screening before elective surgery; hypothesis-generating and requires prospective confirmation before changing practice.
Cohort (n=183)
No
Does active mental illness increase the risk of 30-day complications, readmissions, and ER visits in patients undergoing elective general surgery?
Absolute Event Rate: 14.5% vs 3.7%
p-value: p=0.009
Active mental illnesses such as depression, anxiety, PTSD, and substance abuse are associated with significantly higher rates of 30-day readmissions and ER visits following elective general surgery.
Lee et al. (2016) conducted a cohort in Elective general surgery (n=183). Active mental illness (depression, anxiety, PTSD, and/or substance abuse) vs. Without a mental illness was evaluated on Readmissions (p=0.009). Active mental illness in patients undergoing elective general surgery was associated with higher rates of readmissions (14.5% vs 3.7%, P=0.009) and ER visits (19.7% vs 8.4%, P=0.025).
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