Preoperative Veteran Rand-12 Mental Composite Score of < 40 Leads to Increased Healthcare Utilization and Diminished Improvement after Primary Knee Arthroplasty

Adverse outcomes after total knee arthroplasty(TKA) have been associated with preoperative psychological disorders and poor mental health. We aimed to investigate and quantify the association between preoperative mental health and 1)postoperative 90-day health care utilization; and 2)one-year patien...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 2022-05
Main Authors: Rogers, Nathan B, Grits, Daniel, Emara, Ahmed K, Higuera, Carlos A, Molloy, Robert M, Klika, Alison K, Piuzzi, Nicolas S
Format: Article
Language:English
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Adverse outcomes after total knee arthroplasty(TKA) have been associated with preoperative psychological disorders and poor mental health. We aimed to investigate and quantify the association between preoperative mental health and 1)postoperative 90-day health care utilization; and 2)one-year patient-reported outcomes after primary TKA. Retrospective review of prospectively collected data of patients who underwent primary elective TKA(n=7476) was performed. Preoperative mental health was evaluated using Veterans Rand-12 Mental Composite Scores(VR-12 MCS). Outcomes included prolonged length of stay(LOS>2-days), nonhome discharge, 90-day readmissions, emergency department(ED) visits, and reoperation. Improvement in Knee Injury and Osteoarthritis Outcome Score(KOOS) and Patient Acceptable Symptom State(PASS) achievement were evaluated at 1-year. Multivariable regression was implemented to explore associations between preoperative VR-12 MCS and outcomes of interest. A total of 5,402(72.3%) completed 1-year follow-up. Lower preoperative VR-12 MCS was associated with higher odds of prolonged LOS (MCS 20-39:OR:1.46;p
ISSN:1532-8406