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Higher 2-Year Cumulative Incidence of Mental Health Disorders Following Irrigation and Debridement in Primary Lumbar Fusion – Lumbar Fusion

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The article explores the association between treating surgical site infections (SSI) with irrigation and debridement (I&D) after lumbar fusion (LF) surgery and patients’ mental health outcomes. The study included 445,480 patients who underwent LF with a 2-year follow-up and analyzed their mental health using retrospective cohort analysis. The results showed that patients who received I&D had significantly higher rates of new-onset depression and stress compared to those who did not undergo I&D. However, there was no significant difference in anxiety rates between the two cohorts. The findings suggest the need for mental health services for patients who undergo surgery to mitigate negative mental health outcomes

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised treatment hospital on Harley Street UK

Published article

S: In , 16.8% of patients developed new-onset depression 2 years following I&D, in comparison to 10.3% of those who underwent LF. Patients who underwent I&D following LF were significantly more likely to experience depression and stress. To mitigate negative mental health outcomes, mental health services should be available to patients who underwent surgery.

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Spine Surg Relat Res. 2023 Oct 13;8(1):66-72. doi: 10.22603/ssrr.2023-0138. eCollection 2024 Jan 27.ABSTRACTINTRODUCTION: Spinal fusion is an operation that is employed to treat spinal diseases. Surgical site infection (SSI) after lumbar fusion (LF) is a postoperative complication. SSI is treated with irrigation and debridement (I&D), which requires readmittance following discharge or prolonged hospital stays, which,

Spine Surg Relat Res. 2023 Oct 13;8(1):66-72. doi: 10.22603/ssrr.2023-0138. eCollection 2024 Jan 27.

ABSTRACT

INTRODUCTION: Spinal fusion is an operation that is employed to treat spinal diseases. Surgical site infection (SSI) after lumbar fusion (LF) is a postoperative complication. SSI is treated with irrigation and debridement (I&D), which requires readmittance following discharge or prolonged hospital stays, which are deleterious to patients’ mental health. The long-term relationship between treating SSI with I&D and patients’ mental health is still understudied.

METHODS: Using the Mariner dataset from the PearlDiver Patient Records Database using Current Procedural Terminology and International Classification of Diseases procedure codes, retrospective cohort analysis was carried out. This study involved 445,480 patients who underwent LF with at least 2-year follow-up and were followed up for 2 years. Of the patients, 2,762 underwent I&D. Using univariate analysis employing Pearson Chi-square and Student t-test, where appropriate (Table 1), patient demographics between cohorts were gathered. 2-year cumulative incidence (CI) between LF and I&D cohorts was calculated using Kaplan-Meier analysis (Fig. 1, 2, 3). Cox proportional hazards were employed to observe significant differences in CI rates (Table 2).

RESULTS: For patients who received I&D, 2-year CI depression (HR: 1.72; 95% CI: 1.49-1.99; P<0.001) and stress (HR: 1.35; 95% CI: 1.02-1.79; P=0.035) rates were significantly higher than for those who did not. There was no statistically significant difference in 2-year CI anxiety rates between cohorts (HR: 0.92; 95% CI: 0.58-1.46; P=0.719).

S: In , 16.8% of patients developed new-onset depression 2 years following I&D, in comparison to 10.3% of those who underwent LF. Patients who underwent I&D following LF were significantly more likely to experience depression and stress. To mitigate negative mental health outcomes, mental health services should be available to patients who underwent surgery.

PMID:38343416 | PMC:PMC10853611 | DOI:10.22603/ssrr.2023-0138

The London Spine Unit : best recognised treatment hospital on Harley Street UK

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Higher 2-Year Cumulative Incidence of Mental Health Disorders Following Irrigation and Debridement in Primary Lumbar Fusion

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Spine Surg Relat Res. 2023 Oct 13;8(1):66-72. doi: 10.22603/ssrr.2023-0138. eCollection 2024 Jan 27.ABSTRACTINTRODUCTION: Spinal fusion is an operation that is employed to treat spinal diseases. Surgical site infection (SSI) after lumbar fusion (LF) is a postoperative complication. SSI is treated with irrigation and debridement (I&D), which requires readmittance following discharge or prolonged hospital stays, which

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