Preoperative Mental Health Score and Postoperative Outcome After Hallux Valgus Surgery

2018 ◽  
Vol 39 (12) ◽  
pp. 1403-1409 ◽  
Author(s):  
Sean Wei Hong Lai ◽  
Camelia Qian Ying Tang ◽  
Arjunan Edward Kumanan Graetz ◽  
Gowreeson Thevendran
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Functional Outcome ◽  
Pain Score ◽  
Hallux Valgus ◽  
Short Form ◽  
Mental Health Status ◽  
Area Of Interest ◽  
Sf 36

Background: Preoperative mental health status as a predictor of operative outcome has been a growing area of interest. In this paper, the correlation between preoperative mental health status and postoperative functional outcome following scarf osteotomy for hallux valgus correction was explored. Methods: Parameters were tabulated preoperatively and postoperatively at a minimum of 1-year follow-up. They included the Short Form 36 (SF-36), American Orthopaedic Foot & Ankle Society (AOFAS) forefoot score, hallux valgus angle (HVA), and intermetatarsal angle (IMA) measurements and the visual analog score (VAS) to quantify pain. SF-36 mental component summary (MCS) score was used as a surrogate for patient’s mental health status. Seventy-six consecutive cases were analyzed at a minimum of 1-year follow-up. Results: There were significant improvements in all 8 domains of the SF-36, with the mean MCS score increasing from 52.3 ± 7.6 preoperatively to 55.7 ± 6.8 postoperatively. Preoperative MCS scores were not correlated to changes in AOFAS score, PCS score, VAS pain score, HVA or IMA. Preoperative MCS was observed to be correlated to postoperative AOFAS ( r = 0.381, P = .001) and PCS score ( r = 0.315, P = .006). Patients with a preoperative MCS score ⩾50 had a statistically higher postoperative AOFAS and PCS score than patients with MCS score <50. There was no correlation between preoperative MCS scores and improvements in radiologic parameters. There was also no correlation between the improvements in radiologic parameters and improvements in both the AOFAS and VAS pain scores. Conclusion: Preoperative mental health (as measured by the MCS score) was only correlated to postoperative functional outcome (as measured by the postoperative AOFAS and PCS score), but not other postoperative outcomes (VAS pain score, radiologic parameters). Level of Evidence: Level III, comparative study.

scholarly journals From hospital to post-acute care organizations: the relationship between patient experience and health recovery

2020 ◽  
Vol 32 (9) ◽  
pp. 585-590
Author(s):  
Generosa Do Nascimento ◽  
Francisco Guilherme Nunes ◽  
Janet E Anderson
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Acute Care ◽  
Patient Experience ◽  
Short Form ◽  
Mental Health Status ◽  
Patient Questionnaire ◽  
Discharge Process ◽  
Physical And Mental Health ◽  
Post Acute Care

Abstract Objective To determine to what extent patient health status and recovery in post-acute care organizations (PACO) is related to patient experience of the discharge process from hospital and to patient experience while staying in these facilities. Design Longitudinal study of patients discharged from hospitals to PACO. Setting 12 hospitals and 14 PACO Portuguese organizations. Participants 181 patients participated in the both stages of data gathering. Main Outcome Measures Patients’ physical and mental health status was measured through the 36-item short form health survey scale. The experience of transition from hospital to PACO was measured with the Care Transition Measure. The Picker Adult In-Patient Questionnaire was used to measure patients’ experience in these organizations. Results Patients reporting better physical condition in PACO had a better experience on discharge [b = 0.21, 95% confidence interval, CI (0.10, 0.31)] and perceive fewer problems inside facilities [b = − 0.19, 95% CI (−0.31, 0.08)]. The experience in PACO is significantly related to patients’ mental health status [b = − 0.47, 95% CI (−0.59, − 0.36)]. Patients showing higher levels of physical recovery had a better experience on discharge [b = − 0.18, 95% CI (0.08, 0.28)], while those registering better mental recovery experienced fewer problems during their stay [b = − 0.41, 95% CI (−0.52, − 0.30)]. Conclusions PACO play a key role in maintaining and promoting patients’ health, and this goal is influenced by their experience both in the transition from hospitals to PACO and while staying in these facilities.

The relationship of mental health status to functional outcome and satisfaction after carpal tunnel release

2019 ◽  
Vol 45 (2) ◽  
pp. 147-152 ◽  
Author(s):  
Julian F. Maempel ◽  
Paul J. Jenkins ◽  
Jane E. McEachan
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Carpal Tunnel ◽  
Mental Component Summary ◽  
Short Form ◽  
Carpal Tunnel Release ◽  
Mental Health Status ◽  
Mental Disability ◽  
Level Of Evidence ◽  
Patient Reported

We studied whether mental health status is significantly correlated to patient reported functional outcomes and satisfaction after carpal tunnel release. Over a 7-year period, 809 patients completed Short Form-12 (SF-12) questionnaires which allowed calculation of the SF-12 mental component summary 1 year postoperatively, 780 (96%) completed a satisfaction questionnaire and 777 (96%) completed a QuickDisabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Median QuickDASH score was 55 preoperatively (interquartile range [IQR] 28) and 14 postoperatively (IQR 32). A total of 674 patients were satisfied. Patients with mental disability had worse QuickDASH scores (median 34, IQR 41) and a higher incidence of dissatisfaction (52/245, 21%) than those without mental disability (n = 9, IQR 20, 10%, both p < 0.001). Regression analyses indicated scores in the SF-12 mental component summary were significantly related to postoperative QuickDASH score ( p < 0.001) and satisfaction ( p = 0.02). We concluded that patients with mental disability report poorer outcomes and lower satisfaction rates; however, the majority still exhibit significant improvements and are satisfied. Level of evidence: II

scholarly journals Mental Health Status of Sri Lanka Navy Personnel Three Years after End of Combat Operations: A Follow Up Study

PLoS ONE ◽  
2014 ◽  
Vol 9 (9) ◽  
pp. e108113 ◽  
Author(s):  
Raveen Hanwella ◽  
Nicholas E. L. W. Jayasekera ◽  
Varuni A. de Silva
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Sri Lanka ◽  
Mental Health Status ◽  
Follow Up Study ◽  
Navy Personnel

The Impact of Recurrent Disasters on Mental Health: A Study on Seasonal Floods in Northern India

2013 ◽  
Vol 28 (3) ◽  
pp. 279-285 ◽  
Author(s):  
Tim R. Wind ◽  
Pooran C. Joshi ◽  
Rolf J. Kleber ◽  
Ivan H. Komproe
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Physical Functioning ◽  
Comparison Group ◽  
Negative Impact ◽  
Short Form ◽  
Mental Health Status ◽  
Publication Type ◽  
Northern India ◽  
The Impact

AbstractIntroductionVery little is known on the impact of recurrent disasters on mental health.AimThe present study examines the immediate impact of a recurrent flood on mental health and functioning among an affected population in the rural district of Bahraich, Uttar Pradesh, India, compared with a population in the same region that is not affected by floods.MethodsThe study compared 318 affected respondents with 308 individuals who were not affected by floods. Symptoms of anxiety and depression were assessed by the Hopkins Symptom Checklist-25 (HSCL-25). Psychological and physical functioning was assessed by using the Short Form-12 (SF-12).ResultsThe affected group showed large to very large differences with the comparison group on symptoms of anxiety (D = .92) and depression (D = 1.22). The affected group scored significantly lower on psychological and physical functioning than the comparison group (respectively D = .33 and D = .80). However, hierarchical linear regressions showed no significant relationship between mental health and the domains of functioning in the affected group, whereas mental health and the domains of functioning were significantly related in the comparison group.ConclusionThis study found a large negative impact of the recurrent floods on mental health outcomes and psychological and physical functioning. However, in a context with recurrent floods, disaster mental health status is not a relevant predictor of functioning. The findings suggest that the observed mental health status and impaired functioning in this context are also outcomes of another mechanism: Both outcomes are likely to be related to the erosion of the social and environmental and material context. As such, the findings refer to a need to implement psychosocial context-oriented interventions to address the erosion of the context rather than specific mental health interventions.WindTR, JoshiPC, KleberRJ, KomproeIH. The impact of recurrent disasters on mental health: a study on seasonal floods in northern India. Prehosp Disaster Med. 2013;28(3):1-7.

Measuring the mental health status of the Norwegian population: A comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36)

2003 ◽  
Vol 57 (2) ◽  
pp. 113-118 ◽  
Author(s):  
Bjørn Heine Strand ◽  
Odd Steffen Dalgard ◽  
Kristian Tambs ◽  
Marit Rognerud
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Mental Health Status ◽  
Norwegian Population ◽  
Sf 36

scholarly journals Health Status, Mood, and Cognition in Experimentally Induced Subclinical Thyrotoxicosis

2008 ◽  
Vol 93 (5) ◽  
pp. 1730-1736 ◽  
Author(s):  
M. H. Samuels ◽  
K. G. Schuff ◽  
N. E. Carlson ◽  
P. Carello ◽  
J. S. Janowsky
Keyword(s):  
Mental Health ◽  
Working Memory ◽  
Health Status ◽  
Motor Learning ◽  
Physical Component Summary ◽  
Short Form ◽  
Free T3 ◽  
Sf 36 ◽  
Mood And Cognition ◽  
Subclinical Thyrotoxicosis

Abstract Objective: Our objective was to determine whether subclinical thyrotoxicosis alters health status, mood, and/or cognitive function. Design: This was a double-blinded, randomized, cross-over study of usual dose l-T4 (euthyroid arm) vs. higher dose l-T4 (subclinical thyrotoxicosis arm) in hypothyroid subjects. Patients: A total of 33 hypothyroid subjects receiving l-T4 were included in the study. Measurements: Subjects underwent measurements of health status, mood, and cognition: Short Form 36 (SF-36); Profile of Mood States (POMS); and tests of declarative memory (Paragraph Recall, Complex Figure), working memory (N-Back, Subject Ordered Pointing, and Digit Span Backwards), and motor learning (Pursuit Rotor). These were repeated after 12 wk on each of the study arms. Results: Mean TSH levels decreased from 2.15 to 0.17 mU/liter on the subclinical thyrotoxicosis arm (P &lt; 0.0001), with normal mean free T4 and free T3 levels. The SF-36 physical component summary and general health subscale were slightly worse during the subclinical thyrotoxicosis arm, whereas the mental health subscale was marginally improved. The POMS confusion, depression, and tension subscales were improved during the subclinical thyrotoxicosis arm. Motor learning was better during the subclinical thyrotoxicosis arm, whereas declarative and working memory measures did not change. This improvement was related to changes in the SF-36 physical component summary and POMS tension subscales and free T3 levels. Conclusions: We found slightly impaired physical health status but improvements in measures of mental health and mood in l-T4 treated hypothyroid subjects when subclinical thyrotoxicosis was induced in a blinded, randomized fashion. Motor learning was also improved. These findings suggest that thyroid hormone directly affects brain areas responsible for affect and motor function.

Social participation, inclusion and mental well-being following SARS-CoV-2 related lockdown restrictions in adults with and without mental disorders. Results from a follow-up study in Germany

2020 ◽  
Author(s):  
Matthias Schützwohl ◽  
Eduard Mergel
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Mental Disorders ◽  
Social Participation ◽  
Social Inclusion ◽  
Well Being ◽  
Mental Health Status ◽  
Follow Up Study ◽  
The Impact

Objectives: In Germany, as in many other countries, several lockdown restrictions were put in place with the aim of curbing the spread of SARS-CoV-2 infections. This study investigated the impact of the coronavirus pandemic and the related lockdown restrictions on opportunities for social participation, social inclusion and psychological well-being for adults with and without mental disorders within a follow-up study based on pre- and post-lockdown assessments. Methods: Study participants (n=132) were assigned to one of three groups, depending on the mental health status at the initial survey. Parameters of interest were assessed using the Measure of Participation and Social Inclusion for Use in People with a Chronic Mental Disorder (F-INK), the Index for the Assessment of Health Impairments (IMET), and the Brief Symptom Inventory (BSI-18).Results: The impact on opportunities for social participation and social participation considerably differed depending on the participants’ mental health status at the first assessment. Independent of this, we found no detrimental effects on the psychological well-being of participants four weeks after the implementation of lockdown restrictions.Conclusion: Findings imply a general resilience in well-being during the preliminary stages of the coronavirus pandemic. This result adds to the growing number of existing studies which show a heterogeneous pattern overall and especially in international comparison. Further follow-up studies with larger samples should address the divergent effects. Besides, efforts are needed to improve social participation and inclusion opportunities that are severely impaired for individuals with chronic mental disorders regardless of lockdown or physical distancing restrictions.

scholarly journals Clinical Utility of a Structured Program to Reduce the Risk of Health-Related Quality of Life Impairment after Discharge from Intensive Care Unit: A Real-World Experience

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Angelica Venni ◽  
Francesca Ioia ◽  
Silvia Laviola ◽  
Francesca Frigieri ◽  
Alessandra Pieri ◽  
...  
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Health Status ◽  
Mental Health Status ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Structured Program

Background. Postdischarge deterioration in health-related quality of life (HRQoL) is a major clinical issue for patients after an intensive care unit (ICU) hospitalization. A significant proportion of these patients is known to develop a progressive worsening of mental and physical performance—the so-called post-intensive care syndrome (PICS). Aim. We aimed at exploring the effects of a structured program for the management of ICU patients, aimed at improving postdischarge HRQoL and reducing the risk of PICS. Methods. A total of 159 patients hospitalized in our ICU with a length of stay >72 hours were enrolled in an institutional management protocol including specific recommendations: adequate sedation and analgesia protocols, to ensure a valid delirium prevention strategy, and to provide a planned midterm after discharge. The main endpoint was the occurrence of PICS at the 6-month follow-up visitation, defined as an abnormal physical or mental score in the SF-12 questionnaire in the presence of clinical evidence of new or worsening impairment in physical, cognitive, or mental health status. An additional questionnaire was administered, to assess the effects of ICU-related memories. Results. Most patients positively rated their health at the 6-month follow-up and had no significant impairment in physical or mental health status. The mean normalized values of the physical and mental component of the SF-12 score were 46 ± 11 and 48 ± 14, suggesting a normal physical and mental health status in most patients. Twenty-nine patients (18.2%) showed evidence of PICS. Similar good results were found by the questionnaire of memories. In multivariable analysis, no variable was found to predict the risk of PICS in our population. Conclusion. In this real-world analysis that lacks a control group, patients who used a program aimed at minimizing the risk of HRQoL deterioration and PICS reported a good perception of their state of health with a relatively low prevalence of PICS.

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