Field |
Value |
Language |
dc.contributor.author |
Naylor, JM |
|
dc.contributor.author |
Bhandari, P |
|
dc.contributor.author |
Descallar, J |
|
dc.contributor.author |
Yang, OO |
|
dc.contributor.author |
Rider, M |
|
dc.contributor.author |
Mayland, EC |
|
dc.contributor.author |
Tang, C |
|
dc.contributor.author |
Brady, B |
|
dc.contributor.author |
Lim, D |
|
dc.contributor.author |
Santalucia, Y |
|
dc.contributor.author |
Gabbe, BJ |
|
dc.contributor.author |
Hassett, G |
|
dc.contributor.author |
Baker, E |
|
dc.date.accessioned |
2023-10-16T05:16:51Z |
|
dc.date.available |
2023-10-16T05:16:51Z |
|
dc.identifier.citation |
BMC Musculoskeletal Disorders, 24, (1) |
|
dc.identifier.issn |
1471-2474 |
|
dc.identifier.uri |
http://hdl.handle.net/10453/172702
|
|
dc.description.abstract |
<jats:title>Abstract</jats:title><jats:sec>
<jats:title>Background</jats:title>
<jats:p>Following traumatic hand injury, few studies have compared outcomes between people with and without a pre-morbid mental health diagnosis. This study aimed to compare sub-acute outcomes in a multicultural patient cohort with surgically managed traumatic hand injury with and without a pre-morbid mental health diagnosis.</jats:p>
</jats:sec><jats:sec>
<jats:title>Methods</jats:title>
<jats:p>A prospective, observational cohort study of people with traumatic hand injury presenting pre- surgically to a high-volume hand injury centre in a region of cultural and language diversity was conducted. Participants were assessed face-to-face (baseline) then via telephone (3-months post-surgery) and categorized according to a pre-morbid medically diagnosed mental health diagnosis. Baseline and follow-up assessments included global mental health, and the EuroQol (EQ) ‘Health Today’ analogue scale (0–100) and health domains. Return-to-work status, complications/symptomatic complaints, and hand function (QuickDASH) were also collected at follow-up. Adjusted analyses—accounting for covariates including cultural identity—were conducted to determine whether 3-month outcomes were associated with a pre-morbid mental health diagnosis.</jats:p>
</jats:sec><jats:sec>
<jats:title>Results</jats:title>
<jats:p>From 405 eligible patients, 386 were enrolled (76% male, mean age 38.9 (standard deviation 15.6)); 57% self-identified as Australian and 22% had a pre-morbid mental health diagnosis. Common injuries regardless of pre-morbid mental health diagnosis were skin (40%), tendon (17%) and bone (17%) injuries. None were complex mutilating injuries. Seventy-eight per cent of the cohort was followed-up. In adjusted analyses, a pre-morbid mental health diagnosis was associated with lower odds for reporting ‘good or better’ global mental health (Odds Ratio (OR) 0.23 (95% Confidence Interval (CI) 0.18, 0.47), <jats:italic>p</jats:italic> < 0.001), ‘no’ anxiety or depression (OR 0.21 (0.11, 0.40), <jats:italic>p</jats:italic> < 0.001) and no pain (OR 0.56 (0.31, 0.98), <jats:italic>p</jats:italic> = 0.04)(EQ domains), and worse EQ ‘Health Today’ (10 points on average (95%CI -14.9, -5.1, <jats:italic>p</jats:italic> < 0.001). QuickDASH scores, rates of complications/symptomatic complaints and return-to-work profiles were similar.</jats:p>
</jats:sec><jats:sec>
<jats:title>Conclusions</jats:title>
<jats:p>Despite reporting worse mental and health-related quality-of-life outcomes post-surgery, people with a pre-morbid mental health diagnosis regardless of cultural identity experienced similar clinical and return-to-work outcomes. Future research assessing the value of screening for pre-morbid mental health conditions on post-surgical outcomes is required and should include people with more complex hand injuries.</jats:p>
</jats:sec> |
|
dc.language |
en |
|
dc.publisher |
Springer Science and Business Media LLC |
|
dc.relation.ispartof |
BMC Musculoskeletal Disorders |
|
dc.relation.isbasedon |
10.1186/s12891-023-06931-8 |
|
dc.rights |
info:eu-repo/semantics/openAccess |
|
dc.subject |
1103 Clinical Sciences |
|
dc.subject.classification |
Orthopedics |
|
dc.subject.classification |
3202 Clinical sciences |
|
dc.subject.classification |
4201 Allied health and rehabilitation science |
|
dc.subject.classification |
4207 Sports science and exercise |
|
dc.title |
Comparison of short-term outcomes between people with and without a pre-morbid mental health diagnosis following surgery for traumatic hand injury: a prospective longitudinal study of a multicultural cohort |
|
dc.type |
Journal Article |
|
utslib.citation.volume |
24 |
|
utslib.for |
1103 Clinical Sciences |
|
pubs.organisational-group |
/University of Technology Sydney |
|
pubs.organisational-group |
/University of Technology Sydney/Faculty of Health |
|
pubs.organisational-group |
/University of Technology Sydney/Faculty of Health/IMPACCT |
|
utslib.copyright.status |
open_access |
* |
dc.date.updated |
2023-10-16T05:16:50Z |
|
pubs.issue |
1 |
|
pubs.publication-status |
Published online |
|
pubs.volume |
24 |
|
utslib.citation.issue |
1 |
|