NEW YORK — There was a greater prevalence of mental health conditions among patients undergoing septic revision total knee arthroplasty compared to patients undergoing aseptic revisions or primary TKA, based on an analysis of an inpatient database for Florida and New York for the years of 2007 to 2012.
“Patients undergoing revision for infection after total knee arthroplasty have significantly higher rates of mental health conditions compared to aseptic revisions,” Jared Warren, ATC, DO, said at the Musculoskeletal Infection Society Annual Open Scientific Meeting, here.
Warren, who is at Cleveland Clinic, said, “This is a call to action to address mental health conditions in revision total knee arthroplasty, specifically for drug and alcohol abuse among septic revisions. Maybe we should consider implementing mental health screening questionnaires in order to identify these patients.”
Warren and his colleagues tracked several mental health conditions among patients in the database. They used student’s t-tests to assess any differences in and trends between the patients who underwent aseptic TKA and septic and aseptic revision TKA.
“Comparing the septic and aseptic revisions, you’ll notice there are significant differences between depression, alcohol and drug abuse. Specifically for depression, the septic cohort, 14.9% of patients had a depression vs. 13.4% of aseptic revisions. For alcohol abuse, 1.5% of septic revisions had alcohol abuse vs. only 0.7% of aseptic revisions. Similarly, drug abuse, 1.7% in septic revisions vs. 0.9% of aseptic revisions,” Warren said. “When combining all mental health conditions, 22.6% of septic revisions had some sort of mental health condition vs. 20.3% of aseptic revisions.”
Data for the later years in the database indicate an increased prevalence of mental health conditions among this patient population, but Warren said this may be due to better detection of these conditions over time.
“Future work would be to investigate the prevalence of self harm and suicide in patients undergoing primary or revision total knee arthroplasty,” he said. – by Susan M. Rapp
Anis H, et al. Greater risk for mental health conditions after prosthetic joint infections in total knee arthroplasty. Presented at: Musculoskeletal Infection Society Annual Open Scientific Meeting; Aug. 2-3, 2019; New York.
Disclosure: Warren reports no relevant financial disclosures.