Preoperative Mental Health Diagnosis Associated With Increased Risk of 90-Day Readmission After Shoulder Arthroscopy.

Abstract

Purpose: To evaluate whether a preexisting mental health condition increases the risk of adverse outcomes after shoulder arthroscopy while controlling for relevant covariates.

Methods: A retrospective chart review was performed of patients who underwent shoulder arthroscopy between 2007 and 2022 at a single institution. The cohort included patients who underwent arthroscopic procedures for a range of indications, including rotator cuff repair, labral repair, debridement procedures, and biceps tenodesis. The mental health conditions assessed were associated with depression, anxiety, trauma, bipolar disorder, and schizoid disorders on the basis of the Substance Abuse and Mental Health Services Administration. Multivariable regression modeling was used to control for covariates and determine the odds of 90-day readmission, 90-day reoperation, and 1-year mortality for patients with preoperative mental health conditions.

Results: A total of 3,368 patients (1,522 female and 1,846 male) who underwent shoulder arthroscopy were identified in the retrospective chart review. When we controlled for covariates, patients with a diagnosis of any mental health condition (odds ratio [OR] 2.407, 95% confidence interval [CI] 1.209-4.791, P = .012) and those with a specific diagnosis of depression (OR 2.346, 95% CI 1.119-4.916, P = .024) or anxiety (OR 2.113, 95% CI 1.061-4.206, P = .033) had a greater odds of readmission within 90 days after shoulder arthroscopy. There were no associations between mental health diagnoses and reoperation within 90 days or mortality within 1 year.

Conclusions: A preexisting mental health condition is associated with an increased odds of 90-day readmission following shoulder arthroscopy.

Level of evidence: Level III, retrospective cohort study.