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Chang CY, Chen WL, Hsieh PY, Ho SY, Huang CC, Lee TH, Chou CC, Chang CF, Law YY, Lin YR. Clinical treatment and medication in decreasing the development of major depression caused by spinal fracture. J Int Med Res 2020; 48:300060520972885. [PMID: 33259260 PMCID: PMC7711237 DOI: 10.1177/0300060520972885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 10/19/2020] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Chronic pain and limited activities of daily living after spinal fracture may induce the occurrence of major depression (MD); however, risk factors regarding medications, surgical intervention, and severity of fracture are unclear. We aimed to analyze risk factors of MD development after spinal fracture. METHODS This was a retrospective database study, using the health care database of the Taiwan government. We included 11,225 patients with new spinal fracture (study group), and 33,675 matched patients without fracture (comparison group). We respectively reviewed data of each participant for 3 years to assess the development of MD. The Cox proportional hazards model was used to determine the prevalence of MD, after adjusting for patient demographics, medications, surgical interventions, spinal cord involvement, and postfracture comorbidities. RESULTS In total, 187 fracture patients (1.7%) and 281 nonfracture patients (0.8%) developed new-onset MD (hazard ratio [HR]:1.96, (95% confidence interval [CI]: 1.63-2.36)). Spinal cord involvement (HR: 2.96, 95% CI: 2.54-3.42) and postfracture comorbidities (HR: 3.51, 95% CI: 2.86-3.97) obviously increased the risk of MD. CONCLUSIONS Patients with spinal fracture (spinal cord involvement and postfracture comorbidities) were more likely to develop MD. Early surgical interventions (vertebroplasty) and medications (narcotics) may decrease the risk of MD.
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Affiliation(s)
- Chih-Yu Chang
- Department of Emergency Medicine, Everan Hospital, Taichung,
Taiwan
- Department of Biological Science and Technology, National Chiao
Tung University, Hsinchu, Taiwan
| | - Wen-Liang Chen
- Department of Biological Science and Technology, National Chiao
Tung University, Hsinchu, Taiwan
| | - Pei-You Hsieh
- Department of Emergency and Critical Care Medicine, Changhua
Christian Hospital, Changhua, Taiwan
| | - Shinn-Ying Ho
- Department of Biological Science and Technology, National Chiao
Tung University, Hsinchu, Taiwan
- Institute of Bioinformatics and Systems Biology, National Chiao
Tung University, Hsinchu, Taiwan
| | - Cheng-Chieh Huang
- Department of Biological Science and Technology, National Chiao
Tung University, Hsinchu, Taiwan
- Department of Emergency and Critical Care Medicine, Changhua
Christian Hospital, Changhua, Taiwan
| | - Tsung-Han Lee
- Department of Biological Science and Technology, National Chiao
Tung University, Hsinchu, Taiwan
- Department of Emergency and Critical Care Medicine, Changhua
Christian Hospital, Changhua, Taiwan
| | - Chu-Chung Chou
- Department of Emergency and Critical Care Medicine, Changhua
Christian Hospital, Changhua, Taiwan
- School of Medicine, Kaohsiung Medical University, Kaohsiung,
Taiwan
- School of Medicine, Chung Shan Medical University, Taichung,
Taiwan
| | - Chin-Fu Chang
- Department of Emergency and Critical Care Medicine, Changhua
Christian Hospital, Changhua, Taiwan
| | - Yat-Yin Law
- School of Medicine, Chung Shan Medical University, Taichung,
Taiwan
- Institute of Medicine, Chung Shan Medical University, Taichung,
Taiwan
- Department of Orthopedics, Chung Shan Medical University
Hospital, Taichung, Taiwan
| | - Yan-Ren Lin
- Department of Emergency and Critical Care Medicine, Changhua
Christian Hospital, Changhua, Taiwan
- School of Medicine, Kaohsiung Medical University, Kaohsiung,
Taiwan
- School of Medicine, Chung Shan Medical University, Taichung,
Taiwan
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Szeverenyi C, Kekecs Z, Johnson A, Elkins G, Csernatony Z, Varga K. The Use of Adjunct Psychosocial Interventions Can Decrease Postoperative Pain and Improve the Quality of Clinical Care in Orthopedic Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. THE JOURNAL OF PAIN 2018; 19:1231-1252. [DOI: 10.1016/j.jpain.2018.05.006] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2017] [Revised: 04/15/2018] [Accepted: 05/14/2018] [Indexed: 01/03/2023]
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Algabri RS, Alqutaibi AY. No Evidence Suggests that the Clinical Effectiveness of Conventional Occlusal Splints is Superior to That of Psychosocial Interventions for Myofascial Tempromandibular Disorders Pain. J Evid Based Dent Pract 2017; 17:399-401. [PMID: 29197441 DOI: 10.1016/j.jebdp.2017.10.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION A systematic review and meta-analysis of usual treatment versus psychosocial interventions in the treatment of myofascial temporomandibular disorder pain. Fan Roldán-Barraza C, Janko S, Villanueva J, Araya I, Lauer HC. J Oral Facial Pain Headache 2014;28(3):205-22. SOURCE OF FUNDING Self-funding TYPE OF STUDY/DESIGN: Systematic review and meta-analysis.
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