Spratt J, Adkins Z, Warda D, Smith M, Bruggers J, Weiss P, Becher S. Illicit drug and alcohol use and measures of musculoskeletal function and mental health in orthopaedic trauma patients.
OTA Int 2023;
6:e270. [PMID:
37719314 PMCID:
PMC10503674 DOI:
10.1097/oi9.0000000000000270]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 02/28/2023] [Indexed: 09/19/2023]
Abstract
Objectives
The objective of this study was to describe the relationship between positive toxicology screens and measures of preinjury mental health and physical function in an orthopaedic trauma population.
Design
This was a cross-sectional study.
Setting
Urban Level 1 trauma center.
Patients
A total of 125 trauma patients gave written consent for this study.
Main Outcome Measurements
Questionnaires such as, Patient Health Questionnaire-9, General Anxiety Disorder-7, PCL-5, and Short Musculoskeletal Function Assessment, were used to survey patients after surgical intervention.
Results
Patient Health Questionnaire-9 (P = 0.05) and PCL-5 (P = 0.04) were not found to have significant differences between positive and negative toxicology screens. Both General Anxiety Disorder-7 (P = 0.004) and Short Musculoskeletal Function Assessment function (P = 0.006) were significantly higher in patients with positive toxicology screens.
Conclusions
Positive toxicology seems to be associated with preinjury anxiety. Patient reported preinjury function was not adversely affected by the presence of illicit substances or alcohol, nor were levels of post-traumatic stress disorder and depression found to be higher in patients with positive toxicology screens.
Level of Evidence
Level IV Cross-Sectional Study.
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