OTA international : the open access journal of orthopaedic trauma · 2023
Illicit drug and alcohol use and measures of musculoskeletal function and mental health in orthopaedic trauma patients.
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Spratt James, Adkins Zachary, Warda Danny, Smith Michele, Bruggers Jennifer, Weiss Paul, Becher Stephen
Аннотация
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.
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.