TY - JOUR
T1 - Relationship Among Koenig Depression Scale and Postoperative Outcomes, Ambulation, and Perception of Pain in Elderly Patients (≥65 Years) Undergoing Elective Spinal Surgery for Adult Scoliosis
AU - Adogwa, Owoicho
AU - Elsamadicy, Aladine A.
AU - Sergesketter, Amanda R.
AU - Black, Collin
AU - Tarnasky, Aaron
AU - Ongele, Michael O.
AU - Vuong, Victoria D.
AU - Khalid, Syed
AU - Cheng, Joseph
AU - Bagley, Carlos A.
AU - Karikari, Isaac O.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2017/11
Y1 - 2017/11
N2 - Background The aim of this study was to assess whether the Koenig Depression Scale (KDS) can identify depressed elderly patients undergoing elective spine surgery for deformity at risk for inferior postoperative outcomes including complication rates, ambulation ability, and patient-reported outcomes. Methods The medical records of 92 elderly patients (≥65 years) undergoing a planned elective spinal surgery for correction of adult degenerative scoliosis were reviewed for this study. Preoperative baseline depression was assessed using the validated KDS that was administered by a board-certified geriatrician. KDS is made up of 11 questions with a maximum of 11 points (No-Depression = KDS <4, Depression = KDS ≥4). The primary outcomes of this study were complication rates, duration of hospital stay, ambulation ability, and follow-up visual analog scale (VAS) scores at 6 weeks, 3 months, and 6 months after hospital discharge. Results Of the 92 patients, 20 of them (21.7%) were found to have a KDS ≥4. Baseline demographics and comorbidities were similar between both cohorts. Intraoperative variables and complications were similar between both cohorts. There were no significant differences in postoperative complications including length of hospital stay. There was no significant difference in ambulation abilities including preoperative gait speed (P = 0.38), days from operation to ambulation (P = 0.86), steps on first day of ambulation (P = 0.57), and steps before hospital discharge (P = 0.35). There was no significant difference between the cohorts in VAS scores at baseline (P = 0.19), 6 weeks (P = 0.91), 3 months (P = 0.58), and 6 months (P = 0.97) after hospital discharge. Conclusions Our study found no difference in complication rates, ambulation abilities, and follow-up VAS scores between patients with and without depression using preoperative KDS.
AB - Background The aim of this study was to assess whether the Koenig Depression Scale (KDS) can identify depressed elderly patients undergoing elective spine surgery for deformity at risk for inferior postoperative outcomes including complication rates, ambulation ability, and patient-reported outcomes. Methods The medical records of 92 elderly patients (≥65 years) undergoing a planned elective spinal surgery for correction of adult degenerative scoliosis were reviewed for this study. Preoperative baseline depression was assessed using the validated KDS that was administered by a board-certified geriatrician. KDS is made up of 11 questions with a maximum of 11 points (No-Depression = KDS <4, Depression = KDS ≥4). The primary outcomes of this study were complication rates, duration of hospital stay, ambulation ability, and follow-up visual analog scale (VAS) scores at 6 weeks, 3 months, and 6 months after hospital discharge. Results Of the 92 patients, 20 of them (21.7%) were found to have a KDS ≥4. Baseline demographics and comorbidities were similar between both cohorts. Intraoperative variables and complications were similar between both cohorts. There were no significant differences in postoperative complications including length of hospital stay. There was no significant difference in ambulation abilities including preoperative gait speed (P = 0.38), days from operation to ambulation (P = 0.86), steps on first day of ambulation (P = 0.57), and steps before hospital discharge (P = 0.35). There was no significant difference between the cohorts in VAS scores at baseline (P = 0.19), 6 weeks (P = 0.91), 3 months (P = 0.58), and 6 months (P = 0.97) after hospital discharge. Conclusions Our study found no difference in complication rates, ambulation abilities, and follow-up VAS scores between patients with and without depression using preoperative KDS.
KW - Ambulation
KW - Geriatric
KW - Koenig Depression Scale
KW - Scoliosis
KW - Spine surgery
UR - http://www.scopus.com/inward/record.url?scp=85028711542&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85028711542&partnerID=8YFLogxK
U2 - 10.1016/j.wneu.2017.07.165
DO - 10.1016/j.wneu.2017.07.165
M3 - Article
C2 - 28826716
AN - SCOPUS:85028711542
SN - 1878-8750
VL - 107
SP - 471
EP - 476
JO - World neurosurgery
JF - World neurosurgery
ER -