title: Using established predictors of post-traumatic stress to explain variations in recovery outcomes among orthopedic patients.
abstract: The present studies examine whether information contained in medical records can be used to predict outcomes following two orthopedic procedures: repair of hip fracture and total knee replacement. Study 1 reports the acute, in-hospital recovery data from the medical records of 119 hip fracture patients. Study 2 is a prospective, longitudinal investigation of 3-month postoperative recovery of 110 total knee replacement patients. Patients characterized by a greater number of post-traumatic stress risk factors experienced poorer outcomes following orthopedic surgery. Our results suggest that patients at risk for negative outcomes can be identified by information readily available to medical personnel.
authors.affiliation: Kent State University at Stark, USA jcremean@kent.edu.
authors.forename: Julie K
authors.initials: JK
authors.lastname: Cremeans-Smith
authors.affiliation: Johns Hopkins University, USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: Contrera
authors.affiliation: Wright Medical Technology, USA.
authors.forename: Leann
authors.initials: L
authors.lastname: Speering
authors.affiliation: Summa Health System, USA.
authors.forename: Eric T
authors.initials: ET
authors.lastname: Miller
authors.affiliation: Summa Health System, USA.
authors.forename: Kiel
authors.initials: K
authors.lastname: Pfefferle
authors.affiliation: Cleveland Clinic, USA.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Greene
authors.affiliation: Summa Health System, USA Kent State University, USA Northeast Ohio Medical University (NEOMED), USA.
authors.forename: Douglas L
authors.initials: DL
authors.lastname: Delahanty
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000523:psychology*; D019645:Arthroplasty, Replacement, Knee / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D020127:Recovery of Function; D012044:Regression Analysis; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology*
keywords: activity; adults; disability; distress; health care; outcomes