Al-Qurayshi Z, Rossi-Meyer M, Shama MA, Williams AM, Bayon R, and Kandil E. Presentation and Outcomes of Otolaryngologic Surgeries in Patients With Mental Illness History. Ann Otol Rhinol Laryngol 2022.
The Annals of otology, rhinology, and laryngology
BACKGROUND: Describe the epidemiology and characteristics of patients with a history of mental illness undergoing otolaryngologic procedures.
METHODS: A retrospective cross-sectional analysis utilizing the Nationwide Readmissions Database, 2010 to 2015. The study sample included adult (≥18 years) patients undergoing otolaryngologic procedures.
RESULTS: A total of 146 182 patients were included, 18.3% with mental illness history. The prevalence of patients who required otolaryngologic surgeries with history of mental illness increased significantly from 14.9% in 2010 to 25.0% in 2015 (P < .001). Mental illness diagnoses included: depression (6.9%), anxiety (5.8%), alcohol dependence (4.2%), substance dependence (2.9%), bipolar disorder (1.4%), memory disorders (1.2%), delusional disorders (0.6%), self-harm (0.1%). Patients with a history of mental illness were more likely to be <65 years, female, and have multiple comorbidities (P < .05 each). Patients with history of mental illness had a higher risk of complications [OR:1.59, 95% CI:1.50,1.69, P < .001].
CONCLUSIONS: Patients with a history of mental illness are increasingly encountered in otolaryngology service. This study provides an epidemiological perspective that warrants increasing clinical investigation of this subpopulation.
ePub ahead of print