Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma Patients
In an online, survey-based experiment, musculoskeletal surgeon members of the science of variation group (n = 243) and a group of consult-liaison psychiatrists (n = 18) read 5 hypothetical scenarios of patients recovering from musculoskeletal trauma, each containing 5 randomized patient variables, a...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-11-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735241299912 |
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| author | Sean T. Campbell MD Joost T.P. Kortlever MD Amanda M. Franciscus MD Divy Ravindranath MD David Ring MD, PhD Julius A. Bishop MD |
| author_facet | Sean T. Campbell MD Joost T.P. Kortlever MD Amanda M. Franciscus MD Divy Ravindranath MD David Ring MD, PhD Julius A. Bishop MD |
| author_sort | Sean T. Campbell MD |
| collection | DOAJ |
| description | In an online, survey-based experiment, musculoskeletal surgeon members of the science of variation group (n = 243) and a group of consult-liaison psychiatrists (n = 18) read 5 hypothetical scenarios of patients recovering from musculoskeletal trauma, each containing 5 randomized patient variables, and indicated their recommendation for psychiatry consultation or not. Factors associated with recommendation for psychiatry consultation included younger age, history of a psychiatric disorder, and pre-injury use of antipsychotic medications, and scenarios involving psychosis, suicidality, hallucinations in the setting of substance withdrawal, and questionable capacity for informed consent, but not with sadness alone. Musculoskeletal surgeons can collaborate with psychiatrists to develop comprehensive care for inpatients with musculoskeletal trauma starting with relatively pressing mental health needs and perhaps expanding into treatment of sadness or worry that can manifest as greater symptom intensity and a delayed recovery trajectory. |
| format | Article |
| id | doaj-art-a83989ad1a8d476b8c8aa3799e68f98d |
| institution | Kabale University |
| issn | 2374-3743 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj-art-a83989ad1a8d476b8c8aa3799e68f98d2024-11-14T10:03:38ZengSAGE PublishingJournal of Patient Experience2374-37432024-11-011110.1177/23743735241299912Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma PatientsSean T. Campbell MD0Joost T.P. Kortlever MD1Amanda M. Franciscus MD2Divy Ravindranath MD3David Ring MD, PhD4Julius A. Bishop MD5 Department of Orthopaedic Surgery, , Stanford, CA, USA Department of Orthopaedic Surgery, Sint Maartenskliniek Nijmegen, Ubbergen, The Netherlands Department of Psychiatry, , Palo Alto, CA, USA Department of Psychiatry, , Palo Alto, CA, USA Department of Surgery and Perioperative Care, , Austin, TX, USA Department of Orthopaedic Surgery, , Stanford, CA, USAIn an online, survey-based experiment, musculoskeletal surgeon members of the science of variation group (n = 243) and a group of consult-liaison psychiatrists (n = 18) read 5 hypothetical scenarios of patients recovering from musculoskeletal trauma, each containing 5 randomized patient variables, and indicated their recommendation for psychiatry consultation or not. Factors associated with recommendation for psychiatry consultation included younger age, history of a psychiatric disorder, and pre-injury use of antipsychotic medications, and scenarios involving psychosis, suicidality, hallucinations in the setting of substance withdrawal, and questionable capacity for informed consent, but not with sadness alone. Musculoskeletal surgeons can collaborate with psychiatrists to develop comprehensive care for inpatients with musculoskeletal trauma starting with relatively pressing mental health needs and perhaps expanding into treatment of sadness or worry that can manifest as greater symptom intensity and a delayed recovery trajectory.https://doi.org/10.1177/23743735241299912 |
| spellingShingle | Sean T. Campbell MD Joost T.P. Kortlever MD Amanda M. Franciscus MD Divy Ravindranath MD David Ring MD, PhD Julius A. Bishop MD Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma Patients Journal of Patient Experience |
| title | Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma Patients |
| title_full | Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma Patients |
| title_fullStr | Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma Patients |
| title_full_unstemmed | Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma Patients |
| title_short | Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma Patients |
| title_sort | factors associated with psychiatry consultation for musculoskeletal trauma patients |
| url | https://doi.org/10.1177/23743735241299912 |
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