Abstract：
OBJECTIVE: To determine the impact of comorbid depression on readmission after vestibular schwannoma resection.
METHODS: Retrospective database analysis.
METHODS: National database of readmitted patients.
METHODS: The Nationwide Readmission Database (NRD) was retrospectively reviewed for patients with history of vestibular schwannoma, identified by International Classification of Disease, Ninth Revision (ICD-9) code 225.1 and ICD-10 code D33.3, who underwent surgical resection (ICD-9 04.01, ICD-10-PCS 00BN0ZZ) in 2020.
METHODS: Therapeutic.
METHODS: Need for rehabilitation, need for procedures, length of stay, cost of readmission, and insurance status.
RESULTS: A total of 1997 patients were readmitted after resection of vestibular schwannoma in 2020. Of these patients, 290 had history of a comorbid depressive disorder.A significantly higher proportion of patients with history of comorbid depression were transferred to a rehabilitation facility after readmission (11.30% versus 4.30%, p < 0.001). Length of stay (p = 0.227) and total readmission cost (p = 0.723) did not differ significantly, but a significantly lower proportion had private insurance (55.40% versus 64.40%, p = 0.027).
CONCLUSIONS: Depression is associated with higher utilization of postoperative rehabilitation services and higher rates of medical comorbidities, and should be considered during preoperative evaluation.
METHODS: Retrospective database analysis.
METHODS: National database of readmitted patients.
METHODS: The Nationwide Readmission Database (NRD) was retrospectively reviewed for patients with history of vestibular schwannoma, identified by International Classification of Disease, Ninth Revision (ICD-9) code 225.1 and ICD-10 code D33.3, who underwent surgical resection (ICD-9 04.01, ICD-10-PCS 00BN0ZZ) in 2020.
METHODS: Therapeutic.
METHODS: Need for rehabilitation, need for procedures, length of stay, cost of readmission, and insurance status.
RESULTS: A total of 1997 patients were readmitted after resection of vestibular schwannoma in 2020. Of these patients, 290 had history of a comorbid depressive disorder.A significantly higher proportion of patients with history of comorbid depression were transferred to a rehabilitation facility after readmission (11.30% versus 4.30%, p < 0.001). Length of stay (p = 0.227) and total readmission cost (p = 0.723) did not differ significantly, but a significantly lower proportion had private insurance (55.40% versus 64.40%, p = 0.027).
CONCLUSIONS: Depression is associated with higher utilization of postoperative rehabilitation services and higher rates of medical comorbidities, and should be considered during preoperative evaluation.
摘要：
目的：确定共病抑郁对前庭神经鞘瘤切除术后再入院的影响。
方法：回顾性数据库分析。
方法：国家再入院患者数据库。
方法：对全国再入院数据库（NRD）中具有前庭神经鞘瘤病史的患者进行回顾性分析，由国际疾病分类确定，第九次修订（ICD-9）代码225.1和ICD-10代码D33.3，他们在2020年接受了手术切除（ICD-904.01，ICD-10-PCS00BN0ZZ）。
方法：治疗。
方法：需要康复，需要程序，逗留时间,再入院成本，和保险状况。
结果：在2020年切除前庭神经鞘瘤后，共有1997例患者再次入院。在这些病人中,290人患有共病抑郁症。有共患抑郁症病史的患者在再次入院后被转移到康复机构的比例明显更高(11.30%对4.30%,p<0.001)。住院时间(p=0.227)和总再入院费用(p=0.723)没有显著差异,但私人保险的比例明显较低(分别为55.40%和64.40%，p=0.027)。
结论：抑郁症与更高的术后康复服务利用率和更高的医疗合并症相关，术前评估时应予以考虑。
方法：回顾性数据库分析。
方法：国家再入院患者数据库。
方法：对全国再入院数据库（NRD）中具有前庭神经鞘瘤病史的患者进行回顾性分析，由国际疾病分类确定，第九次修订（ICD-9）代码225.1和ICD-10代码D33.3，他们在2020年接受了手术切除（ICD-904.01，ICD-10-PCS00BN0ZZ）。
方法：治疗。
方法：需要康复，需要程序，逗留时间,再入院成本，和保险状况。
结果：在2020年切除前庭神经鞘瘤后，共有1997例患者再次入院。在这些病人中,290人患有共病抑郁症。有共患抑郁症病史的患者在再次入院后被转移到康复机构的比例明显更高(11.30%对4.30%,p<0.001)。住院时间(p=0.227)和总再入院费用(p=0.723)没有显著差异,但私人保险的比例明显较低(分别为55.40%和64.40%，p=0.027)。
结论：抑郁症与更高的术后康复服务利用率和更高的医疗合并症相关，术前评估时应予以考虑。
