Do depressive symptoms on hospital admission impact early functional outcome in elderly patients with hip fracture?

Raspopović, Emilija Dubljanin; Marić, Nadja P.; Nedeljković, Una; Ilić, Nemanja; Vujadinović, Sanja Tomanović; Bumbaširević, Marko

doi:10.1111/psyg.12049

Cited by 37 publications

(32 citation statements)

References 26 publications

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“…As mentioned before, depression is a common condition among elderly patients with a high prevalence. The 45.8% prevalence found in this study is in keeping with results reported in other studies 2,3,25 . Likewise, Szczerbińska K. et al 26 reported twice-higher prevalence in hospitalized OA compared to OA in asylums.…”

Section: Discussionsupporting

confidence: 93%

Depression and geriatric assessment in older people admitted for hip fracture

et al. 2019

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Background: Depression is common among older people with hip fracture. Aim: To assess depression scores and other mental and physical health variables in older people with and without depression, admitted to a traumatology ward for a hip fracture. Material and Methods: Cross sectional study of older patients admitted for surgical treatment of hip fracture. Demographic, clinical and laboratory variables were recorded. Twelve surveys were applied to assess general wellbeing, mental health, fall risk, nutritional status, basic and instrumental activities of daily living, social resources and depression (using Yesavage Depression Scale). Results: We assessed 310 patients aged 78 (72-83) years, 72% women. Overall depression prevalence was 46% and its frequency was significantly higher in women, people over 81 years of age, diabetics and subjects with anxiety. The Yesavage score in patients with and without depression was 6.5 and 3, respectively. The median number of medications used by patients with and without depression was 3 and 2 (p < 0.01). Conclusions: There is a high frequency of depression in these patients, especially in women and subjects older than 81 years of age. Routine geriatric assessments should be performed in hospitalized older patients with hip fracture. (Rev Med Chile 2019; 147: 1005-1012

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Section: Discussionsupporting

confidence: 93%

Depression and geriatric assessment in older people admitted for hip fracture

et al. 2019

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“…35 The presence of moderate to severe depressive symptoms is known to impact short-and long-term functional outcomes in elderly hip fracture patients. 36 In our cohort, 121 patients (30.1%) had a GDS-15 score that indicated the presence of depressive symptoms. On admission, the only significant difference found between the community-dwelling individuals and nursing home residents was a higher degree of depressive symptoms in the institutionalized participants.…”

Section: Discussionmentioning

confidence: 71%

Association between longitudinal clinical outcomes in patients with hip fracture and their pre‐fracture place of residence

et al. 2019

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Background: Clinical outcomes of patients with proximal femoral fracture within 1 year after hospitalization are presented. In particular, associations between the patients' clinical status and their pre-fracture residence were evaluated (community-dwelling vs nursing home). Methods: Patients aged ≥60 years with proximal femoral fractures were included in a prospective, single-centre observational study and followed for 12 months. Patients' clinical status at baseline was compared to their health status at follow-up 12 months later. Several standardized questionnaires were used to evaluate the patients' functional and cognitive capacity (e.g. Lawton Instrumental Activities of Daily Living Scale, Barthel Index, and Mini-Mental State Examination), mobility (timed up-and-go test, Tinetti Test, and Harris Hip Score), quality of life (EuroQol-5 Dimensions index and EuroQol Visual Analogue Scale), and psychological status (Geriatric Depression Scale).Results: This study included 402 patients (mean age: 81.3 AE 8.2 years, 72% women). Patients stayed in hospital for 13.7 AE 6.1 days on average. The comparison of patients' clinical status at baseline and at 12-month follow-up revealed that the Mini-Mental State Examination and Charlson Comorbidity Index remained unchanged (P = 0.527 and P = 0.705), the level of depression (Geriatric Depression Scale) significantly decreased (P < 0.001), and quality of life (EuroQol-5 Dimensions index) diminished (P < 0.001). Although patients' mobility increased after 12 months (P < 0.001 for timed up-and-go test and Harris Hip Score), their functional capacity was significantly reduced (P < 0.001 for Barthel Index and Lawton Instrumental Activities of Daily Living Scale). Nursing home residents showed a significantly higher impairment at baseline than communitydwelling individuals and less improvement in functional and cognitive tests at 12-month follow-up. Conclusions: Clinical outcomes after hip fracture are significantly associated with patients' pre-fracture residence status. Place of residence as well as functional and cognitive status on admission may lead to differences in functional recovery and affect therapeutic and rehabilitative decisionmaking.

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“…While some studies have found that the presence of depression or depressive symptoms can adversely affect functional outcome after hip-fracture 76,[79][80][81][82][83] , other studies have not shown this association [84][85][86][87] , so uncertainty still exists. The evidence is conflicting, and as the question is still a moot point further investigation is warranted.…”

Section: Depression and Hip Fracturementioning

confidence: 99%

“…Study IV focused on examining the influence depression has on functional outcome and quality of life one year after hip fracture. The findings in the literature are inconclusive, as some studies have found a correlation between depression and poorer functional outcome after hip fracture 76,[79][80][81][82][83] while other studies have not established this link. [84][85][86][87] They suggest that comorbidity 86 , as well as cognitive function and fear of falling 85 affect functional outcome more than depression.…”

Section: Depression and Hip Fracturementioning

confidence: 99%