Is depression associated with functional recovery after hip fracture in the elderly?

Atay, İnci Meltem; Aslan, Ahmet; Burç, Halil; Demirci, Demir; Atay, Tolga

doi:10.1016/j.jor.2015.02.001

Cited by 22 publications

(15 citation statements)

References 19 publications

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“…The results are consistent with prior studies demonstrating that longer periods of depressive symptoms after hip fracture are associated with greater decreases in physical function . Yet, the results diverge from prior research and show temporal trends illustrating nonlinear effects of persistent depressive symptom on gait speed over time.…”

Section: Discussionsupporting

confidence: 80%

“…Depressive symptoms develop in approximately 50% of the many older adults who annually experience a hip fracture, an acute medical event that is associated with excess morbidity and mortality . Research has consistently demonstrated that postfracture depressive symptoms are associated with greater functional disability . Therefore, depressive symptoms are an important sequela and their deleterious impact on functional recovery may account (in part) for why 50–75% of hip fracture patients never regain their prefracture physical function .…”

Section: Introductionmentioning

confidence: 99%

“…Research has consistently demonstrated that postfracture depressive symptoms are associated with greater functional disability . Therefore, depressive symptoms are an important sequela and their deleterious impact on functional recovery may account (in part) for why 50–75% of hip fracture patients never regain their prefracture physical function . Depressive symptoms after hip fracture are dynamic, but existing research has largely evaluated the transient effects of depressive symptoms measured at 1 point in time …”

Section: Introductionmentioning

confidence: 99%

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Persistence of depressive symptoms and gait speed recovery in older adults after hip fracture

Rathbun

Shardell

Stuart

et al. 2018

Int J Geriat Psychiatry

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Persistence of depressive symptoms and gait speed recovery in older adults after hip fracture

Rathbun

Shardell

Stuart

et al. 2018

Int J Geriat Psychiatry

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“…These findings suggest that the recovery programmes for a patient after a hip fracture should not solely focus on the physical aspects and that practitioners can potentially make a meaningful impact on a patient's recovery by attending to social factors. Hip fracture management should not be limited to only surgery and physical rehabilitation, but social support and psychiatric disorders could also be addressed as needed (Atay, Aslan, Burc, Demirci, & Atay, 2016 (Allegrante et al, 2007;Cobey et al, 1976;Cree et al, 2001;Cresci, 2001;Magaziner et al, 1990;Oh & Feldt, 2000) and 2 did not (Egan et al, 1992;Marottoli et al, 1992).…”

Section: Implications and Future Directionsmentioning

confidence: 99%

Understanding the role of social factors in recovery after hip fractures: A structured scoping review

Auais

Zoubi²,

Matheson

et al. 2019

Health Soc Care Community

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Poor recovery among older adults with hip fractures can occur despite successful surgical repair and rehabilitation, suggesting other factors might play a role in recovery, such as social factors. The aim of this scoping review was to provide an overview of the literature on the role of social factors in older adult's recovery after hip fracture. This review followed the York Framework and its modifications and recent reporting guidelines. Two independent researchers searched main medical databases (CINAHL, EMBASE, Medline, PsycINFO and the Cochrane libraries) from inception to June 2017, for studies investigating social factors and recovery post hip fracture. Studies were excluded if they were qualitative, perspective papers or if participants were < 65 years or they were not living in the community. We screened 2,503 unique abstracts in total and 19 studies fulfilled the inclusion criteria. Social factors investigated in the included studies were social support, socioeconomic factors and living arrangement. We classified outcomes in the studies into three subgroups: physical functional recovery, mortality and other outcomes (pain, hospital length of stay and quality of life). We found evidence that social support and socioeconomic factors (e.g. socioeconomic status) were significantly associated with an increase in functional recovery, a decrease in mortality and other outcomes, but conflicting evidence was found for the effect of one's living arrangement. Only two included studies were randomised controlled trials. To conclude, social factors, such as social support and socioeconomic status, affect physical functional recovery and mortality in older adults with hip fractures. However, this is an under researched area that lacks rigorously designed studies and would benefit from more studies with rigorous designs.

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“…Therefore, we can say that a vicious circle of low ADL is created between pre-existing depression and an increase in depression that feelings of inadequacy when performing daily activities can produce. The Geriatric Depression Scale (GDS) may be a valuable instrument by which to assess depression [49]. Depression was observed more often in females and those who had lost their spouses [11].…”

Section: Depressionmentioning

confidence: 99%

The Psychological Health of Patients and their Caregivers

Falaschi

Eleuteri

2020

Practical Issues in Geriatrics

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Hip-fracture (HF) patients are among the most vulnerable of hospitalised patients. The associated caregiving rehabilitation task often falls to a member of the patient’s family. Informal caregivers are an important resource for elderly patients suffering from a hip fracture because they play a key role during their recovery. A mutual relationship seems to exist between the patient’s psychological well-being and the caregiver’s burden, so that improvements in the state of health of the one boost that of the other, and vice versa. This datum confirms the importance of using a bio-psycho-social approach when dealing with both patients and caregivers and evaluating the HF patient’s and caregiver’s psychological status. In this chapter, we illustrate why the psychological status of patients and their caregivers is important in the management and outcome of hip fracture, how it should be assessed and how it could be positively influenced by the orthogeriatric team.

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Is depression associated with functional recovery after hip fracture in the elderly?

Abstract: This study results showed that depression had a negative effect on the daily activity level of these cases.

Cited by 22 publications

References 19 publications

Persistence of depressive symptoms and gait speed recovery in older adults after hip fracture

Persistence of depressive symptoms and gait speed recovery in older adults after hip fracture

Understanding the role of social factors in recovery after hip fractures: A structured scoping review

The Psychological Health of Patients and their Caregivers

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