Prevalence and association of depression in in-patient orthopaedic trauma patients: A single centre study in India

Kumar, Santosh; Verma, Vikas; Kushwaha, Umesh; Hynes, Emilie J Calvello; Arya, Amit; Agarwal, Abhishek

doi:10.1016/j.jcot.2019.12.010

Cited by 14 publications

(26 citation statements)

References 37 publications

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“…Although the link between depression and chronic pain has been well established [ 26 ], similar research on acute musculoskeletal pain is limited. We found a significant positive association between acute post-traumatic pain and HEI score > 8, which was consistent with the results reported in other literature [ 4 , 27 ]. In our experience, patients were most likely to exhibit catastrophic thinking and became anxious or depressed when in pain, which in turn exacerbated the pain, leading to a vicious cycle.…”

Section: Discussionsupporting

confidence: 93%

“…In our study, the frequency of emotional disorders (HEI score > 8) was 8.1%. Our result was much lower than the prevalence of emotional disorders (anxiety and depression) reported in other studies [ 4 , 10 , 22 , 23 ]. This was likely due to the heterogeneity of the populations studied and the instruments used to measure these psychological parameters [ 24 , 25 ].…”

Section: Discussioncontrasting

confidence: 88%

“…On logistic regression, we found the VAS, ISS and marital status to be associated with a HEI score > 8. A study of multivariable analysis reported that a higher pain score, nuclear family and female sex were associated with depression in orthopaedic trauma patients [ 4 ]. Another study reported that only open fractures had an effect on the presence of depression among injury-specific factors [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…A few studies have found no relationship between depression and ISS [ 4 , 10 ]. However, we found ISS to be significantly positively associated with HEI > 8 score.…”

Section: Discussionmentioning

confidence: 99%

“…Anxiety and depression in orthopaedic trauma patients have been reported to range between 5–35% and 13–56%, respectively [ 1 – 3 ]. Some studies have found that emotional disorder (anxiety or depression) was associated with factors such as pain, nuclear family, female sex [ 4 ], severity of injury [ 5 ], a younger age, lack of social support and use of cannabis [ 6 , 7 ]. Several studies have established these psychological factors adversely affect the outcomes [ 8 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases

et al. 2020

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Background Patients with traumatic injuries are often accompanied by emotional disorders, which seriously impede functional gains. The objective of this study was to identify the prevalence and risk factors associated with underlying anxiety and depression in orthopaedic trauma patients. Methods From July 2015 to December 2017, all orthopaedic trauma patients were included in the retrospective study. Patients with conditions that might affect cognitive impairment were excluded from the study. Basic demographic data were collected. All patients were screened for emotional disorders on admission using a simple questionnaire called “Huaxi Emotional-Distress Index” (HEI). Bivariate analyses and logistic regression were used to identify the factors associated with a HEI score of > 8. Results One hundred and sixty-two patients (8.1%) had a HEI score of > 8. About 1.0% of enrolled patients had severe emotional disorders (HEI score ≥ 17). The reasons caused by emotional disorders in patients with orthopaedic trauma were a higher Injury Severity Score (ISS), a higher visual analogue score (VAS) and type of surgery. On logistic regression, marital status was a protective factor for emotional disorders, while VAS and ISS were the risk factors for emotional disorders. Conclusions Although a significantly low percentage of orthopaedic trauma patients in our setting have emotional disorders, traumatic orthopaedic surgeons still need to pay attention to the risk of emotional disorders and integrate effective screening tools into clinical practice to screen for these factors and stratify emotional disorders. Appropriate targeted psychological intervention and treatment should be adopted according to the stratification of emotional disorders.

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Section: Discussionsupporting

confidence: 93%

Section: Discussioncontrasting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

“…A few studies have found no relationship between depression and ISS [ 4 , 10 ]. However, we found ISS to be significantly positively associated with HEI > 8 score.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases

et al. 2020

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Systematic Review of the Association Between Trauma Severity and Postinjury Symptoms of Depression

et al. 2022

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Background Greater symptoms of depression are associated with greater symptom intensity during recovery from musculoskeletal injury. It is not clear that more severe trauma is associated with greater symptoms of depression as one might expect. The goal of this study was to systematically review the existing evidence regarding the association of Injury Severity Score (ISS) with symptoms of depression during recovery from musculoskeletal injury. Methods Two independent reviewers used PubMed and Embase to identify studies that measured both ISS and symptoms of depression. Among the 17 studies satisfying inclusion criteria, 5 studies assessed the correlation of symptoms of depression and ISS on their continuum; 3 studies compared the mean of symptoms of depression for people above and below a specific ISS level; five compared mean ISS above and below a threshold level of symptoms of depression; and four compared dichotomized ISS and dichotomized depression. Four of the 17 evaluated factors associated with symptoms of depression in multivariable analysis. Results In bivariate analysis, 12 of 17 studies (71%) found no association between ISS level and symptoms of depression. Three studies found a bivariate association that did not persist in multivariable analysis. Two studies reported slight associations in bivariate analysis, but did not perform multivariable analysis. Conclusions The knowledge that symptoms of depression are common during recovery, in combination with the finding of this review that they have little or no relationship with injury severity, directs clinicians to anticipate and address mental health during recovery from physical trauma of any severity.

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Preoperative Depression Screening in Primary Lumbar Fusion: An Evaluation of Its Modifiability on Outcomes in Patients with Diagnosed Depressive Disorder

et al. 2023

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Prevalence and association of depression in in-patient orthopaedic trauma patients: A single centre study in India

Cited by 14 publications

References 37 publications

Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases

Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases

Systematic Review of the Association Between Trauma Severity and Postinjury Symptoms of Depression

Preoperative Depression Screening in Primary Lumbar Fusion: An Evaluation of Its Modifiability on Outcomes in Patients with Diagnosed Depressive Disorder

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