Role of depression and its associating factors in indoor orthopaedic patients

Abstract

Background and Objectives: Depression has acknowledged and well documented, is common among orthopaedic inpatients may be associated with functional outcomes. Authors aimed to investigate the role, prevalence and associating factors of depression disorder in orthopaedic inpatients. Materials and Methods: A cross-sectional study is designed among patients that admitted at Sri Aurobindo Medical College and P. G. Institute, Indore. Four hundred twenty six orthopedic patients were recruited for study. The demographic and clinical measurements were recorded. Levels of depression were assessed by using Zung's depression scale. Results: Depressive disorder was identified in 87.6% indoor patients significantly (p<0.001) influenced female more than male. The mean depression score in female (67.37±11.75) was significantly higher than male (62.29±12.20). The prevalence of extreme/major depression in female (46.6%) was higher as compared to male (25.7%). Type of trauma was found significantly (p<0.05) associated with depressive disorder. 38.1% male with traumatic condition and 20.0% with non-traumatic condition had moderate depression in comparison to 31.4% and 13.6% female. Depressive disorder was found significantly associated with sex (p<0.001), socio-economic status (p<0.001), length of ortho-illness (p<0.001), length of stay in hospital (p<0.001), exercise/yoga (p<0.05) and type of injury (p<0.05). Conclusions: Higher incidence of depressive disorder recorded in female. Prevention and treatment require more clinical and research attention to reduce the public health burden of depression. The study suggested that higher depressive disorder does occur in indoor orthopaedic patients that associated with various functional outcomes. This study supports the view of depressive disorder was disabling factor in better functional recovery and frequent in female after orthopedic trauma.

Prevalence of Depression and Anxiety and Associated Factors among Patients Visiting Orthopedic Outpatient Clinic at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2017

“…This was in line with a study conducted at china (AOR=2.74) [24]. This study was supported by studies conducted in Jordan, Hong Kong, Pakistan and India [9,20,25,29].…”

“…On the other hand the finding of this study on prevalence of depression was lower than a study conducted at US 42% [18] and another study in US 45% [19] in UK 50% [11] and in India 87.6% [20]. Note: α = 0.05; * P-value<0.05; ** P-value<0.01; *** P-value<0.001…”

“…Step Chi-square df Sig. This difference might be attributed to time point the studies conducted which was a long-term study after injury in US [18], measurement tool which was beck depression inventory(BDI) used in US [19], study subjects who were post-operative patients in a study conducted at UK [11] and indoor orthopedic patients in a study conducted at India [20].…”

The psychological impact of long bone fractures in KwaZulu-Natal, South Africa: A cross-sectional study

“…It may also include feelings of sadness, anxiety, apathy, lethargy, hopefulness, worthlessness, guilt, irritability or restlessness. 8 Depressed people are likely to lose interest in activities that once were pleasurable, have trouble concentrating, remembering details or making decisions and may contemplate or attempt suicide. Twenty five percent of patients over the age of 65 sustaining long bone fractures may never regain their previous levels of mobility resulting in stress and anxiety.…”

Prevalence of depression and anxiety and associated factors among geriatric orthopedic trauma inpatients: A cross-sectional study

“…Throughout the lifespan, orthopedic trauma patients are often accompanied by anxiety and depression. In previous studies, the incidence of anxiety was 4.8%-39.8%[ 1 - 3 ] and the incidence of depression was 22.3%-87.6%[ 1 , 2 , 4 , 5 ]. From the perspective of age stratification, anxiety and depression are common in elderly people.…”