Perioperative Depression in Older Patients after Hip Fracture
Journal Title: Journal of Geriatrics and Palliative Care - Year 2013, Vol 1, Issue 1
Abstract
Aim: Depression in patients after hip fracture has adverse effects on patient outcomes. This study aimed to identify the prevalence of perioperative depression and the risk factors which predispose patients undergoing emergency hip surgery to perioperative depression. Methods: A cross-sectional study was conducted in hip fracture survivors in an orthogeriatric unit in Western Australia, from 2005 to 2008. Patients were categorized as depressed if Geriatric Depression Scale (GDS) score was five or above. Linear regression was used to analyze the association between age and GDS. Modifying effect of dementia was examined using likelihood ratio test. Results: Depression was present in 18.3% of 1127 patients within two weeks after hip fracture. Mean age was 81.2 years. Prevalence of perioperative depression was highest in the old-old (24.1%) and in patients with pre-existing dementia (64.8%). Advancing age, prefracture institutionalization, use of gait aids, poor physical status, and dementia were associated with higher GDS scores, but not gender or perioperative delirium. The association between increasing depressive symptoms and advancing age was significant in patients without dementia but not in patients with dementia. Conclusions: Depressive symptoms were common during perioperative care for emergency hip surgery. Depression was highly prevalent in patients with dementia after hip fracture regardless of their age. Pre-morbid patient factors may help to identify those patients at risk for depression and should be addressed to optimize rehabilitation participation and outcomes.
Authors and Affiliations
Michelle Lai
Keywords
Related Articles
- EP ID EP203921
- DOI 10.13188/2373-1133.1000002
- Views 105
- Downloads 0
Number and Necessity of Tests Performed In the Last Week of Life of a Cancer Patient
Introduction: During the last few months of life patients often suffer from significant psychological and physical distress. Studies in the past have found that the amount of tests conducted on a patient tends to increas...
Dying in Nursing Homes and Long Term Care: A Mini-Review
Little is known about end-of-life conditions in Long Term Care (LTC) facilities. Comparatively, palliative care has expanded considerably into the Nursing Home (NH) setting in recent years: U. S. NH-hospice residents has...
A Pilot to Investigate the Feasibility of Mobile Cognitive Assessment of elderly patients and caregivers in the home
Background:The number of older adults with Alzheimer’s disease (AD) has been steadily increasing and is likely to triple by 2050. Parallel increases in AD and informal AD caregivers who experience their own physical and...
Efficacy of Atypical Antipsychotics to Treat Behavioral and Psychological Symptoms of Dementia in Nursing Home Residents: A Systematic Review of the Evidence from Randomized Controlled Trials
Background: Both behavioral and psychological symptoms of dementia and the use of atypical antipsychotics among nursing home residents with dementia are epidemic. However, the evidence from systematic reviews and randomi...
Skin Angiosarcoma Masquerading as Hematoma in an Elderly Woman
A 78 year old Caucasian, bed-bound, nursing home female,presented with non-tender, violaceous, indurated plaques of the skin of her anterior left thigh. Patient’s past medical history was significant for coronary artery...