Yueh-Fang Huang1, Jersey Liang2, Yea-Ing Lotus Shyu3. 1. 1 Chang Gung University of Science and Technology, Taoyuan, Taiwan. 2. 2 University of Michigan, Ann Arbor, USA. 3. 3 Chang Gung University, Taoyuan, Taiwan.
Abstract
OBJECTIVE: Hip fracture usually affects psychological functions of the elderly, and comorbidities often interfere with their recovery. However, little is known about the influence of number of comorbidities on their psychological outcomes. METHOD: Data from a previous study of 461 hip-fractured elders treated at a medical center in northern Taiwan were analyzed by the generalized estimating equation approach. Outcomes were assessed at 1, 3, 6, 12 months following discharge by the Geriatric Depression Scale (GDS), Mini-Mental State Examination, and two subscales of the Medical Outcomes Study Short Form 36: role limitations due to emotional problems, and Mental Health (MH). RESULTS: Hip-fractured elders with more comorbidities were more likely to have cognitive impairment (β = 0.224, p = .004), higher GDS scores (β = 0.328, p = .001), and worse MH (β = -1.784, p = .009) during the first year following discharge. DISCUSSION: Having more comorbidities negatively influenced the psychological outcomes of elderly patients with hip fracture.
OBJECTIVE:Hip fracture usually affects psychological functions of the elderly, and comorbidities often interfere with their recovery. However, little is known about the influence of number of comorbidities on their psychological outcomes. METHOD: Data from a previous study of 461 hip-fractured elders treated at a medical center in northern Taiwan were analyzed by the generalized estimating equation approach. Outcomes were assessed at 1, 3, 6, 12 months following discharge by the Geriatric Depression Scale (GDS), Mini-Mental State Examination, and two subscales of the Medical Outcomes Study Short Form 36: role limitations due to emotional problems, and Mental Health (MH). RESULTS:Hip-fractured elders with more comorbidities were more likely to have cognitive impairment (β = 0.224, p = .004), higher GDS scores (β = 0.328, p = .001), and worse MH (β = -1.784, p = .009) during the first year following discharge. DISCUSSION: Having more comorbidities negatively influenced the psychological outcomes of elderly patients with hip fracture.
Entities:
Keywords:
comorbidities; elderly; hip fracture; psychological outcomes
Authors: Cheryl Gatot; Evan Shern-En Tan; Ming Han Lincoln Liow; Jerry Yongqiang Chen; Meng Ai Png; Mann Hong Tan; Tet Sen Howe; Joyce Suang Bee Koh Journal: Geriatr Orthop Surg Rehabil Date: 2021-08-13
Authors: Ana Kowark; Christian Adam; Jörg Ahrens; Malek Bajbouj; Cornelius Bollheimer; Matthias Borowski; Richard Dodel; Michael Dolch; Thomas Hachenberg; Dietrich Henzler; Frank Hildebrand; Ralf-Dieter Hilgers; Andreas Hoeft; Susanne Isfort; Peter Kienbaum; Mathias Knobe; Pascal Knuefermann; Peter Kranke; Rita Laufenberg-Feldmann; Carla Nau; Mark D Neuman; Cynthia Olotu; Christopher Rex; Rolf Rossaint; Robert D Sanders; Rene Schmidt; Frank Schneider; Hartmut Siebert; Max Skorning; Claudia Spies; Oliver Vicent; Frank Wappler; Dieter Christian Wirtz; Maria Wittmann; Kai Zacharowski; Alexander Zarbock; Mark Coburn Journal: BMJ Open Date: 2018-10-18 Impact factor: 2.692