Key result
Comprehensive care featuring both psychological and physical interventions reduces the risk of postoperative depression and alleviates depressive symptoms in elderly hip fracture patients compared to usual care.
Why the study?
New-onset depression after hip fracture in the elderly has an increasing incidence and negative impact on recovery, but a synthesized evaluation of its risk factors, associated outcomes, and optimal interventions was needed.
What are the risk factors, associated clinical outcomes, and optimal interventions for postoperative hip fracture depression in older patients?
Systematic Review
What are the risk factors, associated clinical outcomes, and optimal interventions for postoperative hip fracture depression in older patients?
Comprehensive care and interdisciplinary interventions are suggested to mitigate the poor clinical outcomes associated with new-onset depression after hip fracture surgery in older patients.
Supports integrating comprehensive psychological-physical care into elderly hip fracture pathways; extends evidence for multimodal perioperative interventions.
BACKGROUND: Hip fracture in the elderly is a worldwide medical problem. New-onset depression after hip fracture has also received attention because of its increasing incidence and negative impact on recovery. AIM: To provide a synthesis of the literature addressing two very important questions arising from postoperative hip fracture depression (PHFD) research: the risk factors and associated clinical outcomes of PHFD, and the optimal options for intervention in PHFD. METHODS: We searched the PubMed, Web of Science, EMBASE, and PsycINFO databases for English papers published from 2000 to 2021. RESULTS: Our results showed that PHFD may result in poor clinical outcomes, such as poor physical function and more medical support. In addition, the risk factors for PHFD were summarized, which made it possible to assess patients preoperatively. Moreover, our work preliminarily suggested that comprehensive care may be the optimal treatment option for PHFDs, while interdisciplinary intervention can also be clinically useful. CONCLUSION: We suggest that clinicians should assess risk factors for PHFDs preoperatively, and future research should further validate current treatment methods in more countries and regions and explore more advanced solutions.
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Qin et al. (2021) conducted a systematic review in Postoperative hip fracture depression (PHFD). Comprehensive care and interdisciplinary interventions vs. Usual care was evaluated. Comprehensive care featuring both psychological and physical interventions reduces the risk of postoperative depression and alleviates depressive symptoms in elderly hip fracture patients compared to usual care.
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