Depression at baseline did not significantly influence hip function 1 year after acute hip fracture surgery in patients without cognitive dysfunction (adjusted mean difference in Harris Hip Score -0.6, p=0.851).
Cohort (n=162)
No
Does depression influence patient-reported outcomes in hip-fracture patients 1 year after surgery?
Depression may not significantly impact short-term rehabilitation of hip function in young elderly hip fracture patients without cognitive dysfunction.
Mean Difference: -0.6 (95% CI -7–5.8)
Tasa de eventos absoluta: 74% vs 78%
valor p: p=0.851
BACKGROUND: Depression is common in elderly hip-fracture patients and together with cognitive impairment is associated with increased risk of mortality. AIM: We aimed to examine the influence depression has on patient-reported outcome up to 1 year after acute hip fracture. METHODS: 162 hip-fracture patients participated in the prospective observational cohort study and were followed up at baseline, and 3 and 12 months using patient-reported outcome scores. Patients with cognitive impairment were excluded. Depression was defined as a score ≥ 8 on the depression subscale of the Hospital Anxiety Depression Scale (HADS D), having a diagnosis of depression or being treated with anti-depressant medication. Hip function was assessed using Harris Hip Score (HHS), EQ-5D was used to assess health status and Quality of life, and the Pain Numerical Rating Scale (PRNS) was used to assess pain levels. A linear regression model adjusted for group, age, sex, and ASA class was used to identify risk factors for functional outcome 12 months after fracture. RESULTS: 35 patients were included in the depression group versus 127 in the control group. No statistical differences were found in the demographic data (age, sex, ASA class, fracture type, operation method, living situation, activities of daily living ADL and clinical pathway) between the groups. In the regression model, we found no correlation between depression and the patient-reported outcome. CONCLUSION: In young elderly hip fracture patients without cognitive dysfunction, depression may not be of major importance for the rehabilitation of hip function in the short term.
Kelly‐Pettersson et al. (Fri,) conducted a cohort in Acute hip fracture (n=162). Depression vs. No depression was evaluated on Hip function at 12 months assessed by Harris Hip Score (HHS) (MD -0.6, 95% CI -7.0 to 5.8, p=0.851). Depression at baseline did not significantly influence hip function 1 year after acute hip fracture surgery in patients without cognitive dysfunction (adjusted mean difference in Harris Hip Score -0.6, p=0.851).