Key result
Orthopedic trauma surgery was associated with an increase in the incidence of anxiety (from 11.7% to 19.1%) and depression (from 17.0% to 24.5%) among patients.
Why the study?
Orthopedic trauma patients experience anxiety and depression, and this study aimed to determine their prevalence.
Does orthopedic surgery affect the prevalence of anxiety and depression in orthopedic trauma patients?
Cross-Sectional (n=188)
Yes
Does orthopedic surgery affect the prevalence of anxiety and depression in orthopedic trauma patients?
Absolute Event Rate: 19.1% vs 11.7%
Orthopedic trauma and subsequent surgery are associated with an increase in anxiety and depression levels among patients.
May warrant post-surgical psychological screening in orthopedic trauma; leaves open need for longitudinal studies to confirm causality and guide interventions.
Background and aim: Orthopedic trauma patients experience anxiety and depression, both of which are undesirable psychological issues. The present study aimed was to determine the prevalence of anxiety and depression. Material and Methods: This cross-sectional study was conducted on 188 orthopedic trauma patients in Orthopaedics Department of Federal Govt. Polyclinic Hospital (FGPC) Islamabad and Wah Medical College / POF hospital Wah Cantt from October 2020 to September 2022. Prior to study conduction, ethical approval from research and ethical committee was taken. Informed written consent was obtained from each individual. Social characteristics, demographic details, and clinical examination were recorded. Hospital anxiety and depression scale (HADS) was used for the assessment of patient’s anxiety and depression. SPSS version 26 was used for data analysis. Results: Of the total 188 patients, there were 112 (60%) male and 76 (40%) females. The overall mean age was 46.82 ± 12.94 years with an age range (15-75 years). Age-wise distribution of patients was as follows: 56 (29.8%) in 15-30 years, 44 (23.4%) in 31-45 years, 38 (20.2%) in 46-60 year, and 50 (26.6%) in 61-75 years. Out of 188 orthopedic trauma patients, the incidence of road traffic accident (RTA) and ground fall was 96 (51.1%) and 92 (48.9%) respectively. The incidence of anxiety and depression before and after orthopedic surgery was 22 (11.7%) and 32 (17%) and 36 (19.1%) and 46 (24.5%) respectively. Anxiety and depression on HADS was 4.12 and 5.21 before surgery and increased substantially to 4.62 and 5.81 after surgery. The incidence of single, double, and triple fracture was 162 (85.2%), 24 (12.8%), and 2 (1.1%) respectively. Conclusion: The present study found that orthopedic trauma in the elderly often leads to emotional disorders. Anxiety and depression levels were low before surgery and increased after surgery in orthopedic trauma patients. However, age, poverty, and gender are directly related to anxiety and depression. Patients with geriatric disorders should be monitored closely by clinicians.
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Mehdi et al. (2022) conducted a cross-sectional in Orthopedic trauma (n=188). Orthopedic surgery vs. Before surgery was evaluated on Incidence of anxiety. Orthopedic trauma surgery was associated with an increase in the incidence of anxiety (from 11.7% to 19.1%) and depression (from 17.0% to 24.5%) among patients.
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