Impact of Demographic and Hospital Environmental Variables on Postoperative PROMIS Depression Anxiety and Anger Short form in Patients Undergone Fracture Elective Surgery

Aim: So far, several studies have been evaluated in foreign countries via Patient-Reported Outcomes Measurement Information System (PROMIS) initiatives. PROMIS is a research tool for the evaluation of orthopedic disorders and is preferred for short-term and long-term performance. Fractured patients face many problems during a hospital stay, such as unhygienic wards, staff’s behavior, no hospital support, and a lot of expenditure, which adversely affects their social and mental status. Therefore, the Patient-Reported Outcome Measures (PROMs) capture the health status of patients that making it a more important tool in the health-care evaluation. Thus, the study aimed to assess the level of depression anxiety and anger by measuring the T-score of the same in hospitalized fractured patients with other factors during a hospital stay. Purpose/Hypothesis: The purpose of this study was to examine the association between PROMIS depression anxiety and anger with the atmosphere of the hospital, fracture conditions, and demographics. We believe that these variables play an important role in the quality of life of patients after having fractures and that they had to remain in the hospital unexpectedly. Study Design: This was a cross-sectional pilot study among fractured patients based on hospital environment. Materials and Methods: PROM assessment tool was used to measure depression anxiety and anger domains having seven and five items categorized as mild, moderate, and severe based on T-score. Results: A total of 113 patient’s response was obtained. The mean age was 34.84 years. Seventy-two patients were male (63.71%) and 41 patients (32.28%) were female. The mean and standard deviation (SD) of PROM T-score depression, anxiety, and anger was 57.67 (13.60), 50.56(11.47), and 57.08 (15.49), respectively. PROMIS anger and PROMIS anxiety were significantly correlated in many factors. Depression and anxiety were correlated in male patients. Anger and anxiety were significant in patients facing hospital hygiene and no support from the hospital ( P = 0.008 and 0.05). Conclusion: PROM is an emerging tool to diagnose the level of depression anxiety and anger the patient faces during the hospital stay. Demographical factors like nuclear family and reason for fracture also play a significant role in anger and anxiety. Hospital hygiene significantly plays an important role in depression anxiety and anger in fracture patients.