A short comprehensive assessment to predict outcome of elderly patients after hip fracture

Pautex, Sophie; Jacques, Marie-Claire; Sant, Aditya; Herrmann, François; Chevalley, Thierry

doi:10.1007/bf03324583

Cited by 8 publications

(8 citation statements)

References 25 publications

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“…In our study, manifestations of depression and anxiety were very frequent in our group of patients. In fact, 55.8% of the patients were depressed, slightly higher than in the rest of the patients, and similar findings to previous studies (Pautex et al, 2012).…”

Section: Discussionsupporting

confidence: 92%

“…Older patients tended to report less anxiety, headaches and their pain was less affected by mental stress than younger patients. Depression and anxiety are described in up to 40%-50% of fibromyalgia patients (Pautex et al, 2012). In our study, manifestations of depression and anxiety were very frequent in our group of patients.…”

Section: Discussionsupporting

confidence: 56%

“…This study has characterise the biodemographic, clinical and therapeutic data of a large sample of patients with fibromyalgia in patients over 65 years of age in routine clinical practice. Most studies of the prevalence of fibromyalgia have included individuals of very different ages, from 15 years to old age, without specifying the results in older people (Santos et al., 2010), and specific studies of fibromyalgia in the elderly are small samples, no more than 40 patients (Pautex et al., 2012; Santos et al., 2010; Yunus et al., 1988).…”

Section: Discussionmentioning

confidence: 99%

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Fibromyalgia in the elderly: A large outpatient sample

Gómez-Argüelles

Garcia‐Martos

Alonso

et al. 2022

Musculoskeletal Care

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Fibromyalgia is a syndrome characterised by chronic widespread pain, often associated with symptoms other than pain, such as fatigue, sleep disturbances, morning stiffness, anxiety and depression (Wolfe et al., 1990). It is a disease with a very high prevalence in the world population, estimated to reach 5% of the population (Siracusa et al., 2021). Diagnosis is based on clinical criteria. In 1990, the American College of Rheumatology (ACR) established classification criteria for fibromyalgia, thus standardising clinical and research protocols (Wolfe et al., 1990), which were subsequently modified by the ACR itself (Wolfe et al., 2010).Despite its high prevalence, there are very few studies that

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

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Fibromyalgia in the elderly: A large outpatient sample

Gómez-Argüelles

Garcia‐Martos

Alonso

et al. 2022

Musculoskeletal Care

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“…Age, gender, pre-morbid functional status, pre-existing comorbidities, residential status, poor cognition and delirium all can affect patient outcomes after hip fracture [4,[12][13][14][15]. The co-occurrence of depression and pre-exisiting dementia in these patients has an adverse effect on mobility, functional outcomes and survival [4,7].…”

Section: Introductionmentioning

confidence: 99%

Perioperative Depression in Older Patients after Hip Fracture

Michelle¹

2014

J Geriatr Palliat Care

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Aim: Depression in patients after hip fracture has adverse effects on patient outcomes. This study aimed to identify the prevalence of perioperative depression and the risk factors which predispose patients undergoing emergency hip surgery to perioperative depression. Methods:A cross-sectional study was conducted in hip fracture survivors in an orthogeriatric unit in Western Australia, from 2005 to 2008. Patients were categorized as depressed if Geriatric Depression Scale (GDS) score was five or above. Linear regression was used to analyze the association between age and GDS. Modifying effect of dementia was examined using likelihood ratio test.Results: Depression was present in 18.3% of 1127 patients within two weeks after hip fracture. Mean age was 81.2 years. Prevalence of perioperative depression was highest in the old-old (24.1%) and in patients with pre-existing dementia (64.8%). Advancing age, prefracture institutionalization, use of gait aids, poor physical status, and dementia were associated with higher GDS scores, but not gender or perioperative delirium. The association between increasing depressive symptoms and advancing age was significant in patients without dementia but not in patients with dementia. Conclusions:Depressive symptoms were common during perioperative care for emergency hip surgery. Depression was highly prevalent in patients with dementia after hip fracture regardless of their age. Pre-morbid patient factors may help to identify those patients at risk for depression and should be addressed to optimize rehabilitation participation and outcomes.

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“…One study reported that depression was the most significant predictor of length of stay in a rehabilitation center (Hershkovitz, Kalandariov, Hermush, Weiss, & Brill, 2007), and others have shown that depression together with cognitive impairment predicts an increased likelihood of longer hospital stays and discharge to a nursing home (Lenze et al, 2004). In contrast, one group showed that only cognitive function and not depression predicted nursing home admission following hip fracture (Pautex, Jacques, Sant, Herrmann, & Chevalley, 2005), and neither predicted length of stay in an Italian study (Zanocchi et al, 2002). Longer stays in hospital and readmissions have considerable financial cost, thus identifying and treating factors such as depression, which may influence these rates, will have important cost as well as quality-of-life implications.…”

mentioning

confidence: 99%

New-Onset Depression Following Hip Fracture Is Associated With Increased Length of Stay in Hospital and Rehabilitation Centers

et al. 2015

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This article examines the coincident effects of new-onset depression post hip fracture on length of hospital stay, readmission rates, and incidence of infections in older adults. Participants were 101 hip fracture patients aged 60+ years; 38 developed depressive symptoms following their fracture. Infection rates, readmissions to hospital and rehabilitation units, and length of hospital stay were assessed over the 6 months post hip fracture from hospital and general practitioner notes. Patients who developed depression by Week 6 post fracture were likely to spend more time in hospital/rehabilitation wards ( p = .02) and more likely to be discharged to a rehabilitation unit ( p < .05). There were no group differences in readmissions or infection rates. New-onset depression coincident with hip fracture in older adults is associated with longer hospital ward stays and greater need for rehabilitation.

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A short comprehensive assessment to predict outcome of elderly patients after hip fracture

Abstract: A short comprehensive assessment completed a few days after a hip fracture is useful in predicting length of stay and risk of nursing home admission.

Cited by 8 publications

References 25 publications

Fibromyalgia in the elderly: A large outpatient sample

Fibromyalgia in the elderly: A large outpatient sample

Perioperative Depression in Older Patients after Hip Fracture

New-Onset Depression Following Hip Fracture Is Associated With Increased Length of Stay in Hospital and Rehabilitation Centers

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