Prevalence of depression and anxiety and associated factors among geriatric orthopedic trauma inpatients: A cross-sectional study

Abstract

BACKGROUND Common mental disorders such as anxiety and depression in geriatric orthopedic trauma patients have received little attention in research. AIM To investigate the prevalence of emotional disorders among geriatric orthopedic trauma patients and identify demographic, social and clinical risk factors. METHODS This cross-sectional study was performed in geriatric patients (aged ≥ 60 years, both sexes) with orthopedic trauma admitted to a level I trauma center between May 2015 and December 2017. Demographic, social, and clinical characteristics were described. Huaxi Emotional-Distress Index (HEI) was used to evaluate the severity of anxiety and depression status. Differences in continuous variables were tested using the t -test, and differences in categorical variables were assessed using the Pearson χ 2 test. Binary logistic regression analyses were used to identify the factors associated with a HEI score > 8. RESULTS Among the 966 patients, 487 were male and 479 were female, with a mean age of 70.2 ± 7.1 years. The age ranged from 60 to 90 years. Seventy-five patients had an HEI score > 8, accounting for about 7.8% of all patients. A higher Injury Severity Score (4.17 ± 3.10 vs 7.96 ± 6.68, P < 0.001), higher Visual Analog Score (5.05 ± 1.09 vs 6.89 ±1.23, P < 0.001), number of chronic diseases ( P < 0.001), injury type ( P = 0.038), and education level ( P = 0.001) were significantly associated with HEI score > 8. On logistic regression, a higher education level was a protective factor for emotional disorders ( P = 0.047), whereas Injury Severity Score ( P = 0.024), Visual Analog Score ( P < 0.001), two or more chronic diseases ( P < 0.001) were the related independent risk factors. CONCLUSION Emotional disorders are common in geriatric patients with orthopedic trauma. Clinicians should remain vigilant of emotional disorders in geriatric patients and screen for anxiety and depression in higher risk groups.

The Relationship of Chronic Diseases with Anxiety and Depression in Patients Over 65 Years of Age

“…In a similar study, the rates of depression were found to be higher in the elderly with chronic diseases (31,32). In a study by Chen et al (17), it was found that the presence of 2 or more chronic diseases was positively associated with anxiety and depression levels. Consistent with our study, no relationship was found between depression and chronic illness in a study by Saltan A.…”

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Screening for negative emotions and analysis of related factors among general surgery inpatients: a retrospective cross-sectional study

“…The findings revealed a strong association between depressive and anxiety symptoms with advanced disease and low levels of education. Chen et al’s (2022) involved 966 elderly patients who were receiving trauma treatment at an orthopedic center. The study findings indicated that orthopedic trauma patients with higher education levels had a reduced risk of experiencing anxiety and depression compared to patients who were illiterate.…”

Emotional distress and multimorbidity patterns in Chinese Han patients with osteoporosis: a network analysis

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