Role of Depression in Outcomes of Low-Energy Distal Radius Fractures in Patients Older Than 55 Years

Yeoh, Jane; Pike, Jeffrey M.; Slobogean, Gerard P.; O’Brien, Peter J.; Broekhuyse, Henry M.; Lefaivre, Kelly A.

doi:10.1097/bot.0000000000000514

Cited by 36 publications

(20 citation statements)

References 39 publications

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“…Six of 14 studies that identified depression as a factor associated with the magnitude of disability also provided some form of clinical grading (range; minimal [19%-26%], mild [4%-17%], moderate [5%-17%], severe or major depression [6%-79%]) [15,19,22,43,56,58]. Two of these studies reported patients with depressive symptoms (15% in one study, 29% in the other) and a diagnosis of posttraumatic stress disorder [43,56].…”

Section: Resultsmentioning

confidence: 99%

What Factors Are Associated With Disability After Upper Extremity Injuries? A Systematic Review

Jayakumar¹,

Overbeek

Lamb

et al. 2018

Clin Orthop Relat Res

103

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Section: Resultsmentioning

confidence: 99%

What Factors Are Associated With Disability After Upper Extremity Injuries? A Systematic Review

Jayakumar¹,

Overbeek

Lamb

et al. 2018

Clin Orthop Relat Res

103

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“…However, the association between radiographic parameters and the prognosis of DRF measured with patient-reported outcome measures (PROMs) is obscured with the dorsally displaced DRFs of patients aged 65 or more [10][11][12][13][14][15][16]. More recently, various psychological factors, such as depression, catastrophic thinking related to pain, and anxiety, have been shown to be associated with a decrease in the outcomes of DRF treatment [17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Two casting methods compared in patients with Colles' fracture: A pragmatic, randomized controlled trial

Raittio¹,

Launonen²,

Hevonkorpi³

et al. 2020

PLoS ONE

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BackgroundDistal radius fractures are common fractures and the cornerstone of treatment remains immobilization of the wrist in a cast. At present, there is a scarcity of studies that compare different cast immobilization methods. The objective of the study was therefore to compare volar-flexion and ulnar deviation cast to functional cast position in the treatment of dorsally displaced distal radius fracture among elderly patients. Methods and findingsWe performed a pragmatic, randomized, controlled trial in three emergency centers in Finland. After closed reduction of the fracture, the wrist was placed in either volar-flexion and ulnar deviation cast or functional cast position. The follow-up was 12 months. The primary outcome was patient-rated wrist evaluation (PRWE) score at 12 months. The secondary outcomes were Quick-DASH score, grip strength, health-related quality of life (15D), and pain catastrophizing scale. The number of complications was also recorded. In total, 105 participants were included in the study. Of these, 88% were female and the mean age was 73.5 (range 65-94) years. In the primary analysis, the mean difference in patient-rated wrist evaluation measure between groups was -4.9 (95% CI: -13.1.-3.4., p = .24) in favor of the functional cast position. Operative treatment due to loss of reduction of fracture was performed for four patients (8%) in the FC group and for seven patients (13%) in the volar-flexion and ulnar deviation cast group (OR: 0.63, 95% CI: 0.16-2.1). ConclusionIn this study, the data were consistent with a wide range of treatment effects when comparing two different cast positions in the treatment of distal radius fracture among elderly

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“…Substance use is also ubiquitous among trauma patients 9 10. After injury, mental illness and substance use disorders are associated with higher rates of complications, worse functional outcomes, poor treatment adherence, and an increased risk for later recidivism 2 4 7 8 11–17. Mental illness has also been shown to negatively impact patient satisfaction 18 19.…”

Section: Introductionmentioning

confidence: 99%

Implementing psychosocial programming at a level 1 trauma center: results from a 5-year period

Simske

Rivera

Breslin

et al. 2020

Trauma Surg Acute Care Open

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BackgroundThe primary goal of the present study is to describe the psychosocial support services provided at our institution and the evolution of such programming through time. This study will also report the demographics and injury patterns of patients using available resources.MethodsTrauma Recovery Services (TRS) is a social and psychological support program that provides services and resources to patients and families admitted to our hospital. It includes a number of different services such as emotional coaching from licensed counselors, educational materials, peer mentorship from trauma survivors, monthly support groups, post-traumatic stress disorder (PTSD) screening and programming for victims of crime. Patients using services were prospectively recorded by hired staff, volunteers and students who engaged in distributing programming. Demographics and injury characteristics were retrospectively gathered from patient’s medical records.ResultsFrom May of 2013 through December 2018, a total of 4977 discrete patients used TRS at an urban level 1 trauma center. During the study period, 31.4% of the 15 640 admitted adult trauma patients were exposed to TRS and this increased from 7.2% in 2013 to 60.1% in 2018. During the period of 5.5 years, 3317 patients had ‘direct contact’ (coaching and/or educational materials) and 1827 patients had at least one peer visit. The average number of peer visits was 2.7 per patient (range: 2–15). Of the 114 patients who attended support groups over 4 years, 55 (48%) attended more than one session, with an average of 3.9 visits (range: 2–10) per patient. After the establishment of PTSD screening and Victims of Crime Advocacy and Recovery Program (VOCARP) services in 2017, a total of 482 patients were screened for PTSD and 974 patients used VOCARP resources during the period of 2 years, with substantial growth from 2017 to 2018.ConclusionsHospital-provided resources aimed at educating patients, expanding support networks and bolstering resiliency were popular at our institution, with nearly 5000 discrete patients accessing services during a period of 5.5 years. Moving forward, greater investigation of program usage, development, and efficacy is necessary.Level of evidenceLevel II therapeutic.

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Role of Depression in Outcomes of Low-Energy Distal Radius Fractures in Patients Older Than 55 Years

Abstract: Prognostic Level I. See Instructions for Authors for a complete description of levels of evidence.

Cited by 36 publications

References 39 publications

What Factors Are Associated With Disability After Upper Extremity Injuries? A Systematic Review

What Factors Are Associated With Disability After Upper Extremity Injuries? A Systematic Review

Two casting methods compared in patients with Colles' fracture: A pragmatic, randomized controlled trial

Implementing psychosocial programming at a level 1 trauma center: results from a 5-year period

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