Predictors of incident depression after hip fracture surgery

Richard C Oude Voshaar, Sube Banerjee, Mike Horan, Robert Baldwin, Neil Pendleton, Rebekah Proctor, Nick Tarrier, Yvonne Woodward, Alistair Burns

    Research output: Contribution to journalArticlepeer-review

    Abstract

    OBJECTIVE:: Depression after hip fracture surgery is prevalent and associated with increased mortality rates and impaired functional recovery. The incidence of new-onset depressive symptoms in patients initially not depressed after hip fracture surgery and their relationship with functional recovery is unknown. METHODS:: A cohort of 139 nondepressed elderly patients (>60 years) hospitalized for hip fracture surgery were followed up for six months. Clinically significant depressive symptoms were defined as a score of 7 or more on the 15-item Geriatric Depression Scale. RESULTS:: The authors found a cumulative incidence rate of 20.5% adjusted for dropouts. Multiple Cox-regression analyses yielded the presence of subthreshold symptoms of depression, anxiety, pain, and cognitive impairment at baseline, the premorbid level of mobility, and a history of (treated) depression as risk factors for incident depression (p
    Original languageEnglish
    Pages (from-to)807-814
    Number of pages7
    JournalAmerican Journal of Geriatric Psychiatry
    Volume15
    Issue number9
    DOIs
    Publication statusPublished - Sept 2007

    Keywords

    • Depression
    • Elderly
    • Hip fracture
    • Incidence
    • Prospective

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