Association between Psychological Status and Functional Outcome in Surgically Managed Fractures around Hip in Geriatric Patients - A Prospective Study
https://doi.org/10.5704/MOJ.2107.004
- Author:
Bishnoi S
1
;
Huda N
1
;
Islam SMU
1
;
Pant A
1
;
Agarwal S
1
;
Dholariya R
1
Author Information
1. Department of Orthopaedics, Teerthanker Mahaveer University Medical College and Research Centre, Moradabad, India
- Publication Type:Journal Article
- Keywords:
geriatric, hip fractures, psychological status, depression, anxiety
- From:Malaysian Orthopaedic Journal
2021;15(No.2):18-25
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Fractures around the hip in the geriatric
population not only lead to functional but also psychological
impairment. Psychiatric disturbances can be associated with
poor participation in rehabilitation, increased risk of falling
again, and higher rates of mortality. The present study was
undertaken to assess the association between the
psychological status and functional outcome of surgically
managed elderly Indian patients who had sustained fractures
around the hip.
Materials and methods: The present study was a hospital
based prospective, single centre study. One hundred and two
geriatric patients who had sustained hip fracture and had
been managed surgically, having no cognitive dysfunction,
living independently, having unhindered walking capability
before the fracture, were included in the study. They were
called for follow-up at 3rd, 6th, and 12th month after the hip
surgery. Psychological assessment was done by the Hospital
Anxiety and Depression Scale (HADS) and functional
outcome by using the Harris hip score (HHS).
Results: Our study did not show association between
psychological status and functional outcome except in one
sub-group. Significant correlation was observed between the
psychological status and functional outcome in most of the
patients in the extra-capsular group. We have identified
improvement in the depression, anxiety and functional
scores during the follow-up.
Conclusion: We conclude that psychiatric disturbances in a
geriatric patient after undergoing a surgery for hip fracture
may lead to poor recovery. We recommend that all such
geriatric patients should undergo a psychological assessment
and proper therapy should be instituted to achieve good
functional recovery
- Full text:16.2021my1170.pdf
