Association between Psychological Status and Functional Outcome in Surgically Managed Fractures around Hip in Geriatric Patients - A Prospective Study
| العنوان: | Association between Psychological Status and Functional Outcome in Surgically Managed Fractures around Hip in Geriatric Patients - A Prospective Study |
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| المؤلفون: | S. K. Agarwal, Ajay Pant, Sandeep Bishnoi, Ravi Dholariya, Najmul Huda, Smu Islam |
| المصدر: | Malaysian Orthopaedic Journal, Vol 15, Iss 2, Pp 18-25 (2021) Malaysian Orthopaedic Journal |
| بيانات النشر: | Malaysian Orthopaedic Association, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, geriatric, psychological status, Hospital Anxiety and Depression Scale, Medicine, Orthopedics and Sports Medicine, Psychological testing, Original Study, Prospective cohort study, Depression (differential diagnoses), Hip surgery, Orthopedic surgery, Hip fracture, business.industry, medicine.disease, anxiety, Harris Hip Score, hip fractures, depression, Emergency Medicine, Physical therapy, Anxiety, Surgery, medicine.symptom, business, RD701-811 |
| الوصف: | 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. Material 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. |
| اللغة: | English |
| تدمد: | 1985-2533 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6a698a8612a419ff0be320f80afd285c https://www.morthoj.org/2021/v15n2/hip-fractures-in-geriatric.pdf |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....6a698a8612a419ff0be320f80afd285c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19852533 |
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