Psychiatric morbidity and outcome in elderly patients undergoing emergency hip surgery: A one-year follow-up study
| Autor: | K. O'Connell, K. Shamash, M. Lowy, Cornelius Katona |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Hip surgery
medicine.medical_specialty Hip fracture Activities of daily living One year follow up business.industry medicine.disease Psychological evaluation Psychiatry and Mental health medicine Dementia Geriatrics and Gerontology Cognitive impairment Psychiatry business Depression (differential diagnoses) |
| Zdroj: | International Journal of Geriatric Psychiatry. 7:505-509 |
| ISSN: | 1099-1166 0885-6230 |
| DOI: | 10.1002/gps.930070709 |
| Popis: | Fifty consecutive elderly patients undergoing emergency hip surgry were assessed shortly after operation and again one year later. Depressive symptoms, cognitive impairment, global physical ill-health and activity of daily living (ADL) function were assessed and their predictive effect on outcome investigated. Mortality was predicted by the presence of both depression and dementia as well as by physical ill-health. The effect of depression on mortality was independent of concurrent physical illness. Mortality was particularly high in subjects with both depression and dementia. Length of hospital stay was predicted by increased age and the presence of dementia. Psychiatric evaluation may thus be relevant to the postoperative management of elderly patients undergoing emergency hip surgery. |
| Databáze: | OpenAIRE |
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