Magazine article Clinical Psychiatry News

Depression Hits Many Elderly with Hip Fractures: Rehab Becomes Less Likely

Magazine article Clinical Psychiatry News

Depression Hits Many Elderly with Hip Fractures: Rehab Becomes Less Likely

Article excerpt

CHICAGO -- New-onset depression appears to be common in elderly patients after they experience a hip fracture and is a risk factor for a poorer outcome, Dr. Eric Lenze reported in a poster session at the annual meeting of the American Academy of Physical Medicine and Rehabilitation.

Depressed patients were less likely to fully participate in their rehabilitation program, said Dr. Lenze of Western Psychiatric Institute & Clinic at the University of Pittsburgh. Thus, these patients were less likely to return to their prefracture function level.

Dr. Lenze's prospective study is the first to investigate cognitive and affective factors as predictors of hip fracture recovery. The study followed 79 patients aged 60 and older with hip fractures for 6 months, assessing the association of cognitive impairment with functionality.

The mean age of the patients was 82 years. About 10% of them had a medical comorbidity. The depressed patients had slightly lower prefracture functionality scores than the nondepressed group (79.6 vs. 85.9) when measured with the Functional Independence Measure (FIM).

Thirty-eight percent of the patients (30 people) developed a major or minor depressive disorder during the 6 months after their hip fracture. …

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