在社区居住的老年人髋部骨折后的抑郁和功能恢复。

IF 3.3 Q2 GERIATRICS & GERONTOLOGY Journal of Frailty & Aging Pub Date : 2024-01-01 DOI:10.14283/jfa.2024.67

F Remelli, M C Ferrara, F Triolo, M Belvederi Murri, G Caruso, G Bellelli, S Volpato, C Trevisan

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引用次数: 0

摘要

抑郁症对老年人髋部骨折后功能恢复的影响尚不清楚。我们旨在研究抑郁与老年髋部骨折住院患者 4 个月功能恢复之间的关系。我们对 2021 年 1 月至 2022 年 2 月期间在多中心 "Gruppo Italiano di Ortogeriatria "网络内的老年骨科病房住院的老年髋部骨折患者进行了纵向队列研究。根据患者病史对抑郁症进行了回顾性评估。功能状况不佳是指 4 个月后累积行走评分≤4。样本包括 154 名患者（72.1% 为女性，平均年龄 81.9 岁）。25.3%的参与者有抑郁症病史。抑郁与较高的功能恢复不良几率独立相关（OR = 2.94，95%CI：1.15 - 7.85）。抑郁症预示着髋部骨折后功能恢复较差。识别和治疗抑郁症可促进老年骨科患者更好地恢复身体机能。

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Depression and Functional Recovery after Hip Fracture in Community-Dwelling Older Adults.

The impact of depression on functional recovery in older adults following hip fracture is unclear. We aimed to examine the association between depression and 4-month functional recovery of older inpatients with hip fracture. We conducted a longitudinal cohort study on older hip fracture patients admitted to an Orthogeriatric Unit between January 2021 and February 2022 within the multicenter "Gruppo Italiano di Ortogeriatria" network. Depression was assessed retrospectively from patient medical history. Poor functional status was a Cumulated Ambulation Score ≤4 after 4 months. The sample included 154 patients (72.1% females, mean age 81.9). A history of depression was reported in 25.3% of participants. Depression was independently associated with higher odds of poor functional outcome (OR = 2.94, 95%CI: 1.15 - 7.85). Depression predicts a poorer functional recovery after hip fracture. The identification and treatment of depression might promote better physical recovery in orthogeriatric patients.

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来源期刊

Journal of Frailty & Aging GERIATRICS & GERONTOLOGY-

CiteScore

5.90

自引率

7.70%

发文量

期刊介绍： The Journal of Frailty & Aging is a peer-reviewed international journal aimed at presenting articles that are related to research in the area of aging and age-related (sub)clinical conditions. In particular, the journal publishes high-quality papers describing and discussing social, biological, and clinical features underlying the onset and development of frailty in older persons. The Journal of Frailty & Aging is composed by five different sections: - Biology of frailty and aging In this section, the journal presents reports from preclinical studies and experiences focused at identifying, describing, and understanding the subclinical pathophysiological mechanisms at the basis of frailty and aging. - Physical frailty and age-related body composition modifications Studies exploring the physical and functional components of frailty are contained in this section. Moreover, since body composition plays a major role in determining physical frailty and, at the same time, represents the most evident feature of the aging process, special attention is given to studies focused on sarcopenia and obesity at older age. - Neurosciences of frailty and aging The section presents results from studies exploring the cognitive and neurological aspects of frailty and age-related conditions. In particular, papers on neurodegenerative conditions of advanced age are welcomed. - Frailty and aging in clinical practice and public health This journal’s section is devoted at presenting studies on clinical issues of frailty and age-related conditions. This multidisciplinary section particularly welcomes reports from clinicians coming from different backgrounds and specialties dealing with the heterogeneous clinical manifestations of advanced age. Moreover, this part of the journal also contains reports on frailty- and age-related social and public health issues. - Clinical trials and therapeutics This final section contains all the manuscripts presenting data on (pharmacological and non-pharmacological) interventions aimed at preventing, delaying, or treating frailty and age-related conditions.The Journal of Frailty & Aging is a quarterly publication of original papers, review articles, case reports, controversies, letters to the Editor, and book reviews. Manuscripts will be evaluated by the editorial staff and, if suitable, by expert reviewers assigned by the editors. The journal particularly welcomes papers by researchers from different backgrounds and specialities who may want to share their views and experiences on the common themes of frailty and aging.The abstracting and indexing of the Journal of Frailty & Aging is covered by MEDLINE (approval by the National Library of Medicine in February 2016).