ArticleGeriatric orthopaedic surgery & rehabilitation2021
Depressive Disorders Lead to Increased Complications After Geriatric Hip Fractures.
Article in Geriatric orthopaedic surgery & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- The influence of depression on clinical outcomes of total shoulder arthroplasty: a systematic Review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Perioperative Depression and Anxiety Care in Older Patients: A Randomized Clinical Trial.JAMA network open · 2026Trial
- Association Between Depression and Increased Odds of Inpatient Mortality Following Hip Fracture Repair.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Antidepressant Use and Risk of Reoperation After Distal Radius Open Reduction and Internal Fixation: A Propensity Score-Matched Cohort Study.Journal of hand surgery global online · 2026Article
- Depression screening within 3 months of primary shoulder arthroplasty decreases medical complications, implant complications, and costs of care in patients with diagnosed depressive disorder.Shoulder & elbow · 2025Article
- Associations between baseline pain, depressive symptoms, and unpaid caregiving needs and 1-year postdischarge outcomes among seriously ill older adults admitted for trauma.Trauma surgery & acute care open · 2025Article
- The Effect of Depression on Total Knee Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- The association of pre-existing mental health conditions and patient outcomes after lower extremity orthopaedic trauma: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- The burden of pre-admission pain, depression, and caregiving on palliative care needs for seriously ill trauma patients.Journal of the American Geriatrics Society · 2023Article
- The Effect of Hematocrit on All-Cause Mortality in Geriatric Patients with Hip Fractures: A Prospective Cohort Study.Journal of clinical medicine · 2023Article
- Magnitude and factors associated with postoperative depression among adult orthopedics patients during COVID-19 pandemics: A multi-center cross-sectional study.Frontiers in psychiatry · 2022Article
- The risk factors of heart failure in elderly patients with hip fracture: what should we care.BMC musculoskeletal disorders · 2021Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIntertrochanteric hip fractures are a common injury treated by orthopedic surgeons and the incidence rate is rising. Preoperative depression is a known risk factor for postoperative complications in orthopaedic surgery, however its effects on outcomes after geriatric hip fractures is relatively unknown. The purpose of this study was to investigate the relationship between preoperative depression and potential complications following open reduction internal fixation (ORIF) and intramedullary nailing (IMN) of geriatric hip fractures.
methodsIn this retrospective study, the Truven Marketscan claims database was used to identify patients over age 65 who underwent ORIF or IMN for a hip fracture from January 2009 to December 2019. Patient characteristics, such as medical comorbidities, were collected and from that 2 cohorts were established (one with and one without depression). Chi-squared and multivariate analysis was performed to investigate the association between preoperative depression and common postoperative complications following intertrochanteric hip fracture surgery.
resultsIn total, 78,435 patients were identified for analysis. In those patients with preoperative depression, the complications associated with the greatest increased odds after undergoing ORIF were surgical site infections (OR 1.32; CI 1.23-1.44), ED visit for pain (OR 1.27; CI 1.16-1.39), wound complications (OR 1.26; CI 1.14-1.35), and non-union (OR 1.25; CI 1.17-1.33). In the patients with preoperative depression undergoing IMN, the complications associated with the greatest increased odds after were surgical site infections (OR 1.37; CI 1.31- 1.45), ED visit for pain (OR 1.31; CI 1.19-1.44), wound complications (OR 1.23; CI 1.10-1.39), and pneumonia (OR 1.22; CI 1.10-1.31).
conclusionsPreoperative depression in patients undergoing hip fracture surgery is associated with increased complications. Recognizing a patients' preoperative depression diagnosis can allow physicians to adapt perioperative and postoperative surveillance protocols for these higher risk patients. Further studies are warranted to investigate the degree to which depression is a modifiable risk factor.
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