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Psychiatric morbidity and outcome in elderly patients undergoing emergency hip surgery: A one‐year follow‐up study
Author(s) -
Shamash K.,
O'Connell K.,
Lowy M.,
Katona C. L. E.
Publication year - 1992
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.930070709
Subject(s) - medicine , depression (economics) , dementia , hip fracture , activities of daily living , physical therapy , geriatrics , psychiatry , osteoporosis , disease , economics , macroeconomics
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.