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Interdisciplinary intervention reduced the risk of being persistently depressive among older patients with hip fracture
Author(s) -
Tseng MingYueh,
Shyu YeaIng L,
Liang Jersey,
Tsai WenChe
Publication year - 2016
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12617
Subject(s) - medicine , hip fracture , rehabilitation , depressive symptoms , randomized controlled trial , odds ratio , physical therapy , intervention (counseling) , geriatrics , gerontology , cognition , psychiatry , osteoporosis
Aim To assess the effects of an interdisciplinary intervention on the trajectories of depressive symptoms among older patients during 2 years after hip fracture surgery. Methods A secondary analysis of data from a randomized controlled trial that contrasted usual care with an interdisciplinary program. Whereas usual care ( n = 77) entailed only in‐hospital rehabilitation and occasional discharge planning, the interdisciplinary program ( n = 76) consisted of geriatric consultation, in‐hospital rehabilitation, discharge planning and rehabilitation at home for 3 months after hospitalization. Depressive symptoms were assessed by using the C hinese version of the G eriatric D epression S cale short‐form, before discharge, and 1, 3, 6, 12, 18 and 24 months after discharge. Covariates included demographic attributes, pre‐fracture performance of activities of daily living ( C hinese B arthel I ndex) and cognitive functioning ( M ini‐ M ental S tate E xamination). Results Changes in depressive symptoms can be characterized by three trajectory groups, including a non‐depressive group (n = 58, 37.8%), a marginally depressive group (n = 46, 30.7%) and a persistently depressive group (n = 49, 31.5%). Relative to those who received usual care, participants in the interdisciplinary program had a significantly lower risk of being in the persistently depressive group (odds ratio 0.23, P < 0.05). In addition, women and those physically and cognitively more impaired were more likely to be in the marginally and persistently depressive groups. Conclusions Our interdisciplinary intervention reduced older persons' likelihood of having persistent depressive symptoms after hip fracture surgery. Geriatr Gerontol Int 2016; 16: 1145–1152.