Journal article
Determinants of Recovery 12 Months after Hip Fracture: The Importance of Psychosocial Factors
American journal of public health (1971), v 79(3), pp 279-286
01 Mar 1989
PMID: 2916712
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The independent contributions to recovery from hip fracture of psychosocial factors including depression, personality, social connectedness, and self-rated health were studied in 219 women age 59 and older (mean age 78.5) who were community dwelling prior to fracture. Initial assessments were conducted shortly after surgery and follow up assessments 2, 6, and 12 months later. By 12 months, 15 patients had died and 15 had entered a nursing home. Substantial declines in physical functioning though not psychosocial status were observed. Only 21 per cent (compared to 81 per cent prefracture) reported walking independently; fewer than 30 per cent had regained reported prefracture levels of physical function. The proportion with elevated depression scores at 12 months was 20 per cent, down from 51 per cent following surgery; 64 per cent rated their health excellent or good at 12 months, up from 43 per cent after surgery. Poor cognitive status and post-surgical self-rated health were predictive of mortality. Among survivors, age, prefracture physical functioning, and cognitive status were associated with recovery in physical function but not psychosocial status. High post-surgery depression scores, but not the other psychosocial factors, were associated with poorer recovery in both functional and psychosocial status. These findings demonstrate the importance of depressive symptoms as one determinant of recovery from hip fracture and support the need to attend to the affective status of hip fracture patients following surgery.
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Details
- Title
- Determinants of Recovery 12 Months after Hip Fracture: The Importance of Psychosocial Factors
- Creators
- Jana Mossey - Drexel UniversityElizabeth MutranKathryn KnottRebecca Craik
- Publication Details
- American journal of public health (1971), v 79(3), pp 279-286
- Publisher
- American Public Health Association
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:A1989T652900007
- Scopus ID
- 2-s2.0-0024550803
- Other Identifier
- 991019184057104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health