Chen JL, Luo R, Liu M. Prevalence of depression and anxiety and associated factors among geriatric orthopedic trauma inpatients: A cross-sectional study. World J Clin Cases 2022; 10(3): 919-928 [PMID: 35127906 DOI: 10.12998/wjcc.v10.i3.919]
Corresponding Author of This Article
Jia-Lei Chen, MD, PhD, Attending Doctor, Department of Orthopedics, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu 610041, Sichuan Province, China. chenjialei2016@wchscu.cn
Research Domain of This Article
Orthopedics
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 21, 2022; 10(3): 919-928 Published online Jan 21, 2022. doi: 10.12998/wjcc.v10.i3.919
Prevalence of depression and anxiety and associated factors among geriatric orthopedic trauma inpatients: A cross-sectional study
Jia-Lei Chen, Rong Luo, Ming Liu
Jia-Lei Chen, Rong Luo, Ming Liu, Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Chen JL performed study design, data collection and manuscript drafting and revision; Luo R performed data analysis and interpretation; Liu M performed language editing and data collection; all authors have read and approved the manuscript.
Institutional review board statement: This study was reviewed and approved by the Biomedical Research Ethical Committee of West China Hospital of Sichuan University (Approval No. 2020-29).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
Data sharing statement: The data used and/or analyzed during the current study are available from the corresponding author on reasonable request.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jia-Lei Chen, MD, PhD, Attending Doctor, Department of Orthopedics, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu 610041, Sichuan Province, China. chenjialei2016@wchscu.cn
Received: July 18, 2021 Peer-review started: July 18, 2021 First decision: October 16, 2021 Revised: October 22, 2021 Accepted: December 22, 2021 Article in press: December 22, 2021 Published online: January 21, 2022 Processing time: 181 Days and 1.4 Hours
ARTICLE HIGHLIGHTS
Research background
Common mental disorders such as anxiety and depression in geriatric orthopedic trauma patients have received little attention in research.
Research motivation
It is urgent to understand, develop and evaluate evidence-based treatments for anxiety and depression among geriatric orthopedic trauma patients. Before treatment, it is a top priority to establish the psychological characteristics and related factors.
Research objectives
This study aimed to analyze the data of geriatric orthopedic trauma patients from our hospital in order to investigate the prevalence of emotional disorders and identify demographic, social and clinical risk factors.
Research methods
This study was performed in elderly patients aged of 60 years or older with orthopedic trauma admitted to a level I trauma center between May 2015 and December 2017. Demographic, social, and clinical characteristics were described. Huaxi Emotional-Distress Index (HEI) was used to evaluate the severity of anxiety and depression status.
Research results
Among the 966 patients, 75 patients had an HEI score > 8, accounting for about 7.8% of all patients. A higher Injury Severity Score, higher Visual Analog Score, number of chronic diseases, injury type, and education level were significantly associated with HEI score > 8. On logistic regression, a higher education level was a protective factor for emotional disorders, whereas Injury Severity Score, Visual Analog Score, two or more chronic diseases were the related independent risk factors.
Research conclusions
Anxiety and depression are common in geriatric patients with orthopedic trauma. Clinicians should remain vigilant of emotional disorders in geriatric patients and screen for anxiety and depression in higher risk groups.
Research perspectives
Further investigations on larger samples are needed to confirm whether the results of our study are applicable on a broader scale.
