Impact of Pre-Fracture Depression on Recovery After Hip Fracture
Author Information
Author(s): Mehta Rhea, Orwig Denise, Chen Chixiang, Dong Yu, Shardell Michelle, Yamashita Takashi, Falvey Jason
Primary Institution: University of Maryland School of Medicine
Hypothesis
Is there an association between pre-fracture depression and days at home after hip fracture among Medicare beneficiaries?
Conclusion
Pre-existing depression is associated with fewer days at home after hip fracture surgery, but this association may be influenced by medical complexities.
Supporting Evidence
- Those with depression spent 11 fewer average days at home compared to those without depression.
- The association was attenuated after adjusting for medical complexities.
Takeaway
Older adults with depression before a hip fracture tend to spend less time at home recovering, but other health issues can change this.
Methodology
Generalized Estimating Equations were used to assess the association between pre-fracture depression and total days at home post-discharge.
Limitations
The association was not significant after adjusting for medical complexities, indicating potential confounding factors.
Participant Demographics
Community-dwelling Medicare fee-for-service beneficiaries aged 65 and older.
Statistical Information
P-Value
p<0.0001
Confidence Interval
95% CI = 0.91, 0.93
Statistical Significance
p<0.0001
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website