[The role of depression in rehabilitation of geriatric patients with hip fracture].
The effect of depression on the rehabilitation course of 64 geriatric inpatients with hip fracture was examined. At the beginning of treatment 38.5% had a depressive disorder according to GDS-15. After 3 weeks it was still 32%, although in 7 patients the GDS-score had decreased. Additionally, 18% had a cognitive disorder (MMSE<24). There was a correlation between depression and Barthel-Index at the start of treatment (58.4; SD 14.7 vs 48.3; SD 21.8; ANOVA; p<0.01), Barthel-Index at discharge (86.1; SD 13.1 vs 75.0; SD 25.11; ANOVA; p<0.01), mobility measured by timed "Up and Go" (Chi(2); p<0.01) and the number of prescribed drugs, as equivalent for severity of somatic diseases. Treatment of depression was inadequate in the beginning and at follow-up. Treated patients had a better outcome than untreated.
Müller-Thomsen
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Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany. muellert@uke-uni-hamburg.de
Tabrizian
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Mittermeier
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O
D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D000928:Antidepressive Agents / Q000627:therapeutic use; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D005858:Germany; D006620:Hip Fractures / Q000523:psychology* / Q000534:rehabilitation*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008609:Mental Status Schedule; D009042:Motivation; D010555:Personality Inventory; D012803:Sick Role; D016896:Treatment Outcome
D000928:Antidepressive Agents