TY - JOUR
T1 - Number of Comorbidities Negatively Influence Psychological Outcomes of the Elderly Following Hip Fracture in Taiwan
AU - Huang, Yueh Fang
AU - Liang, Jersey
AU - Shyu, Yea Ing Lotus
N1 - Publisher Copyright:
© The Author(s) 2016.
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Objective: Hip fracture usually affects psychological functions of the elderly, and comorbidities often interfere with their recovery. However, little is known about the influence of number of comorbidities on their psychological outcomes. Method: Data from a previous study of 461 hip-fractured elders treated at a medical center in northern Taiwan were analyzed by the generalized estimating equation approach. Outcomes were assessed at 1, 3, 6, 12 months following discharge by the Geriatric Depression Scale (GDS), Mini-Mental State Examination, and two subscales of the Medical Outcomes Study Short Form 36: role limitations due to emotional problems, and Mental Health (MH). Results: Hip-fractured elders with more comorbidities were more likely to have cognitive impairment (β = 0.224, p =.004), higher GDS scores (β = 0.328, p =.001), and worse MH (β = '1.784, p =.009) during the first year following discharge. Discussion: Having more comorbidities negatively influenced the psychological outcomes of elderly patients with hip fracture.
AB - Objective: Hip fracture usually affects psychological functions of the elderly, and comorbidities often interfere with their recovery. However, little is known about the influence of number of comorbidities on their psychological outcomes. Method: Data from a previous study of 461 hip-fractured elders treated at a medical center in northern Taiwan were analyzed by the generalized estimating equation approach. Outcomes were assessed at 1, 3, 6, 12 months following discharge by the Geriatric Depression Scale (GDS), Mini-Mental State Examination, and two subscales of the Medical Outcomes Study Short Form 36: role limitations due to emotional problems, and Mental Health (MH). Results: Hip-fractured elders with more comorbidities were more likely to have cognitive impairment (β = 0.224, p =.004), higher GDS scores (β = 0.328, p =.001), and worse MH (β = '1.784, p =.009) during the first year following discharge. Discussion: Having more comorbidities negatively influenced the psychological outcomes of elderly patients with hip fracture.
KW - comorbidities
KW - elderly
KW - hip fracture
KW - psychological outcomes
UR - http://www.scopus.com/inward/record.url?scp=84991810044&partnerID=8YFLogxK
U2 - 10.1177/0898264315618922
DO - 10.1177/0898264315618922
M3 - 文章
C2 - 26786859
AN - SCOPUS:84991810044
SN - 0898-2643
VL - 28
SP - 1343
EP - 1361
JO - Journal of Aging and Health
JF - Journal of Aging and Health
IS - 8
ER -