Centre for Policy on Ageing
 

 

Outcomes following acute hospital care for stroke or hip fracture
 — how useful is an assessment of anxiety or depression for older people?
Author(s)John Bond, Barbara Gregson, Monica Smith
Journal titleInternational Journal of Geriatric Psychiatry, vol 13, no 9, September 1998
Pagespp 601-610
KeywordsStroke ; Fractures ; Discharge [hospitals] ; Dementia ; Depression.
AnnotationThe association between severe life events and mental health outcomes following acute hospital care for older patients with acute stroke or fractured neck of femur was examined in this UK study. A total of 642 patients admitted to hospital with an acute stroke (268) or hip fracture (374) participated in the study. Results showed that 47% of 6-month survivors of stroke or hip fracture living at home had a possible psychiatric illness: dementia (13%), anxiety or depression (41%). Fifty-seven percent had severe or very severe disability and 48% experienced additional life events after hospital admission. Severe disability was strongly associated with a higher prevalence of anxiety or depression. Social contact was associated with a lower prevalence of anxiety or depression and social support network type was strongly associated with depression but not anxiety. Number of severe life events was associated with anxiety but not depression. The study concluded that disability is probably a more robust outcome measure than assessments of mental health for older people in uncontrolled studies. (AKM).
Accession NumberCPA-981112404 A
ClassmarkCQA: CUF: LD:QKJ: EA: ENR

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