Fractures in the Elderly
Conditions
Keywords
Fragility fracture, Anxiety, Depression, Surgery
Brief summary
Patients who present with falls and fractures can experience increased symptoms of depression and anxiety due to the trauma of falling, hospitalisation and surgery. Additionally after surgery, patients may be limited in their mobility, resulting in a loss in their independence which can lead to further feelings of frustration and helplessness. In this study the investigators want to know how common this problem is among older people who are admitted to hospital with broken bones and subsequently receiving surgery. The investigators will use a questionnaire called the Hospital Anxiety and Depression Scale (HADS) to explore this. We will recruit 60 patients for this study, 30 participants who received operative management and a further 30 participants who did not receive surgery for comparison. Patients who are not able to consent to the study or those who are not able to complete the questionnaire will not be recruited. The investigators will collect routine data from the patients to provide a description of the patients. Patients will complete the HADS questionnaire once during their hospital stay and then in 1 month's time. The investigators will contact patients through telephone for the 1 month follow up. This study will enable the investigators to determine how common are the symptoms of anxiety and depression among this group of patients. This will help raise awareness of the problem which may prompt further intervention and management plan to address this important issue.
Interventions
PROCEDURESurgical management of fracture
Surgical management of fracture
OTHERNo intervention
No intervention
Sponsors
University of Southampton
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 65 years and above * Received operative or non-operative management of fragility fracture * Able to provide written consent
Exclusion criteria
* Patients receiving end of life care * Patients with known diagnosis of severe dementia and/ or lack capacity to consent * Non-fragility fracture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Anxiety and Depression Scale | This will be measured at baseline and at 1 month follow up. | The Hospital Anxiety and Depression scale (HADS) consists of 14 items split into two 7-item subscales for anxiety (HADS-A) and depression (HADS-D), each scored 0-3, with subscale totals ranging from 0 to 21; scores of 0-7 are normal, 8-10 borderline, and 11-21 indicating an abnormal score that will trigger further clinical assessment for anxiety and/or depression. |
Countries
United Kingdom
Contacts
PRINCIPAL_INVESTIGATORStephen Lim, BM, MRCP (UK), PhD
University of Southampton
Outcome results
None listed