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      Number of Comorbidities Negatively Influence Psychological Outcomes of the Elderly Following Hip Fracture in Taiwan

      1 , 2 , 3
      Journal of Aging and Health
      SAGE Publications

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          Abstract

          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.

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          “Mini-mental state”

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            Longitudinal data analysis using generalized linear models

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              Prevalence and predictors of depression in populations of elderly: a review.

              To offer an update on prevalence and predictors of old age depression in populations of elderly Caucasians. The databases MEDLINE and Psychinfo were searched and relevant literature from 1993 onwards was reviewed. The prevalence of major depression ranges from 0.9% to 9.4% in private households, from 14% to 42% in institutional living, and from 1% to 16% among elderly living in private households or in institutions; and clinically relevant depressive symptom 'cases' in similar settings vary between 7.2% and 49%. The main predictors of depressive disorders and depressive symptom cases are: female gender, somatic illness, cognitive impairment, functional impairment, lack or loss of close social contacts, and a history of depression. Depression is frequent in populations of elderly. Methodological differences between the studies hinder consistent conclusions about geographical and cross-cultural variations in prevalence and predictors of depression. Improved comparability will provide a basis for consistent conclusions.
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                Author and article information

                Journal
                Journal of Aging and Health
                J Aging Health
                SAGE Publications
                0898-2643
                1552-6887
                December 2016
                July 08 2016
                December 2016
                : 28
                : 8
                : 1343-1361
                Affiliations
                [1 ]Chang Gung University of Science and Technology, Taoyuan, Taiwan
                [2 ]University of Michigan, Ann Arbor, USA
                [3 ]Chang Gung University, Taoyuan, Taiwan
                Article
                10.1177/0898264315618922
                de47fdb9-0b08-4575-a3a1-5ea672661101
                © 2016

                http://journals.sagepub.com/page/policies/text-and-data-mining-license

                History

                Molecular medicine,Neurosciences
                Molecular medicine, Neurosciences

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