Outcomes following acute hospital care for stroke or hip fracture:How useful is an assessment of anxiety or depression for olderpeople?
J. Bond
Bok Engelsk 1998
| Utgitt | 1998
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| Omfang | Side 601- 610
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| Opplysninger | Objective. To investigate the association between severe life eventsand mental health outcomes following acute hospital care for olderpatients with acute stroke or fractured neck of femur.Design. Prospective longitudinal survey of stroke and hip fracturepatients admitted to hospital from admission to 6-month follow-up.Setting. Six district general hospitals, three in the North and threein the South of England.Participants. 642 patients admitted to hospital with an acute stroke(268) or hip fracture (374) resident in a private household at 6months follow-up.Main outcome measures. Hospital Anxiety and Depression Scale,cognitive items of the Survey Psychiatric Assessment Scale,Clackmannan Disability Scale, Severe Life Events Inventory, WengerSocial Support Network Typology.Results. 47% of 6-month survivors of stroke or hip fracture residentin private households had a possible psychiatric illness: dementia(13%), anxiety or depression (41%), 57% had severe or very severedisability and 48% experienced additional life events (17% two ormore) after hospital admission. Severe disability was stronglyassociated with a higher prevalence of anxiety (p < 0.0005) ordepression (p < 0.0001), Social contact was associated with a lowerprevalence of anxiety (p < 0.01) or depression (p < 0.0001) andsocial support network type was strongly associated with depression(p < 0.001) but not anxiety (p = 0.096), Number of severe life eventswas associated with anxiety (p < 0.001) but not depression (p =0.058),Conclusion. Disability is probably a more robust outcome measure thanassessments of mental health for older people in uncontrolledstudies. (C) 1998 John Wiley & Sons, Ltd.
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