Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases
Abstract Background Patients with traumatic injuries are often accompanied by emotional disorders, which seriously impede functional gains. The objective of this study was to identify the prevalence and risk factors associated with underlying anxiety and depression in orthopaedic trauma patients. Me...
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| Format: | Article |
| Language: | English |
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BMC
2020-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-020-02132-4 |
| _version_ | 1818473124693278720 |
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| author | Yun Yang Ting-ting Tang Mei-ru Chen Mao-ying Xiang Ling-li Li Xiao-ling Hou |
| author_facet | Yun Yang Ting-ting Tang Mei-ru Chen Mao-ying Xiang Ling-li Li Xiao-ling Hou |
| author_sort | Yun Yang |
| collection | DOAJ |
| description | Abstract Background Patients with traumatic injuries are often accompanied by emotional disorders, which seriously impede functional gains. The objective of this study was to identify the prevalence and risk factors associated with underlying anxiety and depression in orthopaedic trauma patients. Methods From July 2015 to December 2017, all orthopaedic trauma patients were included in the retrospective study. Patients with conditions that might affect cognitive impairment were excluded from the study. Basic demographic data were collected. All patients were screened for emotional disorders on admission using a simple questionnaire called “Huaxi Emotional-Distress Index” (HEI). Bivariate analyses and logistic regression were used to identify the factors associated with a HEI score of > 8. Results One hundred and sixty-two patients (8.1%) had a HEI score of > 8. About 1.0% of enrolled patients had severe emotional disorders (HEI score ≥ 17). The reasons caused by emotional disorders in patients with orthopaedic trauma were a higher Injury Severity Score (ISS), a higher visual analogue score (VAS) and type of surgery. On logistic regression, marital status was a protective factor for emotional disorders, while VAS and ISS were the risk factors for emotional disorders. Conclusions Although a significantly low percentage of orthopaedic trauma patients in our setting have emotional disorders, traumatic orthopaedic surgeons still need to pay attention to the risk of emotional disorders and integrate effective screening tools into clinical practice to screen for these factors and stratify emotional disorders. Appropriate targeted psychological intervention and treatment should be adopted according to the stratification of emotional disorders. |
| first_indexed | 2024-04-14T04:17:42Z |
| format | Article |
| id | doaj.art-b0c12a3090fd4ea1a1bb73383c7c4d8d |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-14T04:17:42Z |
| publishDate | 2020-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-b0c12a3090fd4ea1a1bb73383c7c4d8d2022-12-22T02:12:43ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-12-011511710.1186/s13018-020-02132-4Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 casesYun Yang0Ting-ting Tang1Mei-ru Chen2Mao-ying Xiang3Ling-li Li4Xiao-ling Hou5Department of Orthopaedics, West China Hospital, Sichuan UniversityDepartment of Orthopaedics, West China Hospital, Sichuan UniversityDepartment of Orthopaedics, West China Hospital, Sichuan UniversityDepartment of Orthopaedics, West China Hospital, Sichuan UniversityDepartment of Orthopaedics, West China Hospital, Sichuan UniversityDepartment of Orthopaedics, West China Hospital, Sichuan UniversityAbstract Background Patients with traumatic injuries are often accompanied by emotional disorders, which seriously impede functional gains. The objective of this study was to identify the prevalence and risk factors associated with underlying anxiety and depression in orthopaedic trauma patients. Methods From July 2015 to December 2017, all orthopaedic trauma patients were included in the retrospective study. Patients with conditions that might affect cognitive impairment were excluded from the study. Basic demographic data were collected. All patients were screened for emotional disorders on admission using a simple questionnaire called “Huaxi Emotional-Distress Index” (HEI). Bivariate analyses and logistic regression were used to identify the factors associated with a HEI score of > 8. Results One hundred and sixty-two patients (8.1%) had a HEI score of > 8. About 1.0% of enrolled patients had severe emotional disorders (HEI score ≥ 17). The reasons caused by emotional disorders in patients with orthopaedic trauma were a higher Injury Severity Score (ISS), a higher visual analogue score (VAS) and type of surgery. On logistic regression, marital status was a protective factor for emotional disorders, while VAS and ISS were the risk factors for emotional disorders. Conclusions Although a significantly low percentage of orthopaedic trauma patients in our setting have emotional disorders, traumatic orthopaedic surgeons still need to pay attention to the risk of emotional disorders and integrate effective screening tools into clinical practice to screen for these factors and stratify emotional disorders. Appropriate targeted psychological intervention and treatment should be adopted according to the stratification of emotional disorders.https://doi.org/10.1186/s13018-020-02132-4AnxietyDepressionPrevalenceRisk factorsOrthopaedic trauma |
| spellingShingle | Yun Yang Ting-ting Tang Mei-ru Chen Mao-ying Xiang Ling-li Li Xiao-ling Hou Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases Journal of Orthopaedic Surgery and Research Anxiety Depression Prevalence Risk factors Orthopaedic trauma |
| title | Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases |
| title_full | Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases |
| title_fullStr | Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases |
| title_full_unstemmed | Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases |
| title_short | Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases |
| title_sort | prevalence and association of anxiety and depression among orthopaedic trauma inpatients a retrospective analysis of 1994 cases |
| topic | Anxiety Depression Prevalence Risk factors Orthopaedic trauma |
| url | https://doi.org/10.1186/s13018-020-02132-4 |
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