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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fragility fracture receiving surgery | In this group, patients who sustain a fragility fracture and receive surgical intervention will be recruited. |
| |
| Control | In this group, patients who sustain fragility fracture and receive conservative (non-surgical) management will be recruited. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Surgical management of fracture | Procedure | Surgical management of fracture |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospital Anxiety and Depression Scale | 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. | This will be measured at baseline and at 1 month follow up. |
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Inclusion Criteria:
Exclusion Criteria:
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Older adults who are admitted to a tertiary hospital/ major trauma centre with a fragility fracture.
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| Name | Affiliation | Role |
|---|---|---|
| Stephen Lim, BM, MRCP (UK), PhD | University of Southampton | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Academic Geriatric Medicine, University of Southampton | Southampton | Hampshire | SO16 6YD | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24521366 | Background | Frenkel WJ, Jongerius EJ, Mandjes-van Uitert MJ, van Munster BC, de Rooij SE. Validation of the Charlson Comorbidity Index in acutely hospitalized elderly adults: a prospective cohort study. J Am Geriatr Soc. 2014 Feb;62(2):342-6. doi: 10.1111/jgs.12635. Epub 2014 Jan 21. |
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Anonymised data will be made available on the university's online repository.
Start date: September 2024 End date: August 2033
Anyone who is interested in the study may be able to access the data by contacting the study PI.
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| No intervention | Other | No intervention |
|