{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T18:18:27Z","timestamp":1759515507542},"reference-count":50,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To (1) describe the prevalence of psychiatric illness in fracture patients \u226570 years of age and (2) investigate the association between psychiatric illness and complications requiring unplanned readmission in elderly patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective cohort study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients\/participants:<\/jats:title>\n            <jats:p>One thousand one hundred eighty-six patients \u226570 years of age with surgically treated fractures and \u22651-month follow-up treated from 2012 to 2017.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>None.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main outcome measure:<\/jats:title>\n            <jats:p>Complication requiring unplanned readmission.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Forty-four percent of patients \u226570 years of age have psychiatric comorbidities, and of those, 34% had &gt;1 diagnosis. There was a higher rate of readmission among patients with psychiatric diagnosis compared with those without psychiatric diagnosis (35% vs. 21%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). There was a higher prevalence of psychiatric illness among patients 70 years of age or older compared with patients less than 70 years of age (44% vs. 39%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.007). Multivariate regression analysis controlling for age, sex, Charlson Comorbidity Index, dementia, delirium during admission, tobacco use, substance abuse, Injury Severity Score, fracture location, number of procedures, and number of fractures demonstrated an independent association between psychiatric illness and unplanned readmission (adjusted OR 1.54, 95% confidence interval, 1.15\u20132.07, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.003).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Almost half of the elderly patients in the present cohort have psychiatric comorbidities. Furthermore, psychiatric illness is an independent predictor of unplanned readmission, which may have substantial consequences for recovery and cost of care. This emphasizes the need for more attention to these issues in geriatric patient populations and the need to identify means to influence the downstream consequences of these comorbidities.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001371","type":"journal-article","created":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T01:16:20Z","timestamp":1546564580000},"page":"149-154","source":"Crossref","is-referenced-by-count":4,"title":["Psychiatric Illness Is Common in Elderly Fracture Patients"],"prefix":"10.1097","volume":"33","author":[{"given":"Ida L.","family":"Gitajn","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Titus","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Dartmouth Geisel School of Medicine, Hanover, NH; and"},{"name":"Program in Quantitative Biomedical Sciences, Dartmouth Geisel School of Medicine, Hanover, NH."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sand","family":"Mastrangelo","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Dartmouth Geisel School of Medicine, Hanover, NH; and"},{"name":"Program in Quantitative Biomedical Sciences, Dartmouth Geisel School of Medicine, Hanover, NH."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuaibu","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Dartmouth Geisel School of Medicine, Hanover, NH; and"},{"name":"Program in Quantitative Biomedical Sciences, Dartmouth Geisel School of Medicine, Hanover, NH."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Sparks","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Jevsevar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/BOT.0000000000000448","article-title":"Factors predicting mobility and the change in activities of daily living after hip fracture: a 1-year prospective cohort study","volume":"30","author":"Mariconda","year":"2016","journal-title":"J Orthop Trauma."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1093\/aje\/kwg081","article-title":"Changes in functional status attributable to hip fracture: a comparison of hip fracture patients to community-dwelling aged","volume":"157","author":"Magaziner","year":"2003","journal-title":"Am J Epidemiol."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1007\/s00198-004-1740-0","article-title":"Factors associated with mortality and functional disability after hip fracture: an inception cohort study","volume":"16","author":"Alegre-L\u00f3pez","year":"2005","journal-title":"Osteoporos Int."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1097\/BOT.0b013e31821e1261","article-title":"Predictors for ambulatory ability and the change in ADL after hip fracture in patients with different levels of mobility before injury: a 1-year prospective cohort study","volume":"26","author":"Fukui","year":"2012","journal-title":"J Orthop Trauma."},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1093\/gerona\/63.8.867","article-title":"The association of race, gender, and comorbidity with mortality and function after hip fracture","volume":"63","author":"Penrod","year":"2008","journal-title":"J Gerontol A Biol Sci Med Sci."},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1097\/00005131-199611000-00004","article-title":"Dependency after hip fracture in geriatric patients: a study of predictive factors","volume":"10","author":"Koval","year":"1996","journal-title":"J Orthop Trauma."},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"341","DOI":"10.2106\/JBJS.15.00751","article-title":"Psychiatric illness is common among patients with orthopaedic polytrauma and is linked with poor outcomes","volume":"98","author":"Weinberg","year":"2016","journal-title":"J Bone Joint Surg Am."},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"3336","DOI":"10.1007\/s11999-013-3138-9","article-title":"Do psychiatric comorbidities influence inpatient death, adverse events, and discharge after lower extremity fractures?","volume":"471","author":"Menendez","year":"2013","journal-title":"Clin Orthop."},{"key":"R9-20230828","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1097\/00005373-199904000-00024","article-title":"Morbidity and mortality in elderly trauma patients","volume":"46","author":"Tornetta","year":"1999","journal-title":"J Trauma."},{"key":"R10-20230828","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1097\/00005373-200209000-00001","article-title":"Trauma in the elderly: intensive care unit resource use and outcome","volume":"53","author":"Taylor","year":"2002","journal-title":"J Trauma."},{"key":"R11-20230828","doi-asserted-by":"crossref","first-page":"e161","DOI":"10.1097\/BOT.0b013e3182324460","article-title":"Geriatric trauma: demographics, injuries, and mortality","volume":"26","author":"Keller","year":"2012","journal-title":"J Orthop Trauma."},{"key":"R12-20230828","first-page":"813","article-title":"Normal presenting vital signs are unreliable in geriatric blunt trauma victims","volume":"69","author":"Heffernan","year":"2010","journal-title":"J Trauma."},{"key":"R13-20230828","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1097\/00005373-200110000-00022","article-title":"Old age as a criterion for trauma team activation","volume":"51","author":"Demetriades","year":"2001","journal-title":"J Trauma."},{"key":"R14-20230828","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/BOT.0000000000000281","article-title":"Mechanism of injury differentiates risk factors for mortality in geriatric trauma patients","volume":"29","author":"Konda","year":"2015","journal-title":"J Orthop Trauma."},{"key":"R15-20230828","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1177\/000313481207801229","article-title":"Mortality factors in geriatric blunt trauma patients: creation of a highly predictive statistical model for mortality using 50,765 consecutive elderly trauma admissions from the National Sample Project","volume":"78","author":"Hranjec","year":"2012","journal-title":"Am Surg."},{"key":"R16-20230828","doi-asserted-by":"crossref","first-page":"e299","DOI":"10.1097\/BOT.0000000000000615","article-title":"Early predictors of mortality in geriatric trauma patients","volume":"30","author":"Wilson","year":"2016","journal-title":"J Orthop Trauma."},{"key":"R17-20230828","doi-asserted-by":"crossref","first-page":"e230","DOI":"10.1097\/BOT.0000000000000864","article-title":"Survivorship after high-energy geriatric trauma","volume":"31","author":"Gitajn","year":"2017","journal-title":"J Orthop Trauma."},{"key":"R18-20230828","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1016\/j.injury.2017.12.012","article-title":"Is prescribed lower extremity weight-bearing status after geriatric lower extremity trauma associated with increased mortality?","volume":"49","author":"Gitajn","year":"2017","journal-title":"Injury."},{"key":"R19-20230828","doi-asserted-by":"crossref","first-page":"2763","DOI":"10.1093\/eurheartj\/ehl338","article-title":"Depression as an aetiologic and prognostic factor in coronary heart disease: a meta-analysis of 6362 events among 146 538 participants in 54 observational studies","volume":"27","author":"Nicholson","year":"2006","journal-title":"Eur Heart J."},{"key":"R20-20230828","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1037\/0033-2909.131.2.260","article-title":"Anger anxiety, and depression as risk factors for cardiovascular disease: the problems and implications of overlapping affective dispositions","volume":"131","author":"Suls","year":"2005","journal-title":"Psychol Bull."},{"key":"R21-20230828","doi-asserted-by":"crossref","first-page":"1766","DOI":"10.1016\/S0140-6736(01)06803-9","article-title":"Relation between depression after coronary artery bypass surgery and 12-month outcome: a prospective study","volume":"358","author":"Connerney","year":"2001","journal-title":"Lancet."},{"key":"R22-20230828","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1046\/j.1440-1622.2001.02055.x","article-title":"Preoperative depression and mortality in coronary artery bypass surgery: preliminary findings","volume":"71","author":"Baker","year":"2001","journal-title":"ANZ J Surg."},{"issue":"suppl 6","key":"R23-20230828","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1046\/j.1528-1157.2001.05404.x","article-title":"Psychiatric disorders before and after surgery for epilepsy","volume":"42","author":"Inoue","year":"2001","journal-title":"Epilepsia."},{"key":"R24-20230828","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1016\/j.jvs.2006.01.026","article-title":"Increased psychiatric morbidity after abdominal aortic surgery: risk factors for stress-related disorders","volume":"43","author":"Liberzon","year":"2006","journal-title":"J Vasc Surg."},{"key":"R25-20230828","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1097\/00005373-199607000-00002","article-title":"Long-term outcomes after lower extremity trauma","volume":"41","author":"Butcher","year":"1996","journal-title":"J Trauma."},{"key":"R26-20230828","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.2106\/00004623-200309000-00006","article-title":"Psychological distress associated with severe lower-limb injury","volume":"85A","author":"McCarthy","year":"2003","journal-title":"J Bone Joint Surg. Am."},{"key":"R27-20230828","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1136\/bmj.307.6905.647","article-title":"Psychiatric consequences of road traffic accidents","volume":"307","author":"Mayou","year":"1993","journal-title":"BMJ."},{"key":"R28-20230828","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1177\/002580249903900212","article-title":"Psychological consequences of road traffic accidents","volume":"39","author":"Bennun","year":"1999","journal-title":"Med Sci Law."},{"key":"R29-20230828","first-page":"1927","article-title":"Depression in orthopaedic trauma patients: prevalence and severity","volume":"88","author":"Crichlow","year":"2006","journal-title":"J Bone Joint Surg. Am."},{"key":"R30-20230828","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1037\/0021-843X.99.2.127","article-title":"A causal analysis of chronic pain and depression","volume":"99","author":"Brown","year":"1990","journal-title":"J Abnorm Psychol."},{"key":"R31-20230828","first-page":"1725","article-title":"Pain dominates measurements of elbow function and health status","volume":"87","author":"Doornberg","year":"2005","journal-title":"J Bone Joint Surg. Am."},{"key":"R32-20230828","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1016\/j.jhsa.2009.05.016","article-title":"Correlation of DASH and QuickDASH with measures of psychological distress","volume":"34","author":"Niekel","year":"2009","journal-title":"J Hand Surg."},{"key":"R33-20230828","doi-asserted-by":"crossref","first-page":"2820","DOI":"10.1007\/s11999-008-0378-1","article-title":"Disability and psychologic distress in patients with nonspecific and specific arm pain","volume":"466","author":"Vranceanu","year":"2008","journal-title":"Clin Orthop."},{"key":"R34-20230828","doi-asserted-by":"crossref","first-page":"2014","DOI":"10.2106\/JBJS.H.01512","article-title":"Psychosocial aspects of disabling musculoskeletal pain","volume":"91","author":"Vranceanu","year":"2009","journal-title":"J Bone Joint Surg Am."},{"key":"R35-20230828","doi-asserted-by":"crossref","first-page":"e20","DOI":"10.2106\/JBJS.L.00479","article-title":"Psychological factors predict disability and pain intensity after skeletal trauma","volume":"96","author":"Vranceanu","year":"2014","journal-title":"J Bone Joint Surg Am."},{"key":"R36-20230828","first-page":"1801","article-title":"Long-term persistence of disability following severe lower-limb trauma: results of a seven-year follow-up","volume":"87","author":"MacKenzie","year":"2005","journal-title":"J Bone Joint Surg Am."},{"key":"R37-20230828","doi-asserted-by":"crossref","first-page":"1924","DOI":"10.1056\/NEJMoa012604","article-title":"An analysis of outcomes of reconstruction or amputation after leg-threatening injuries","volume":"347","author":"Bosse","year":"2002","journal-title":"N Engl J Med."},{"key":"R38-20230828","doi-asserted-by":"crossref","first-page":"300","DOI":"10.3928\/01477447-20160623-05","article-title":"Frequency of recidivism in patients with orthopedic trauma","volume":"39","author":"Koleszar","year":"2016","journal-title":"Orthopedics."},{"key":"R39-20230828","doi-asserted-by":"crossref","first-page":"1741","DOI":"10.1001\/jama.1994.03520220035028","article-title":"Common mental disorders and disability across cultures: results from the WHO collaborative study on psychological problems in general health care","volume":"272","author":"Ormel","year":"1994","journal-title":"JAMA."},{"key":"R40-20230828","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1097\/PSY.0b013e3181907c1b","article-title":"Associations of depression with C-reactive protein, IL-1, and IL-6: a meta-analysis","volume":"71","author":"Howren","year":"2009","journal-title":"Psychosom Med."},{"key":"R41-20230828","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1186\/1465-9921-14-53","article-title":"Systemic inflammation, depression and obstructive pulmonary function: a population-based study","volume":"14","author":"Lu","year":"2013","journal-title":"Respir Res."},{"key":"R42-20230828","doi-asserted-by":"crossref","first-page":"581976","DOI":"10.1155\/2015\/581976","article-title":"Clinical and biochemical manifestations of depression: relation to the neurobiology of stress","volume":"2015","author":"Gold","year":"2015","journal-title":"Neural Plast."},{"key":"R43-20230828","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1503\/jpn.130158","article-title":"Angiogenesis inhibition and depression in older men","volume":"39","author":"Almeida","year":"2014","journal-title":"J Psychiatry Neurosci."},{"key":"R44-20230828","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.tvjl.2015.04.009","article-title":"The effects of surgery-induced immunosuppression and angiogenesis on tumour growth","volume":"205","author":"Kadosawa","year":"2015","journal-title":"Vet J."},{"key":"R45-20230828","doi-asserted-by":"crossref","first-page":"dju069","DOI":"10.1093\/jnci\/dju069","article-title":"Mechanistic research illuminating connection among depression, stress, and survival","volume":"106","author":"Brower","year":"2014","journal-title":"J Natl Cancer Inst."},{"key":"R46-20230828","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1017\/S1041610200006177","article-title":"Quality adjusted life years in older adults with depressive symptoms and chronic medical disorders","volume":"12","author":"Un\u00fctzer","year":"2000","journal-title":"Int Psychogeriatr."},{"key":"R47-20230828","doi-asserted-by":"crossref","first-page":"3278","DOI":"10.1001\/archinte.160.21.3278","article-title":"Depression and diabetes: impact of depressive symptoms on adherence, function, and costs","volume":"160","author":"Ciechanowski","year":"2000","journal-title":"Arch Intern Med."},{"key":"R48-20230828","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1111\/j.1528-1167.2011.03014.x","article-title":"Psychiatric outcomes of epilepsy surgery: a systematic review","volume":"52","author":"Macrodimitris","year":"2011","journal-title":"Epilepsia."},{"key":"R49-20230828","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1381\/0960892042386922","article-title":"Psychiatric diagnoses and psychiatric treatment among bariatric surgery candidates","volume":"14","author":"Sarwer","year":"2004","journal-title":"Obes Surg."},{"key":"R50-20230828","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/s004640000318","article-title":"Psychiatric disorders affect outcomes of antireflux operations for gastroesophageal reflux disease","volume":"15","author":"Velanovich","year":"2001","journal-title":"Surg Endosc."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00005131-201903000-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T06:49:59Z","timestamp":1693205399000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00005131-201903000-00008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":50,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000001371","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}