Qin HC, Luo ZW, Chou HY, Zhu YL. New-onset depression after hip fracture surgery among older patients: Effects on associated clinical outcomes and what can we do? World J Psychiatr 2021; 11(11): 1129-1146 [PMID: 34888179 DOI: 10.5498/wjp.v11.i11.1129]
Corresponding Author of This Article
Yu-Lian Zhu, MD, PhD, Doctor, Professor, Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, No. 12 Wulumuqi road, Jing’an District, Shanghai 200040, China. zyljully@163.com
Research Domain of This Article
Rehabilitation
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Hao-Cheng Qin, Yu-Lian Zhu, Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
Zhi-Wen Luo, Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
Heng-Yi Chou, Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai 200040, China
Author contributions: Qin HC and Luo ZW conducted the original search and wrote the first draft of the paper; Qin HC, Luo ZW ,and Chou HY screened the selected articles and contributed to subsequent drafts of the manuscript; Zhu YL conceived the idea for the study and provided suggestions; Qin HC and Luo ZW made equal contributions to the work.
Conflict-of-interest statement: The authors admitted that there is no conflict of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Lian Zhu, MD, PhD, Doctor, Professor, Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, No. 12 Wulumuqi road, Jing’an District, Shanghai 200040, China. zyljully@163.com
Received: May 17, 2021 Peer-review started: May 17, 2021 First decision: June 23, 2021 Revised: June 25, 2021 Accepted: August 23, 2021 Article in press: August 23, 2021 Published online: November 19, 2021
ARTICLE HIGHLIGHTS
Research background
The number of hip patients is on the rise, while the number of postoperative depressions is also increasing. The coexistence of the two diseases makes it more difficult for patients to recover their mental and physical functions after surgery, making this a worldwide medical problem.
Research motivation
Clinically, we observed that depression after hip fracture in the elderly is very common and has caused a great burden on patients’ families and society. Therefore, we wondered if we could find the best intervention to solve the problem.
Research objectives
The aim was to make doctors more aware of the serious consequences of postoperative hip fracture depression (PHFD). In addition, we hoped to provide a basis for the early detection of PHFDs and recommend treatment methods after occurrence of the disease.
Research methods
We searched four databases for articles related to new depression after hip fracture and classified similar articles.
Research results
In this article, we summarize the risk factors for PHFD and the associated adverse outcomes, which can help to raise awareness of the disease and help with its early diagnosis. At the end of this paper, we summarize the practical and effective interventional methods in clinical practice: Interdisciplinary treatment and comprehensive treatment.
Research conclusions
Preoperative identification of risk factors and postoperative intervention on depressive symptoms themselves are important. In addition, PHFDs may benefit from a comprehensive postoperative care model that features both psychological and physical interventions and an interdisciplinary care model.
Research perspectives
Future research should explore global effectiveness in working with different countries and regions. Moreover, the following need should not be overlooked: we need to expand the scope of the research to explore more effective interventions in order to further treat PHFDs.
