Comparison of depressive symptoms during the early recovery period in patients with a distal radius fracture treated by volar plating and cast immobilisation

Flexor tendon rupture following distal radius fracture is rare. We described a case of flexor pollicis longus rupture, presented five years after volar plating of distal radius fracture.

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Changes in PHQ-9 depression scores in acute stroke patients shortly after returning home

PLoS ONE ◽

10.1371/journal.pone.0259806 ◽

2021 ◽

Vol 16 (11) ◽

pp. e0259806

Author(s):

Brent Strong ◽

Michele C. Fritz ◽

Liming Dong ◽

Lynda D. Lisabeth ◽

Mathew J. Reeves

Keyword(s):

Depressive Symptoms ◽

Acute Stroke ◽

Recovery Period ◽

Stroke Severity ◽

Stroke Survivors ◽

Stroke Patients ◽

Early Recovery ◽

Post Stroke ◽

Early Recovery Period ◽

Over Time

Introduction Post-stroke depression is a disabling condition that occurs in approximately one-third of stroke survivors. There is limited information on changes in depressive symptoms shortly after stroke survivors return home. To identify factors associated with changes in post-stroke depressive symptoms during the early recovery period, we conducted a secondary analysis of patients enrolled in a clinical trial conducted during the transition period shortly after patients returned home (MISTT). Methods The Michigan Stroke Transitions Trial (MISTT) tested the efficacy of social worker case management and access to online information to improve patient-reported outcomes following an acute stroke. Patient Health Questionnaire-9 (PHQ-9) scores were collected via telephone interviews conducted at 7 and 90 days post-discharge; higher scores indicate more depressive symptoms. Generalized estimating equations were used to identify independent predictors of baseline PHQ-9 score at 7 days and of changes over time to 90 days. Results Of 265 patients, 193 and 185 completed the PHQ-9 survey at 7 and 90 days, respectively. The mean PHQ-9 score was 5.9 at 7 days and 5.1 at 90 days. Older age, being unmarried, and having moderate stroke severity (versus mild) were significantly associated with lower 7-day PHQ-9 scores (indicating fewer depressive symptoms). However, at 90 days, both unmarried patients and those with moderate or high stroke severity had significant increases in depressive symptoms over time. Conclusions In stroke patients who recently returned home, both marital status and stroke severity were associated with depressive symptom scores; however, the relationships were complex. Being unmarried and having higher stroke severity was associated with fewer depressive symptoms at baseline, but both factors were associated with worsening depressive symptoms over time. Identifying risk factors for changes in depressive symptoms may help guide effective management strategies during the early recovery period.

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A clinical prospective study of volar plating in distal radius fracture

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2019.v5.i3n.1635 ◽

2019 ◽

Vol 5 (3) ◽

pp. 828-833

Author(s):

Dr. Santhosh MS ◽

Dr. Darshan CK

Keyword(s):

Prospective Study ◽

Distal Radius Fracture ◽

Distal Radius ◽

Radius Fracture ◽

Volar Plating

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Closed Reduction, Percutaneous Kirschner Wire Fixation and Cast Immobilisation of Distal Radius Fracture- A Prospective Observational Study

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v5i6.150 ◽

2017 ◽

Vol 05 (06) ◽

pp. 23707-23718

Author(s):

Abhishek Kalantri ◽

Keyword(s):

Observational Study ◽

Distal Radius Fracture ◽

Distal Radius ◽

Closed Reduction ◽

Prospective Observational Study ◽

Kirschner Wire ◽

Radius Fracture ◽

Cast Immobilisation ◽

Kirschner Wire Fixation ◽

Wire Fixation

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Abstract P206: Changes in Social Support Within the Early Recovery Period and Outcomes After Acute Myocardial Infarction

Circulation Cardiovascular Quality and Outcomes ◽

10.1161/circoutcomes.4.suppl_1.ap206 ◽

2011 ◽

Vol 4 (suppl_1) ◽

Author(s):

Erica C Leifheit-Limson ◽

Kimberly J Reid ◽

Stanislav V Kasl ◽

Haiqun Lin ◽

Philip G Jones ◽

...

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Health Status ◽

Confidence Intervals ◽

Repeated Measures ◽

Short Form ◽

Recovery Period ◽

Early Recovery ◽

Early Recovery Period ◽

High Support

Background: Baseline social support is associated with outcomes after AMI. However, little is known about changes in social support during the early AMI recovery period and whether changes influence outcomes over the first year. Methods: Using data from 1951 AMI patients enrolled in the 19-center PREMIER study, we longitudinally examined whether changes in social support between baseline (index hospitalization) and 1 month post-AMI were associated with health status and depressive symptom outcomes. Using 5 items from the ENRICHD Social Support Inventory, we categorized patients into low (score <=18) and high (score >18) support and examined changes between these categories during the first month of recovery. Health status and depressive symptoms were assessed at baseline, 6, and 12 months using the Seattle Angina Questionnaire (SAQ), Short Form-12 (SF-12), and the Patient Health Questionnaire-9 (PHQ-9). Associations were evaluated using hierarchical repeated-measures regression, adjusting for site, baseline health status, depressive symptoms, and other sociodemographic and clinical factors. Results: During the first month of recovery, 5.6% of patients had persistently low support, 6.4% had worsened support, 8.1% had improved support, and 80.0% had persistently high support. In risk-adjusted analyses, patients with persistently low or worsened support (versus those with persistently high support) had greater risk of angina, worse SAQ quality of life (QOL), worse SF-12 mental component summary (MCS), and more PHQ-9 depressive symptoms ( table ). Patients with improved support had outcomes consistent with those of patients with persistently high support ( table ). Similarly, patients with worsened support had outcomes comparable to patients with persistently low support (p>0.50 for all comparisons). Conclusion: Changes in social support within the early recovery period are not uncommon and are important for predicting patient-centered outcomes. Outcome Social Support Status at 1 Month Persistently Low Worsened Improved Persistently High SAQ Angina * 1.39 (1.09, 1.78) 1.46 (1.08, 1.97) 1.13 (0.89, 1.43) reference SAQ QoL † -7.63 (-10.96, -4.30) -7.44 (-10.54, -4.34) -0.85 (-3.49, 1.80) reference SF-12 PCS † -0.14 (-2.20, 1.91) -0.20 (-2.14, 1.73) -0.44 (-2.07, 1.18) reference SF-12 MCS † -5.63 (-7.33, -3.92) -4.82 (-6.42, -3.22) -1.54 (-2.88, -0.20) reference PHQ-9 † 2.29 (1.51, 3.06) 1.94 (1.22, 2.66) 0.81 (0.19, 1.43) reference * Estimates correspond to relative risks (95% confidence intervals) of any angina (SAQ Angina Score <100). † Estimates correspond to beta values (95% confidence intervals).

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