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Table 1 Study characteristics

From: Prognostic factors of depression and depressive symptoms after hip fracture surgery: systematic review

Author, year

Sample size

Population Characteristics

Prognostic Factors

Outcome Measures

Study Timepoints

Bruggeman 2007, Australia [28]

103

78 years

79% female

Personal control, acute stress, illness perception, pain, physical mobility

Depression Anxiety Stress Scale

Study dates not stated

Baseline = Within one week of surgery

Followed up at 3-weeks

Cristancho 2016, USA [15]

430

78.2 years

75.8% female

93.7% Caucasian

22.4% clinically diagnosed with new onset depression

Age, gender, medical illness burden, antidepressant use, smoking history, pain ratings, cognitive status, functional recovery, stress ratings, social support, anxiety, history of minor/major depression, implant type

Montgomery- Ă…sberg Depression Rating Scale, Structured Clinical Interview for DSM-IV disorders (SCID-IV)

2008–2012

Baseline = approx. 2 days post-surgery

Followed up at 1, 2, 4, 8, 12, 26, and 52 weeks after baseline

Deng, 2005, Taiwan [29]

146

77.7 years

> 90% unemployed

Gender, Cognition, Residence status, Prefracture physical function, support system, age, marital status, religion, occupation, diseases before admission

Geriatric Depression Scale – Short Form (GDS-SF)

2001–2003

Baseline = On admission

Followed up at 1 month after discharge

Langer 2015, USA [30]

500

78.4 years

73.8% women

92.5% white

Positive and negative affect, age, education, gender and social support, chronic illness

The Montgomery Ă…sberg Depression Rating Scale - 7-day version

Not stated

Baseline = 2 to 7 days post-surgery

Followed up at Week 1, Week 2, Week 4, Week 8, Week 12, Week 26, and Week 52 post surgery.

Lenze, 2007, USA [13]

126

Major Depressive Disorder group:

78.3 years

16.7% male

100% Caucasian

No Major Depressive Disorder group:

81.8 years

20.4% male

91.7% Caucasian

61% MDD cases had onset of MDD symptoms before discharge from the acute care hospital, whereas the other seven had onset of symptoms between 2 and 10 weeks after the hospitalization

Demographic variables and characteristics of the fracture, Functional status, Delirium, cognition, social support, medical comorbidity, Apathy, memory, executive function, Surgery LOS, characteristics of the surgery

Hamilton Depression Rating Scale (Ham-D), Primary Care Evaluation of Mental Disorders

2002–2004

Baseline = End of hospital stay.

Followed up after 2 weeks, then every 4 weeks until 26 weeks post hospital discharge

Functional status measured prefracture through interview during hospital stay

Lenze, 2008, USA [31]

145

81.2 years

95.9% Caucasian woman

Pre-fracture function, comorbidities, ADLs, genetic samples-molecular weight DNA, 5HTR1A and 5HTR2AA

Geriatric Depression Scale

1998–2004

Baseline = 12 days post-fracture

Followed up at 2, 6, and 12-months post-fracture

Lenze, 2005, USA [32]

23

s Allele group:

78.8 years

77% female

100% white

l/l Genotype group:

76.2 years

100% female

90% white

Genotype −5-HTTLPR

Hamilton Rating Scale for Depression, mood module of the Structured Clinical Interview for DSM-IV Axis I Disorders

2002–2003

Baseline = end of their hospital stay

Followed up at 2, 6, 10 and 14 weeks after hospital discharge

Liu 2018, Taiwan [33]

179

76.7 years

68.2% female

Average number of comorbidities was 2.45

Age, gender, marital status, educational level, comorbidities, cognitive impairment, functional impairment, care model and group membership probability, prefracture mobility

Geriatric Depression Scale-Chinese version

2005–2010

Baseline = before discharge

Followed up at 1, 3, 6, and 12-months post- discharge

Matheny, 2011, USA [34]

134

81.7 years

96.3% Caucasian

All participants were female

Age, height, weight, comorbidities, cognitive status, inflammatory cytokines, lower extremity function

Geriatric Depression Scale (GDS)

1998–2004

Baseline-within 22 days post-hip fracture

Followed up at 2, 6 and 12-months post fracture

Shyu 2009, Taiwan [10]

147

77.9 years

67.3% female

49% illiterate

Gender, age, concomitant illnesses, prefracture performance of ADLs, education, emotional-social support, and cognitive status.

Geriatric Depression Scale-Chinese version

2001–2003

Baseline = prior to discharge

Followed up at 1, 3, 6 and 12 months after hospital discharge

Van der Ree, 2020, Netherlands [14]

570

78.4 years

393 females

46.3% frail

3.7% had early-onset dementia

Age, gender, ASA, Prefracture residential status, Fracture type, LOS, Discharge location, Pre-fracture health status, Pre-fracture frailty

Hospital Anxiety and Depression Scale (HADS)

2015–2016

Baseline = 1 week after hip fracture.

Followed up at 1, 3, 6 and 12 months after hip fracture.

Voshaar 2007, the Netherlands [35]

139

80.7 years

77% women

Pain, fear of falling, anxiety, functional outcomes

Geriatric Depression Scale, The Montgomery Ă…sberg Depression Rating Scale, Hospital Anxiety and Depression Scale

Baseline = not described

Followed up at six weeks, three months, and six months