@article{ref1,
title="Depressive symptoms predict delayed ambulation after traumatic injury",
journal="Journal of trauma nursing",
year="2021",
author="Frazier, Susan K. and Lennie, Terry A. and Higgins, Jacob T.",
volume="28",
number="1",
pages="3-9",
abstract="BACKGROUND: Impaired psychological state, such as anxiety and depressive symptoms, occurs in up to 40% of patients hospitalized for traumatic injury. These symptoms,  in the acute period, may delay engagement in activity, such as ambulation, following  injury. The purpose of this study was to determine whether baseline anxiety and  depressive symptoms predicted delayed (>48 hr from admission) ambulation in patients  hospitalized for major traumatic injury. <br><br>METHODS: Adults (n = 19) admitted for major  trauma (Injury Severity Score [ISS] = 15) provided a baseline measure of anxiety and  depressive symptoms (Hospital Anxiety and Depression Scale [HADS]). Logistic  regression was used to determine the predictive power of baseline HADS Anxiety and  HADS Depression subscale scores for delayed ambulation while controlling for ISS. <br><br>RESULTS: At baseline, anxiety was present in 32% of patients; 21% reported  depressive symptoms. Baseline HADS Anxiety score did not predict the ambulation  group. However, for each 1 point increase in baseline HADS Depression score, the  likelihood of patients ambulating after 48 hr from admission increased by 67% (odds  ratio = 1.67; 95% CI [1.02, 2.72]; p =.041). <br><br>CONCLUSION: Worsening depressive  symptoms were associated with delayed ambulation in the acute period following  injury. Future, larger scale investigations are needed to further elucidate the  relationship between psychological symptoms and the acute recovery period from  trauma to better inform clinicians and guide development of interventions to improve  patient outcomes.<p /> <p>Language: en</p>",
language="en",
issn="1078-7496",
doi="10.1097/JTN.0000000000000551",
url="http://dx.doi.org/10.1097/JTN.0000000000000551"
}