Table 4.
Bivariable and multivariable logistic regression analysis showing factors associated with postoperative depression among orthopedics surgical patients in Amhara regional CSHs.
| Variables | Category | Post operative depression | COR (95% CI) | AOR (95% CI) | P-value | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Gender | Male | 156(59.5%) | 84(51.9%) | 1 | 1 | |
| Female | 106(40.5%) | 78(48.1%) | 1.37(0.92, 2.03) | 2.69(1.46, 5.03) | 0.002 | |
| Occupation | Government employed | 90(34.4%) | 35(21.6%) | 1 | 1 | |
| Farmer | 11(4.2%) | 3(1.8%) | 0.54(0.29, 0.98) | 5.17(2.22, 12.03) | <0.001 | |
| Self employed | 46(17.6%) | 33(20.4%) | 0.47(0.28, 0.79) | 1.27(0.53, 3.03) | 0.592 | |
| Student | 69(26.3%) | 57(35.2%) | 1.43(0.37, 5.42) | 1.43(0.68, 3.06) | 0.346 | |
| unemployed | 46(17.6%) | 34(21.0%) | 0.53(0.29, 0.95) | 3.66(0.75, 17.92) | 0.109 | |
| History of substance use | Yes | 52(19.8%) | 4(2.5%) | 9.78(3.46, 27.6) | 8.75(2.86, 26.79) | <0.001 |
| No | 210(80.2%) | 158(97.5%) | 1 | 1 | ||
| History of anxiety | Yes | 131(50%) | 54(33.3%) | 2.0(1.33, 3.00) | 3.54(1.82, 6.90) | <0.001 |
| No | 131(50%) | 108(66.7%) | 1 | 1 | ||
| Social support | poor | 129(49.2%) | 29(17.9%) | 0.16(0.09, 0.27) | 2.06(1.13, 3.72) | 0.018 |
| Moderate | 75(28.6) | 51(31.5%) | 0.33(0.19, 0.57) | 7.25(3.89, 13.53) | <0.001 | |
| Strong | 58(22.1%) | 82(50.6%) | 1 | 1 | ||
| Pain level | Yes | 227(86.6%) | 152(93.8%) | 2.34(1.13, 4.87) | 2.14(0.86, 5.27) | 0.100 |
| No | 35(13.4%) | 10(6.2%) | 1 | 1 | ||
| BMI | >24.9 | 22(8.4%) | 8(4.9%) | 1 | 1 | |
| 18.5-24.9 | 77(29.4%) | 75(46.3%) | 0.37(0.16, 0.89) | 1.48(0.39, 5.69) | 0.565 | |
| <18.5 kg/m2 | 163(62.2%) | 79(48.8%) | 0.75(0.32, 1.76) | 0.17(0.08, 0.33) | <0.001 | |
| Type of fracture | Open fracture | 44(16.8%) | 51(31.5%) | 2.28(1.43, 3.62) | 2.42(1.31, 4.44) | 0.005 |
| Closed fracture | 218(83.2%) | 111(68.5%) | 1 | 1 | ||
| History of comorbidity | Yes | 50(19.1%) | 15(9.3%) | 2.31(1.25, 4.27) | 1.98(0.89, 4.38) | 0.091 |
| No | 212(80.9%) | 147(90.7%) | 1 | 1 | ||
| Type of surgery | Emergency | 155(59.2%) | 110(67.9%) | 1.46(0.97, 2.20) | 1.66(0.97, 2.86) | 0.064 |
| Elective | 107(40.8%) | 52(32.2%) | 1 | 1 | ||
AOR, Adjusted Odd Ratio; BMI, Body Mass Index; COR, Crude Odd Ratio.