OBJECTIVE: to examine the relationship between depressive symptoms and hospital outcomes in an unselected consecutive sample of older medical inpatients. DESIGN: a prospective cohort study of individuals screened for a trial. SETTING: medical wards of UK district general hospital in rural East Anglia. PARTICIPANTS: six hundred and seventeen medical inpatients aged 65+ were randomly selected from consecutive admissions. Baseline measures: 15-item Geriatric Depression Scale (GDS-15), the Abbreviated Mental Test Score (AMTS) and the Cumulative Illness Rating Scale-Geriatric (CIRS-G). MAIN OUTCOME MEASURES: length of hospital stay; discharge to a community hospital (for rehabilitation), institutional care or usual place of residence; dying in hospital. RESULTS: depressive symptoms are independently associated with an increased likelihood of inpatient death and transfer to a community hospital for rehabilitation, but are not associated with longer length of stay. CONCLUSIONS: research evaluating effectiveness of identification and treatment of depression in older medical inpatients should consider including inpatient death and use of rehabilitation services as potential outcomes.
OBJECTIVE: to examine the relationship between depressive symptoms and hospital outcomes in an unselected consecutive sample of older medical inpatients. DESIGN: a prospective cohort study of individuals screened for a trial. SETTING: medical wards of UK district general hospital in rural East Anglia. PARTICIPANTS: six hundred and seventeen medical inpatients aged 65+ were randomly selected from consecutive admissions. Baseline measures: 15-item Geriatric Depression Scale (GDS-15), the Abbreviated Mental Test Score (AMTS) and the Cumulative Illness Rating Scale-Geriatric (CIRS-G). MAIN OUTCOME MEASURES: length of hospital stay; discharge to a community hospital (for rehabilitation), institutional care or usual place of residence; dying in hospital. RESULTS:depressive symptoms are independently associated with an increased likelihood of inpatient death and transfer to a community hospital for rehabilitation, but are not associated with longer length of stay. CONCLUSIONS: research evaluating effectiveness of identification and treatment of depression in older medical inpatients should consider including inpatient death and use of rehabilitation services as potential outcomes.
Authors: A Matthew Prina; Theodore D Cosco; Tom Dening; Aartjan Beekman; Carol Brayne; Martijn Huisman Journal: J Psychosom Res Date: 2014-11-08 Impact factor: 3.006
Authors: Lucy E Bradshaw; Sarah E Goldberg; Sarah A Lewis; Kathy Whittamore; John R F Gladman; Rob G Jones; Rowan H Harwood Journal: Age Ageing Date: 2013-06-25 Impact factor: 10.668