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Does depression predict adverse outcomes for older medical inpatients?
 — a prospective cohort study of individuals screened for a trial
Author(s)Sarah Cullum, Chris Metcalfe, Chris Todd
Journal titleAge and Ageing, vol 37, no 6, November 2008
Pagespp 690-695
Sourcehttp://www.ageing.oupjournals.org
KeywordsDepression ; Screening ; In-patients ; Medical wards ; Evaluation ; Eastern England.
AnnotationDespite research suggesting that depression may be independently associated with adverse hospital outcomes, recognition of depression is poor and treatment is often inadequate. This study examined the relationship between depressive symptoms and hospital outcomes in 617 older medical inpatients aged 65+ in the medical wards of district general hospitals in rural East Anglia. Using the 15-item Geriatric Depression Scale (GDS-15), the Abbreviated Mental Test Score (AMTS) and the Cumulative Illness Rating Scale - Geriatric (CIRS-G), the study found depressive symptoms to be independently associated with an increased likelihood of inpatient death and transfer to a community hospital for rehabilitation, but not associated with longer length of stay. Inpatient death and use of rehabilitation services should be considered as potential outcomes in research evaluating the effectiveness of identifying and treating depression in older medical inpatients. (RH).
Accession NumberCPA-081217210 A
ClassmarkENR: 3V: LF7: LD4: 4C: 82EA

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