TY - JOUR
T1 - Congestive heart failure and depression in older adults
T2 - Clinical course and health services use 6 months after hospitalization
AU - Fulop, George
AU - Strain, James J.
AU - Stettin, Glen
N1 - Funding Information:
Supported by NIMH grant MH-50091 (Drs. Fulop and Strain). The authors thank Agnes Rupp, Ph.D., Kathy Magruder, Ph.D., Marianne Fahs, Ph.D., Charlotte Muller, Ph.D., Marrick L. Kukin, M.D., George Parkerson, M.D., and James Schmeidler, Ph.D., for assistance in the design, development, and support of the study as well as Jennifer Fetner, Mindy Gomes, Laura Golub, and Tom Pontos for assistance in conducting the study.
PY - 2003
Y1 - 2003
N2 - The course of depression and the economic consequences in the 6-month period after hospitalization for congestive heart failure were examined in a prospective observational cohort study involving 203 older adults (mean age = 76.8 years, SD = 7.8). At discharge, 73 of 203 subjects (36%) were depressed according to the screening criteria of the Geriatric Depression Scale, and 44 (22%) were depressed according to the Structured Clinical Interview for DSM-III-R-Non-Patient Edition. The proportions were 33% and 20% of 166 subjects, respectively, at 4 weeks and 26% and 17% of 113 subjects, respectively, at 24 weeks. Depressed patients used more medical resources after discharge than nondepressed patients. Additional research is required to determine whether the optimal time to identify and treat depressed older adults with congestive heart failure is during a hospital stay or after discharge.
AB - The course of depression and the economic consequences in the 6-month period after hospitalization for congestive heart failure were examined in a prospective observational cohort study involving 203 older adults (mean age = 76.8 years, SD = 7.8). At discharge, 73 of 203 subjects (36%) were depressed according to the screening criteria of the Geriatric Depression Scale, and 44 (22%) were depressed according to the Structured Clinical Interview for DSM-III-R-Non-Patient Edition. The proportions were 33% and 20% of 166 subjects, respectively, at 4 weeks and 26% and 17% of 113 subjects, respectively, at 24 weeks. Depressed patients used more medical resources after discharge than nondepressed patients. Additional research is required to determine whether the optimal time to identify and treat depressed older adults with congestive heart failure is during a hospital stay or after discharge.
UR - http://www.scopus.com/inward/record.url?scp=0042337351&partnerID=8YFLogxK
U2 - 10.1176/appi.psy.44.5.367
DO - 10.1176/appi.psy.44.5.367
M3 - Article
C2 - 12954910
AN - SCOPUS:0042337351
SN - 0033-3182
VL - 44
SP - 367
EP - 373
JO - Psychosomatics
JF - Psychosomatics
IS - 5
ER -