PMID: 9659849Jul 11, 1998Paper

Use of health services by hospitalized medically ill depressed elderly patients

The American Journal of Psychiatry
H G Koenig, M Kuchibhatla

Abstract

The authors examined whether depression is associated with greater use of health services by elderly medical patients before and during hospitalization. Depression and recent use of health services were assessed in 542 patients aged 60 or over who were consecutively admitted to university medical services. Depression was measured by using the Center for Epidemiologic Studies Depression Scale, the Hamilton Depression Rating Scale, and the depressive disorders section of the National Institute of Mental Health Diagnostic Interview Schedule, which was administered by a psychiatrist. After age, sex, race, education, and severity of medical illness were controlled for, Hamilton depression score significantly predicted hospital days in the past year, hospital days and total inpatient days (hospital plus nursing home) in the past 3 months, and number of outpatient medical visits in the past 3 months. Depressed patients had more hospital days in the past year and had more hospital days, total inpatient days, and outpatient medical visits in the past 3 months than did nondepressed patients. Associations between depression and length of index hospital stay, home health visits, nursing home days, and number of prescription medications dis...Continue Reading

Citations

Nov 10, 2000·Aging : Clinical and Experimental Research·R PougetC J Büla
Apr 20, 2005·Journal of General Internal Medicine·Roger G KatholWilliam Gold
Feb 14, 2003·General Hospital Psychiatry·Letícia M FurlanettoJoão Romildo Bueno
Oct 1, 2005·Nordic Journal of Psychiatry·Ahmad Al-Windi
Oct 17, 2014·International Journal of Environmental Research and Public Health·Marie-Josée FleuryJean Caron
Jan 20, 2009·Heart & Lung : the Journal of Critical Care·Heidi Putman-Casdorph, Susan McCrone
Jan 27, 1999·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·H G Koenig, M Kuchibhatla
Jul 4, 2002·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Peter H Van Ness, David B Larson
Sep 22, 2006·International Journal of Geriatric Psychiatry·Sylvie Bonin-GuillaumeOlivier Blin
Jul 26, 2000·The Psychiatric Clinics of North America·G N McNeil
May 31, 2002·Scandinavian Journal of Caring Sciences·S ArveA Lehtonen
May 8, 2002·International Journal of Geriatric Psychiatry·Martin M EversDeborah B Marin
Sep 1, 2001·Journal of Advanced Nursing·S K PangA M Chang
Dec 18, 1998·New Directions for Mental Health Services·H G KoenigA J Weaver
Mar 7, 2002·Home Health Care Services Quarterly·M P ArandaS Wilson
Sep 17, 2002·Journal of Geriatric Psychiatry and Neurology·Helen C Kales, Marcia Valenstein
Dec 23, 1999·International Journal of Geriatric Psychiatry·B Sheehan, S Banerjee
Mar 8, 2005·British Journal of Community Nursing·Abebaw Mengistu Yohannes
Apr 4, 2003·International Journal of Geriatric Psychiatry·Sarah CullumChris Todd

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