Depressive Symptoms After Hospitalization in Older Adults: Function and Mortality Outcomes

Objectives To determine the relationship between depressive symptoms after hospitalization and survival and functional outcomes. Design Secondary analysis of a prospective cohort study. Setting General medical service of two urban, teaching hospitals in Ohio. Participants Hospitalized individuals ag...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2012-12, Vol.60 (12), p.2254-2262
Main Authors: Pierluissi, Edgar, Mehta, Kala M., Kirby, Katharine A., Boscardin, W. John, Fortinsky, Richard H., Palmer, Robert M., Landefeld, C. Seth
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult and adolescent clinical studies
Aged
Aged, 80 and over
APACHE
Attitude to Health
Biological and medical sciences
Clinical outcomes
Depression
Depression - diagnosis
Depression - etiology
depression symptoms
Discharge
elderly
Epidemiology
Female
function
General aspects
Hospitalization
hospitalized older adults
Humans
Male
Medical sciences
Mental depression
Mood disorders
Mortality
Older people
Patient Discharge
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Recovery of Function
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Summary:Objectives To determine the relationship between depressive symptoms after hospitalization and survival and functional outcomes. Design Secondary analysis of a prospective cohort study. Setting General medical service of two urban, teaching hospitals in Ohio. Participants Hospitalized individuals aged 70 and older. Measurements Ten depressive symptoms, instrumental activities of daily living (IADLs), and basic activities of daily living (ADLs) were measured at hospital discharge and 1, 3, 6, and 12 months later. Participant‐specific changes in depressive symptoms (slopes) were determined using all data points. Four groups were also defined according to number of depressive symptoms (≤3 symptoms, low; 4–10 symptoms, high) at discharge and follow‐up: low–low, low–high, high–low, and high–high. Mortality was measured 3, 6, and 12 months after hospital discharge. Results Participant‐specific discharge depressive symptoms and change in depressive symptoms over time (slopes) were associated (P 
ISSN:0002-8614
1532-5415
DOI:10.1111/jgs.12008