{"title":"Association between Depressive disorder and hospital outcomes of care for elderly hospitalized patients","authors":"Dimitrios Zikos, Olabisi Afolayan-Oloye","doi":"10.1007/s12126-021-09455-5","DOIUrl":null,"url":null,"abstract":"<div><p>Depressive disorder is the most prevalent mental health issue among the elderly. Researchers have studied associations between poor outcomes of health and depressive disorder. However, there is limited knowledge on the association of depressive disorder on hospital outcomes of care for patients admitted due to acute health problems. This study utilized a large dataset from the Centers for Medicare and Medicaid Services to examine associations between depressive disorder and (i) length of stay, (ii) hospital mortality, and (iii) hospital-acquired septicemia, for hospitalized Medicare patients 65 years and above. Bivariate analysis was firstly conducted between each one of the outcomes of interest and the depressive disorder variable, and then, to control for demographics, primary diagnosis, and comorbidities, multiple logistic regression was conducted for the binary outcomes (hospital mortality and hospital-acquired septicemia) and multiple linear regression for the continuous outcome, Length of Stay. After adjusting for patient gender, ethnicity, primary diagnosis, and comorbidities, the presence of depressive disorder in elderly Medicare patients was found to be associated with increased odds for hospital death (OR = 1.186, C. I = 1.030—1.365), and a shorter hospital length of stay (b = -.697, p < 0.001). Black race was found to be protective for death for patients with depressive disorder. Since depression has an effect on various behavioral aspects of patients, the increased risk for hospital death underlines the need for a holistic patient care approach for acute patients with depression, including psychologic support, effective patient-therapist communication, and patient empowerment.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2021-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s12126-021-09455-5.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ageing International","FirstCategoryId":"1085","ListUrlMain":"https://link.springer.com/article/10.1007/s12126-021-09455-5","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Depressive disorder is the most prevalent mental health issue among the elderly. Researchers have studied associations between poor outcomes of health and depressive disorder. However, there is limited knowledge on the association of depressive disorder on hospital outcomes of care for patients admitted due to acute health problems. This study utilized a large dataset from the Centers for Medicare and Medicaid Services to examine associations between depressive disorder and (i) length of stay, (ii) hospital mortality, and (iii) hospital-acquired septicemia, for hospitalized Medicare patients 65 years and above. Bivariate analysis was firstly conducted between each one of the outcomes of interest and the depressive disorder variable, and then, to control for demographics, primary diagnosis, and comorbidities, multiple logistic regression was conducted for the binary outcomes (hospital mortality and hospital-acquired septicemia) and multiple linear regression for the continuous outcome, Length of Stay. After adjusting for patient gender, ethnicity, primary diagnosis, and comorbidities, the presence of depressive disorder in elderly Medicare patients was found to be associated with increased odds for hospital death (OR = 1.186, C. I = 1.030—1.365), and a shorter hospital length of stay (b = -.697, p < 0.001). Black race was found to be protective for death for patients with depressive disorder. Since depression has an effect on various behavioral aspects of patients, the increased risk for hospital death underlines the need for a holistic patient care approach for acute patients with depression, including psychologic support, effective patient-therapist communication, and patient empowerment.
期刊介绍:
As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in:
ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.