Cargando…
Associations between Depressive Symptoms and 30-day Hospital Readmission among Older Adults
BACKGROUND: Hospital readmissions are common and costly. Our goal was to determine the association between depressive symptoms and readmission within 30 days following hospital discharge in older adults. METHODS: We analyzed data from a study of 789 persons aged 65 years or older admitted to a 20-be...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849887/ https://www.ncbi.nlm.nih.gov/pubmed/27134802 http://dx.doi.org/10.4172/2167-1044.1000185 |
_version_ | 1782429610822074368 |
---|---|
author | Berges, Ivonne M. Amr, Sania Abraham, Danielle S. Cannon, Dawn L. Ostir, Glenn V. |
author_facet | Berges, Ivonne M. Amr, Sania Abraham, Danielle S. Cannon, Dawn L. Ostir, Glenn V. |
author_sort | Berges, Ivonne M. |
collection | PubMed |
description | BACKGROUND: Hospital readmissions are common and costly. Our goal was to determine the association between depressive symptoms and readmission within 30 days following hospital discharge in older adults. METHODS: We analyzed data from a study of 789 persons aged 65 years or older admitted to a 20-bed acute care for elders (ACE) hospital unit from May 2009 to July 2011. Depressive symptoms were recorded within 24-hours of admission to the hospital unit, using the Center for Epidemiologic Studies -Depression (CES-D) Scale. The primary outcome was readmission to hospital within 30 days of discharge. RESULTS: The mean age was 77 years; 66% were female, 72% were White, and 59% were unmarried. On average, older patients reported 2.6 comorbid conditions. Sixteen percent were classified with high depressive symptoms (CES-D ≥ 16). The readmission rate within 30 days was 15%. Older patients with high depressive symptoms had more than 1.6 times the odds (OR 1.66; 95% CI: 1.01-2.74) of being readmitted within 30-days, as compared to those with low depressive symptoms (CES-D < 16), after adjustment for age, race/ethnicity, sex, marital status and comorbid conditions. CONCLUSION: High depressive symptoms increased the risk of hospital readmission within 30 days of discharge after adjusting for relevant covariates. In-hospital screening for depressive symptoms may identify older persons at risk for recurrent hospital admissions. |
format | Online Article Text |
id | pubmed-4849887 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
record_format | MEDLINE/PubMed |
spelling | pubmed-48498872016-04-28 Associations between Depressive Symptoms and 30-day Hospital Readmission among Older Adults Berges, Ivonne M. Amr, Sania Abraham, Danielle S. Cannon, Dawn L. Ostir, Glenn V. J Depress Anxiety Article BACKGROUND: Hospital readmissions are common and costly. Our goal was to determine the association between depressive symptoms and readmission within 30 days following hospital discharge in older adults. METHODS: We analyzed data from a study of 789 persons aged 65 years or older admitted to a 20-bed acute care for elders (ACE) hospital unit from May 2009 to July 2011. Depressive symptoms were recorded within 24-hours of admission to the hospital unit, using the Center for Epidemiologic Studies -Depression (CES-D) Scale. The primary outcome was readmission to hospital within 30 days of discharge. RESULTS: The mean age was 77 years; 66% were female, 72% were White, and 59% were unmarried. On average, older patients reported 2.6 comorbid conditions. Sixteen percent were classified with high depressive symptoms (CES-D ≥ 16). The readmission rate within 30 days was 15%. Older patients with high depressive symptoms had more than 1.6 times the odds (OR 1.66; 95% CI: 1.01-2.74) of being readmitted within 30-days, as compared to those with low depressive symptoms (CES-D < 16), after adjustment for age, race/ethnicity, sex, marital status and comorbid conditions. CONCLUSION: High depressive symptoms increased the risk of hospital readmission within 30 days of discharge after adjusting for relevant covariates. In-hospital screening for depressive symptoms may identify older persons at risk for recurrent hospital admissions. 2015-04-24 2015-04 /pmc/articles/PMC4849887/ /pubmed/27134802 http://dx.doi.org/10.4172/2167-1044.1000185 Text en http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Article Berges, Ivonne M. Amr, Sania Abraham, Danielle S. Cannon, Dawn L. Ostir, Glenn V. Associations between Depressive Symptoms and 30-day Hospital Readmission among Older Adults |
title | Associations between Depressive Symptoms and 30-day Hospital Readmission among Older Adults |
title_full | Associations between Depressive Symptoms and 30-day Hospital Readmission among Older Adults |
title_fullStr | Associations between Depressive Symptoms and 30-day Hospital Readmission among Older Adults |
title_full_unstemmed | Associations between Depressive Symptoms and 30-day Hospital Readmission among Older Adults |
title_short | Associations between Depressive Symptoms and 30-day Hospital Readmission among Older Adults |
title_sort | associations between depressive symptoms and 30-day hospital readmission among older adults |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849887/ https://www.ncbi.nlm.nih.gov/pubmed/27134802 http://dx.doi.org/10.4172/2167-1044.1000185 |
work_keys_str_mv | AT bergesivonnem associationsbetweendepressivesymptomsand30dayhospitalreadmissionamongolderadults AT amrsania associationsbetweendepressivesymptomsand30dayhospitalreadmissionamongolderadults AT abrahamdanielles associationsbetweendepressivesymptomsand30dayhospitalreadmissionamongolderadults AT cannondawnl associationsbetweendepressivesymptomsand30dayhospitalreadmissionamongolderadults AT ostirglennv associationsbetweendepressivesymptomsand30dayhospitalreadmissionamongolderadults |