Department of Geriatric Psychiatry, Weill Cornell Medical College, White Plains, NY 10605, USA.
Psychiatr Serv. 2010 Jan;61(1):78-80. doi: 10.1176/appi.ps.61.1.78.
This study evaluated the association between depression and hospitalization among geriatric home care patients.
A sample of 477 patients newly admitted to home care over two years was assessed for depression. Bivariate and logistic regression analyses examined the likelihood of hospitalization during a 60-day home care episode.
The hospitalization rate was similar for the 77 depressed patients and 400 nondepressed patients (about 7%). However, mean time to hospitalization was 8.4 versus 19.5 days after start of care, respectively. Hospitalization risk was significantly higher for depressed patients during the first few weeks. A main effect for depression and a depression-by-time interaction was found when analyses controlled for medical comorbidity, cognitive status, age, gender, race, activities of daily living and instrumental activities of daily living, and referral to home care after hospitalization.
Depression appears to increase short-term risk of hospitalization for geriatric home care patients immediately after starting home care.
本研究评估了老年家庭护理患者中抑郁与住院之间的关系。
对两年内新入院家庭护理的 477 名患者进行抑郁评估。采用双变量和逻辑回归分析,考察了在 60 天家庭护理期间住院的可能性。
77 名抑郁患者和 400 名非抑郁患者的住院率相似(约 7%)。然而,分别从开始护理后的第 8.4 天和第 19.5 天开始,住院风险显著增加。在分析中控制了医疗合并症、认知状态、年龄、性别、种族、日常生活活动和日常工具活动以及住院后转介到家庭护理后,发现抑郁有显著的主要影响和抑郁与时间的交互作用。
对于开始家庭护理后不久的老年家庭护理患者,抑郁似乎会增加短期住院风险。