Laurence Brian, Mncube-Barnes Fatima M, Laurence Sefa Safo, Woods Dexter, Eiland Derrick
J Health Care Poor Underserved. 2019;30(1):131-142. doi: 10.1353/hpu.2019.0012.
The objective was to determine if depression was associated with an increased likelihood of hospital admission following an emergency department (ED) visit among older patients diagnosed with HIV.
We performed secondary analysis of data from the Nationwide Emergency Department Sample (NEDS) in the United States using multivariable Poisson regression to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs). We included adults aged 50 years and older, diagnosed with HIV using International Classification of Diseases, 9th revision (ICD-9-CM) codes. We controlled for demographic characteristics, hospital characteristics, and comorbid conditions in the analysis.
In the final multivariable model, there was a 45% increase in the likelihood of hospital admission following an ED visit among older patients with HIV diagnosed with depression compared with those not diagnosed with depression (PR = 1.45, 95% CI = 1.39-1.52).
Depression was associated with hospital admission among adults aged 50 and over.
确定在诊断为HIV的老年患者中，抑郁症是否与急诊就诊后住院可能性增加有关。
我们使用多变量泊松回归对美国全国急诊科样本（NEDS）的数据进行二次分析，以估计患病率比（PRs）和95%置信区间（CIs）。我们纳入了年龄在50岁及以上、使用国际疾病分类第九版（ICD-9-CM）编码诊断为HIV的成年人。在分析中，我们对人口统计学特征、医院特征和合并症进行了控制。
在最终的多变量模型中，与未诊断为抑郁症的HIV老年患者相比，诊断为抑郁症的HIV老年患者急诊就诊后住院的可能性增加了45%（PR = 1.45，95% CI = 1.39 - 1.52）。
抑郁症与50岁及以上成年人的住院有关。
