Screening for depression in older medical inpatients

Cullum, Sarah; Tucker, Sue; Todd, Chris; Brayne, Carol

doi:10.1002/gps.1497

Cited by 55 publications

(28 citation statements)

References 45 publications

(38 reference statements)

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“…A study in the United Kingdom demonstrated depression symptoms among 44% of elderly inpatients in district general hospitals (GDS ≥ 5) [31]. We found a higher prevalence of depressive symptoms among Chinese elderly inpatients in our GEMU using the same research criteria.…”

Section: Discussionsupporting

confidence: 59%

Late-life depression and quality of life in a geriatric evaluation and management unit: an exploratory study

et al. 2014

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BackgroundLate-life depression is common among elderly patients. Ignorance of the health problem, either because of under-diagnosis or under-treatment, causes additional medical cost and comorbidity. For a better health and quality of life (QoL), evaluation, prevention and treatment of late-life depression in elderly patients is essential.MethodsThis study examined (1) the differences of clinical characteristics, degree of improvement on QoL and functionality on discharge between non-depressed and depressed elderly inpatients and (2) factors associated with QoL on discharge. Four hundred and seventy-one elderly inpatients admitted to a geriatric evaluation and management unit (GEMU) from 2009 to 2010 were enrolled in this study. Comprehensive geriatric assessment including the activities of daily living (ADL), geriatric depression scale, and mini-mental state examination were conducted. QoL was assessed using the European Quality of Life-5 Dimensions and the European Quality of Life-5 Dimensions Visual Analog Scale on discharge. Information on hospital stay and Charlson comorbidity index were obtained by chart review. Chi-square tests, independent t-tests, Mann–Whitney U tests and multiple linear regressions were used in statistical analysis.ResultsWorse QoL and ADL on discharge were found among the depressed. Depressive symptoms, female gender, duration of hospital stay, and rehabilitation were significant factors affecting QoL on discharge in linear regression models.ConclusionsThe importance of the diagnosis and treatment of depression among elderly inpatients should not be overlooked during hospital stay and after discharge. Greater efforts should be made to improve intervention with depressed elderly inpatients.

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Section: Discussionsupporting

confidence: 59%

Late-life depression and quality of life in a geriatric evaluation and management unit: an exploratory study

et al. 2014

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“…First, it might be argued that depressive symptoms are not synonymous of depression and that a diagnosis of depression requires formal clinical evaluation. However, several studies have shown that GDS has good sensitivity and specificity to detect ICD-10 and DSM-IV depression (Yesavage et al, 1983, Almeida andAlmeida, 1999;Snowdon et al, in press) and that the cut-point used to detect depressive symptoms in this study is appropriate among the rehabilitative settings (Cullum et al, 2006). Moreover, it is unclear whether depressive symptoms developed before or after surgery.…”

Section: Discussionmentioning

confidence: 92%

Depressive symptoms combined with dementia affect 12‐months survival in elderly patients after rehabilitation post‐hip fracture surgery

Bellelli

Frisoni

Turco

et al. 2008

Int J Geriat Psychiatry

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“…This is very similar to that stipulated specifically for patients with pd: 13/14 by Leentjens et al 15 , 17/18 by silberman et al 20 , 14/15 by Visser et al 21 , and 17/18 by our study. For the Gds15, community-based studies with elderly patients showed that the cut-off scores for screening depression ranged from 5 to 10 and in most of them between 5 or 6, with a sEN and spE around 90% and 70% respectively 12,[22][23][24] . Our study defined that 8/9 was the best cut-off score for screening and diagnosing major depression in patients with pd, what is similar to those defined for the general population.…”

Section: Discussionmentioning

confidence: 99%

The accuracy of diagnosis of major depression in patients with Parkinson's disease: a comparative study among the UPDRS, the geriatric depression scale and the Beck depression inventory

Tumas

Rodrigues

Farias

et al. 2008

Arq. Neuro-Psiquiatr.

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-Objective: Evaluate the accuracy of diagnosis of major depression in patients with parkinson's disease (pd) using the updrs, the 15-item Geriatric depression scale (Gds15) and the Beck depression Inventory (BdI). Method: 50 consecutive patients with pd were evaluated. The diagnosis of major depression was made according to the dsM-IV criteria. Results: We found a 24% prevalence of major depression. All depression scales were highly correlated but updrs depression item had the lowest diagnostic value. The Gds15 had the more appropriate "receiver operating characteristics" curve. The best cut-off scores for screening depression were 17/18 for BdI and 8/9 for Gds15. We did not find any correlation between the level of depression and intensity of motor symptoms, functional capacity and duration of the disease. Conclusion: Gds15 is better than the BdI and the updrs for screening depression in pd and depression is not related to the degree of parkinsonian symptoms.KEY WOrds: depression, parkinson's disease, updrs, Beck depression Inventory, Geriatric depression scale. A precisão do diagnóstico de depressão na doença de Parkinson: um estudo comparativo entre a UPDRS, a Escala Geriátrica de Depressão e o Inventário de Depressão de BeckResumo -Objetivo: Avaliar a precisão do diagnóstico de depressão em pacientes com doença de parkinson avaliados pela updrs, pela Escala Geriátrica de depressão com 15 itens (EGd15) e pelo Inventário de depressão de Beck (IdB). Método: 50 pacientes com dp foram avaliados. O diagnóstico de depressão maior foi feito segundo os critérios do dsM-IV. Resultados: A prevalência de depressão foi 24%. As escalas de depressão tiveram elevada correlação entre si. A updrs apresentou a menor sensibilidade para o diagnóstico. A EGd15 mostrou uma curva rOC mais apropriada que o IdB. Os melhores escores-de-corte para diagnóstico de depressão foram 17/18 para o IdB e 8/9 para a EGd15. Não houve correlação entre os níveis de depressão e a intensidade do parkinsonismo, a capacidade funcional ou a duração da doença. Conclusão: A EGd15 é melhor que o IdB para diagnosticar depressão na dp. A depressão não está relacionada à gravidade dos sintomas parkinsonianos. depression is a frequent co-morbidity affecting around 20% to 40% of patients with parkinson's disease (pd) 1 . Moreover, depression is also pointed as one of the most important factors impairing the quality of life of patients and their caregivers 2,3 . despite its clinical significance, depression still remains as an underdiagnosed problem in patients with pd 4 .One reason for that may be the little attention given for this problem during the clinical evaluation. The unified parkinson's disease rating scale (updrs) dedicates only one item to evaluate depression 5 . The clinician rates his clinical impression after a free medical interview and grades depression subjectively at 4 levels of severity. To our knowledge, the reliability and validity of the updrs

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Screening for depression in older medical inpatients

Abstract: This study confirms that depression is common amongst older UK medical inpatients with 1 in 6 suffering from clinical depression. The cut-point for GDS-15 for this population is >or=7.

Cited by 55 publications

References 45 publications

Late-life depression and quality of life in a geriatric evaluation and management unit: an exploratory study

Late-life depression and quality of life in a geriatric evaluation and management unit: an exploratory study

Depressive symptoms combined with dementia affect 12‐months survival in elderly patients after rehabilitation post‐hip fracture surgery

The accuracy of diagnosis of major depression in patients with Parkinson's disease: a comparative study among the UPDRS, the geriatric depression scale and the Beck depression inventory

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