Psychosomatics 44:367-373, October 2003
© 2003 The Academy of Psychosomatic Medicine
Congestive Heart Failure and Depression in Older Adults: Clinical Course and Health Services Use 6 Months After Hospitalization
George Fulop, M.D., M.S.,
James J Strain, M.D., and
Glen Stettin, M.D.
Received July 5, 2002; revision received Nov. 8, 2002; accepted Dec. 2, 2002. From Medco Health Solutions, Inc.; and the Division of Behavioral Medicine and Consultation Psychiatry of Mount Sinai/NYU Medical Center/Health Service, New York. Address reprint requests to Dr. Fulop, Medical Policy and Programs, Medco Health Solutions, Inc., 100 Parsons Pond Dr., F2-2, Franklin Lakes, NJ 07417; george_fulop{at}medcohealth.com (e-mail).
The course of depression and the economic consequences in the 6-month period after hospitalization for congestive heart failure were examined in a prospective observational cohort study involving 203 older adults (mean age=76.8 years, SD=7.8). At discharge, 73 of 203 subjects (36%) were depressed according to the screening criteria of the Geriatric Depression Scale, and 44 (22%) were depressed according to the Structured Clinical Interview for DSM-III-R—Non-Patient Edition. The proportions were 33% and 20% of 166 subjects, respectively, at 4 weeks and 26% and 17% of 113 subjects, respectively, at 24 weeks. Depressed patients used more medical resources after discharge than nondepressed patients. Additional research is required to determine whether the optimal time to identify and treat depressed older adults with congestive heart failure is during a hospital stay or after discharge.
This article has been cited by other articles:
|
|
|
|
 
S. A. Thomas, D. W. Chapa, E. Friedmann, C. Durden, A. Ross, M. C. Y. Lee, and H.-J. Lee
Depression in Patients With Heart Failure: Prevalence, Pathophysiological Mechanisms, and Treatment
Crit. Care Nurse,
April 1, 2008;
28(2):
40 - 55.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Fraguas Jr., D. V. Iosifescu, J. Alpert, S. R. Wisniewski, J. L. Barkin, M. H. Trivedi, A J. Rush, and M. Fava
Major Depressive Disorder and Comorbid Cardiac Disease: Is There a Depressive Subtype With Greater Cardiovascular Morbidity? Results From the STAR*D Study
Psychosomatics,
October 1, 2007;
48(5):
418 - 425.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. G. Cole, J. McCusker, A. Ciampi, S. Windholz, E. Latimer, and E. Belzile
The Prognosis of Major and Minor Depression in Older Medical Inpatients.
Am J Geriatr Psychiatry,
November 1, 2006;
14(11):
966 - 975.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Rutledge, V. A. Reis, S. E. Linke, B. H. Greenberg, and P. J. Mills
Depression in Heart Failure: A Meta-Analytic Review of Prevalence, Intervention Effects, and Associations With Clinical Outcomes
J. Am. Coll. Cardiol.,
October 17, 2006;
48(8):
1527 - 1537.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Ahmed, M. Ali, C. M. Lefante, M. S. I. Mullick, and F. C. Kinney
Geriatric Heart Failure, Depression, and Nursing Home Admission: An Observational Study Using Propensity Score Analysis
Am J Geriatr Psychiatry,
October 1, 2006;
14(10):
867 - 875.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. G. Koenig
Depression outcome in inpatients with congestive heart failure.
Arch Intern Med,
May 8, 2006;
166(9):
991 - 996.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. G. Cole, J. McCusker, M. Elie, N. Dendukuri, E. Latimer, and E. Belzile
Systematic detection and multidisciplinary care of depression in older medical inpatients: a randomized trial
Can. Med. Assoc. J.,
January 3, 2006;
174(1):
38 - 44.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Ahmed
Depression in older adults with heart failure
J. Am. Coll. Cardiol.,
December 7, 2004;
44(11):
2254 - 2254.
[Full Text]
[PDF]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 2003
Academy of Psychosomatic Medicine.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
