Tags: depression | hospital | er

Depression Tied to Higher ER Admissions

Thursday, 27 Dec 2012 10:34 AM


In yet another study confirming the mind-body connection, British researchers have determined depressed older men have twice the risk being admitted to a hospital — and tend to be hospitalized longer — than those with no mental-health history.
The study, published in the Canadian Medical Association Journal, could help doctors identify men who are more prone to hospitalization to prevent admissions.
"Men with depression had a twofold increase in the mean number of hospital admissions, and these lasted on average twice as long as for men without depression," said lead researcher Matthew Prina, M.D., Institute of Public Health, Cambridge University, Cambridge, U.K.
The study, which also included researchers from Australia and the Netherlands, tracked 5,411 men aged 69 years and older in Western Australia to determine whether hospital admissions were higher for men with depressive symptoms than for those without.
The results showed 6.3 percent of the men had moderate to severe depression and almost half of them with a mental-health history had at least one emergency admission to the hospital, compared with just 23 percent of the non-depressed men. Depressed men tended to be older, less educated, in poorer health, and were more likely to smoke. Overnight admissions and deaths in the hospital were also higher in this group.
Investigators speculated that patients often do not follow treatment plans and often arrive at the hospital with acute illnesses. Depression may also exacerbate chronic diseases and hinder their efforts to communicate with their healthcare providers.
Regardless of other health conditions, "depression was a strong independent risk factor for hospital admission, longer hospital stays and worse hospital outcomes,” the researchers said. “This suggests that the association between depression and comorbidity, disability and hospital admission is complex and cannot be attributed solely to age, prevalent clinical morbidity, social support, education or smoking."


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Researchers have determined depressed older men have twice the risk being admitted to a hospital.
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2012-34-27
Thursday, 27 Dec 2012 10:34 AM
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