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Cited by 192Mental Health Treatment and AccessAging, Health, and DisabilityCardiac Health and Mental Health

Survival and Health Care Utilization in Elderly Medical Inpatients With Major Depression

Koenig, Harold G., Shelp, Frank, Goli, Veeraindar, Cohen, Harvey J., Blazer, Dan G.·1989·Journal of the American Geriatrics Society
DOI 10.1111/j.1532-5415.1989.tb01249.x
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Abstract

Forty‐one elderly medical inpatients with active major depression were matched with nondepressed controls from the same population. Survival and health care utilization were examined during a mean follow‐up period of five months. Cases and controls were matched by age, functional status, severity and type of medical illness, and extent of disease. In‐hospital mortality was significantly higher among depressed compared with nondepressed controls (6 vs 0 deaths, P=.03). For patients discharged from the hospital alive, however, depression did not have a substantial impact on mortality (31.4% cases, 31.7% controls). Health care utilization—in terms of days of inpatient care—was significantly higher both during the index admission (25 vs 14 days, P < .005) and during the follow‐up period (16 vs 7 days, P < .05) for depressed patients compared with controls. Hence, older medically ill patients with major depression consume more healthcare resources and experience greater mortality during their initial hospital stay. After discharge, while survival is little affected, excess resource utilization persists among those with depression.

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  • Social factors are known to influence both mental health and physical health and predict greater longevity.

    “Social factors, in turn, are known to influence both mental health and physical health and predict greater longevity [574–576].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [574]

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Authors
Koenig, H. G., Shelp, F., Goli, V., Cohen, H. J., & Blazer, D. G.
Affiliations
  • Duke University (US)
  • Duke Medical Center (US)
ORCID
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
1989-07
Volume
37
Issue
7
Pages
599-606
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
DOI
10.1111/j.1532-5415.1989.tb01249.x
OpenAlex
W2049475892
Cited by
192
References
28
Citations by year
2026: 1 · 2025: 1 · 2023: 1 · 2022: 1 · 2020: 5 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 5 · 2013: 4 · 2012: 8
FWCI
11.21
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 9431 d)
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute on Aging (AG00371)
  • National Institute of Mental Health (MH 40159)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords
major depressive disorder, hospitalized older adults, in-hospital mortality, health care utilization, survival after hospital discharge, depression and mortality
MeSH terms
Activities of Daily Living, Aged, Depressive Disorder, Follow-Up Studies, Health Services, Hospitalization, Humans, Length of Stay, Male, Severity of Illness Index

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