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

The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.

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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Crossref · 10.1111/j.1532-5415.1989.tb01249.x

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Research works printed but not linked: 4

  1. 1988, SAS
  2. Brody SJ, 1979, Aging: Agenda for the 80's. National Journal Issues Book
  3. US Government Printing Office, 1984, Caring for the Older Veteran, 5
  4. Jones KR, 1979, Impact of alcohol, drug abuse and mental health treatment on medical care utilization, Medical Care, 17, 4

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Metadata

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
  • Health Sciences › Medicine › Psychiatry and Mental health › 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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