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
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, 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]
Citations
Cites
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Religion, Spirituality, and Health: The Research and Clinical Implications
Koenig, H. G. (2012) · ISRN Psychiatry · doi:10.5402/2012/278730 · Cited by 2,423
“Poor coping has adverse e ff ects on medical outcomes, both in terms of lengthening hospital stay and increasing mortality [583].”
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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)
- 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
- 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
- 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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