The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
Hospital Utilization and Readmission Rates for Geriatric and Young Adult Patients With Major Depression: Results From a Historical Cohort Study
Abstract
Late-life depression may have different clinical features, hospital utilization patterns, and natural history, depending on whether the illness begins in midlife or late life. This historical cohort study examined three patient groups, late-onset geriatric depressed patients, early-onset geriatric depressed patients, and young adult depressed patients, to determine hospital utilization patterns, readmission rates, and whether specific clinical symptoms on admission predisposed patients to readmission. The two geriatric patient groups had similar demographic, medical comorbidity, and hospital utilization profiles, except that the early-onset geriatric depressed group had longer hospital lengths of stay. Hospital utilization patterns for the young adult patients were different from the geriatric patients, but in the expected direction, ie, less medical comorbidity and shorter lengths of stay. Patients with late-onset geriatric depression had the highest 24-month readmission rate (47.4%), followed by early-onset geriatric depression patients (23.1%) and young adult patients (16.7%). Delusional symptoms and agitation were similar across the three patient groups and, as expected, somatic complaints were more frequent in the geriatric patient groups. The relative risk for readmission was greatest for geriatric patients who were somatic. Readmission risk was increased for agitated late-onset geriatric depressed patients and young adult patients, but not for early-onset geriatric depressed patients. Delusional symptoms did not predict readmission for any patient group.
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Colenda et al. used hospitalization as the primary outcome measure, acknowledging that not all relapses require admission but that hospitalization reliably captures severe clinical worsening.
“Similarly, Colenda et al. (29) used hospitalization as the primary outcome measure, acknowledging that not all relapses require admission but that hospitalization reliably captures severe clinical worsening.”
From Administrative criteria in the relapse of depressive disorder: a critical appraisal (2026) · cites this paper as [29]
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Administrative criteria in the relapse of depressive disorder: a critical appraisal
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“Similarly, Colenda et al. (29) used hospitalization as the primary outcome measure, acknowledging that not all relapses require admission but that hospitalization reliably captures severe clinical worsening.”
CURRICULUM VITAE PERSONAL INFORMATION : Name:
Hamer, R. M., & Thurstone, L. L. (2009)
Metadata
- Authors
- Colenda, C. C., Trinkle, D., Hamer, R. M., & Jones, S.
- Affiliations
- Atrium Health Wake Forest Baptist (US)
- Virginia Commonwealth University (US)
- University of Alabama (US)
- Venue
- Journal of Geriatric Psychiatry and Neurology
- Publisher
- SAGE Publications
- Published
- 1991-07
- Volume
- 4
- Issue
- 3
- Pages
- 166-172
- ISSN
- 0891-9887 (ISSN-L)
- 1552-5708
- OpenAlex
- W2048735187
- Cited by
- 19
- References
- 16
- Citations by year
- 2026: 1 · 2022: 3 · 2021: 1 · 2017: 1 · 2016: 1
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Geriatric Psychiatry and Neurology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k07mh000787-04)
- National Institute of Mental Health (1-K07-MH00787)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- major depressive disorder, late-onset depression, early-onset depression, geriatric depression, young adult depression, hospital readmission, hospital utilization, length of hospital stay, somatic symptoms, agitation, delusional symptoms, comorbidities
- MeSH terms
- Adult, Aged, Combined Modality Therapy, Cross-Sectional Studies, Depressive Disorder, Female, Hospitalization, Humans, Male, Middle Aged, Patient Readmission, Recurrence, Virginia, Cohort Studies, Incidence
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