Cited by 19Mental Health Treatment and AccessTreatment of Major DepressionPsychiatric care and mental health services

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

Colenda, Christopher C., Trinkle, David, Hamer, Robert M., Jones, Sidney·1991·Journal of Geriatric Psychiatry and Neurology

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.

Overview

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Registry

Crossref · 10.1177/089198879100400308

Cites

16 of 16 references verified0 citation errors · 0 not checkable

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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.”

Citations

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Research works printed but not linked: 2

  1. Katz IR, Curlik S., Nemetz P.: Functional psychiatric disorders in the elderly, in Lazarus L (ed): Essentials of Geriatric Psychiatry . New York, Springer, 1988, pp 113-137.
  2. Coffey CE, 1990, Psychiat Times, 7, 36

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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
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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