title: Depression after cardiac hospitalisation--the Identifying Depression as a Comorbid Condition (IDACC) study.
abstract: BACKGROUND
  The Identifying Depression as a Comorbid Condition (IDACC) study aimed to identify depressive symptoms in hospitalised cardiac patients and support management of depression in general practice.
  
  
  OBJECTIVE
  This post hoc analysis of the IDACC trial examines the effectiveness and practicality of different forms of communication between hospital psychiatric services and general practitioners.
  
  
  METHODS
  We randomised 669 cardiac inpatients with depressive symptoms, identified with the Center for Epidemiological Studies Depression Scale (CES-D), to an intervention or usual care control group. Individual depression scores and depression management guidelines were sent to GPs of all intervention patients. Where possible, psychiatric advice was provided to the GP either by multidisciplinary enhanced primary care case conference or one-to-one telephone advice.
  
  
  RESULTS
  Multidisciplinary case conferences were implemented for only 24% of intervention patients. General practitioners received individual telephone advice in 40% of cases, and 36% received written information only. The psychiatrist telephone advice resulted in a significant reduction in the proportion of patients with moderate to severe depression 12 months after cardiac hospitalisation (19% vs. 35%).
  
  
  CONCLUSIONS
  Screening, combined with psychiatrist telephone advice to GPs, was simple to organise and effective in reducing depression severity after cardiac admission.
authors.affiliation: Primary Mental Health Care Australian Resource Centre, Department of General Practice, Flinders University, South Australia. tori.wade@sadi.org.au
authors.forename: Victoria
authors.initials: V
authors.lastname: Wade
authors.forename: Frida
authors.initials: F
authors.lastname: Cheok
authors.forename: Geoff
authors.initials: G
authors.lastname: Schrader
authors.forename: Anne-Louise
authors.initials: AL
authors.lastname: Hordacre
authors.forename: Julie
authors.initials: J
authors.lastname: Marker
mesh_terms: D003376:Counseling / Q000379:methods; D003863:Depression / Q000150:complications* / Q000175:diagnosis*; D005194:Family Practice / Q000379:methods / Q000458:organization & administration; D006331:Heart Diseases / Q000150:complications* / Q000523:psychology / Q000534:rehabilitation*; D006760:Hospitalization; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic / Q000379:methods; D011570:Psychiatry / Q000379:methods / Q000458:organization & administration; D013021:South Australia