title: Factors associated with persistent risk of depression in older people following discharge from an acute cardiac unit.
abstract: BACKGROUND
  This longitudinal study aims to describe the prevalence and characteristics associated with persistent risk of depression in a group of older, hospitalized patients.
  
  
  METHODS
  We examined patients at two time-points: baseline and one month post-discharge from hospital. Patients in this study comprised those who had been admitted to the cardiology unit, with no cognitive impairment, aged 60 years and over, and those who were followed up at both time points (N = 155). Questionnaires administered included risk of depression (Geriatric Depression Scale-15; GDS-15), cognitive impairment (Mini-mental State Examination), social support (7-Item Subjective Social Support Index), co-morbidity (Charlson's Comorbidity Index), sociodemographic variables, physical functioning (Modified Barthel's Index) and clinical variables.
  
  
  RESULTS
  The prevalence of risk of depression (GDS-15 score > or = 5) among older inpatients at baseline was 34%. At one month post-discharge this had fallen to 17% and this group was identified as those at persistent risk of depression. Factors associated with a risk of persistent depression were: hospitalization within the last six months; length of stay of four days or more; discharge diagnosis of angina; and impaired Subjective Social Support Score.
  
  
  CONCLUSIONS
  Depression occurs commonly among older hospitalized patients and may resolve spontaneously. The identification of factors associated with persistent risk of depression can be helpful when looking at which patients may benefit most from screening and treatment for depression after discharge.
authors.affiliation: Discipline of Public Health, University of Adelaide, Adelaide, SA, Australia.
authors.forename: A J
authors.initials: AJ
authors.lastname: Hammond
authors.forename: S
authors.initials: S
authors.lastname: Yu
authors.forename: K
authors.initials: K
authors.lastname: Esa
authors.forename: J
authors.initials: J
authors.lastname: Jabbour
authors.forename: L
authors.initials: L
authors.lastname: Wakefield
authors.forename: P
authors.initials: P
authors.lastname: Ryan
authors.forename: R
authors.initials: R
authors.lastname: Visvanathan
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D003325:Coronary Care Units / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000706:statistics & numerical data*; D010552:Personality Assessment; D011788:Quality of Life / Q000523:psychology; D012307:Risk Factors; D012737:Sex Factors; D012944:Social Support; D013021:South Australia