title: Evaluation and treatment of depression in adult trauma patients.
abstract: A retrospective study examined in-hospital antidepressant medication (ADM) use in adult trauma patients with an intensive care unit stay of 5 or more days. One fourth of patients received an ADM, with only 33% of those patients having a documented history of depression. Of patients who received their first ADM from a trauma or critical care physician, only 5% were discharged with a documented plan for psychiatric follow-up. The study identified a need for standardized identification and management of depressive symptoms among trauma patients in the inpatient setting.
authors.affiliation: UnityPoint Health, Des Moines, Iowa (Ms Spilman and Drs Smith and Tonui); and Fort Sanders Regional Medical Center, Knoxville, Tennessee (Dr Schirmer).
authors.forename: Sarah K
authors.initials: SK
authors.lastname: Spilman
authors.forename: Hayden L
authors.initials: HL
authors.lastname: Smith
authors.forename: Lori L
authors.initials: LL
authors.lastname: Schirmer
authors.forename: Peter M
authors.initials: PM
authors.lastname: Tonui
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use*; D015331:Cohort Studies; D003863:Depression / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D062606:Tertiary Care Centers; D014193:Trauma Centers; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000150:complications / Q000175:diagnosis / Q000523:psychology*
chemical_list: D000928:Antidepressive Agents