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• W2212224565 abstract "Although death or readmission shortly after hospital discharge is frequent, identifying inpatients at higher risk is difficult. We evaluated whether in-hospital depressive symptoms (hereafter “depression”) are associated with short-term readmission or mortality after discharge from medical wards. Depression was assessed at discharge in a prospective inpatient cohort from 2 Canadian hospitals (7 medical wards) and defined as scores ≥ 11 on the 27-point Patient Health Questionnaire (PHQ-9). Primary outcome was all-cause readmission or mortality 90 days postdischarge. Of 495 medical patients [median age 64 years, 51% women, top 3 admitting diagnoses heart failure (10%), pneumonia (10%) and chronic obstructive pulmonary disease (8%)], 127 (26%) screened positive for depression at discharge. Compared with nondepressed patients, those with depression were more frequently readmitted or died: 27/127 (21%) vs. 58/368 (16%) within 30 days and 46 (36%) vs. 91 (25%) within 90 days [adjusted odds ratio (aOR) 2.00, 95% confidence interval 1.25–3.17, P = .004, adjusted for age, sex and readmission/death prediction scores]. History of depression did not predict 90-day events (aOR 1.05, 95% CI 0.64–1.72, P =.84). Depression persisted in 40% of patients at 30 days and 17% at 90 days. Depression was common, underrecognized and often persisted postdischarge. Current symptoms of depression, but not history, identified greater risk of short-term events independent of current risk prediction rules." @default.
• W2212224565 created "2016-06-24" @default.
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• W2212224565 date "2016-03-01" @default.
• W2212224565 modified "2023-09-25" @default.
• W2212224565 title "Current depressive symptoms but not history of depression predict hospital readmission or death after discharge from medical wards: a multisite prospective cohort study" @default.
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• W2212224565 doi "https://doi.org/10.1016/j.genhosppsych.2015.12.001" @default.
• W2212224565 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26804774" @default.
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