the association between depressive symptoms and non-psychiatric hospitalisation in older adults抑郁症状之间的关系和综合医院住院老年人.pdfVIP

The Association between Depressive Symptoms and Non-Psychiatric Hospitalisation in Older Adults 1 2,3 1 2,3 2,3,4 A. Matthew Prina *, Dorly Deeg , Carol Brayne , Aartjan Beekman , Martijn Huisman 1 Department of Public Health Primary Care, Institute of Public Health, University of Cambridge, Cambridge, United Kingdom, 2 Department of Epidemiology Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands, 3 Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands, 4 Department of Sociology, VU University, Amsterdam, The Netherlands Abstract Background: It is known that people who suffer from depression are more likely to have other physical illnesses, but the extent of the association between depression and non-psychiatric hospitalisation episodes has never been researched in great depth. We therefore aimed to investigate whether depressed middle-aged and older people were more likely to be hospitalised for causes other than mental illnesses, and whether the outcomes for this group of people were less favourable. Methods Findings: Hospital events from 1995 to 2006 were obtained from the Dutch National Medical Register and linked to participants of the Longitudinal Aging Study Amsterdam (LASA). Linkage was accomplished in 97% of the LASA sample by matching gender, year of birth and postal code. Depression was measured at each wave point of the LASA study using the Centre for Epidemiologic Studies Depression (CES-D). Hospital outcomes including admission, length of stay, readmission and death while in hospital were recorded at 6, 12 and 24 months intervals after each L