Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital

Chuan Zou,* Shanping Chen,* Jing Shen, Xiaomei Zheng, Lingxiao Wang, Lijuan Guan, Qian Liu, Yongxue Yang Department of Gerontology and Geriatrics, Chengdu Fifth People’s Hospital, Chengdu-Montpellier Geriatric Research Center, Chengdu, China *These authors contributed equally to...

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Autores principales:	Zou C, Chen SP, Shen J, Zheng XM, Wang LX, Guan LJ, Liu Q, Yang YX
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	depressive symptoms elderly inpatients prevalence comprehensive geriatric assessment Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/d32c3acb2d9841f787a2b5e437b70800
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spelling	oai:doaj.org-article:d32c3acb2d9841f787a2b5e437b708002021-12-02T06:47:15ZPrevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital1178-1998https://doaj.org/article/d32c3acb2d9841f787a2b5e437b708002018-09-01T00:00:00Zhttps://www.dovepress.com/prevalence-and-associated-factors-of-depressive-symptoms-among-elderly-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Chuan Zou,* Shanping Chen,* Jing Shen, Xiaomei Zheng, Lingxiao Wang, Lijuan Guan, Qian Liu, Yongxue Yang Department of Gerontology and Geriatrics, Chengdu Fifth People’s Hospital, Chengdu-Montpellier Geriatric Research Center, Chengdu, China *These authors contributed equally to this work Background: Depression in the elderly is a serious and often underdiagnosed psychiatric disorder that has been linked to adverse outcomes in the hospital setting. This study aims to evaluate the prevalence of depressive symptoms and associated factors among elderly hospital inpatients. Methods: The cross-sectional study included 411 consecutively hospitalized patients aged 60 years and older. Participants were evaluated within 48 hours of admission using an interviewer-administered questionnaire including the Geriatric Depression Scale and comprehensive geriatric assessment to provide basic demographic and clinical information. Results: Most of the participants were male (64.5%), with a mean (SD) age of 75.9 (8.1) years between 60 and 97 years. The prevalence of depressive symptoms was 32.8%. Univariate analysis showed significant associations between depressive symptoms and older age, female gender, lower body mass index, number of chronic diseases, impaired family function, impaired cognition, malnutrition, increased frailty, and decreased ability to perform activities of daily living. After logistic regression, variables that remained significantly associated with depression were cognitive decline (odds ratio =1.97, 95% CI: 1.09–3.55), poor family function (odds ratio =2.01, 95% CI: 1.10–3.66), and frailty (odds ratio =5.07, 95% CI: 1.95–13.20). Depressive symptoms were independently associated with prolonged hospital length. Conclusion: Depressive symptoms were prevalent among hospitalized elderly and independently associated with cognitive decline, poor family function, and frailty. Therefore, it is essential to screen for depression and perform a comprehensive geriatric assessment in these patients to identify and manage depressive symptoms. Keywords: depressive symptoms, aged, inpatients, prevalence, comprehensive geriatric assessmentZou CChen SPShen JZheng XMWang LXGuan LJLiu QYang YXDove Medical Pressarticledepressive symptomselderlyinpatientsprevalencecomprehensive geriatric assessmentGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1755-1762 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	depressive symptoms elderly inpatients prevalence comprehensive geriatric assessment Geriatrics RC952-954.6
spellingShingle	depressive symptoms elderly inpatients prevalence comprehensive geriatric assessment Geriatrics RC952-954.6 Zou C Chen SP Shen J Zheng XM Wang LX Guan LJ Liu Q Yang YX Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital
description	Chuan Zou,* Shanping Chen,* Jing Shen, Xiaomei Zheng, Lingxiao Wang, Lijuan Guan, Qian Liu, Yongxue Yang Department of Gerontology and Geriatrics, Chengdu Fifth People’s Hospital, Chengdu-Montpellier Geriatric Research Center, Chengdu, China *These authors contributed equally to this work Background: Depression in the elderly is a serious and often underdiagnosed psychiatric disorder that has been linked to adverse outcomes in the hospital setting. This study aims to evaluate the prevalence of depressive symptoms and associated factors among elderly hospital inpatients. Methods: The cross-sectional study included 411 consecutively hospitalized patients aged 60 years and older. Participants were evaluated within 48 hours of admission using an interviewer-administered questionnaire including the Geriatric Depression Scale and comprehensive geriatric assessment to provide basic demographic and clinical information. Results: Most of the participants were male (64.5%), with a mean (SD) age of 75.9 (8.1) years between 60 and 97 years. The prevalence of depressive symptoms was 32.8%. Univariate analysis showed significant associations between depressive symptoms and older age, female gender, lower body mass index, number of chronic diseases, impaired family function, impaired cognition, malnutrition, increased frailty, and decreased ability to perform activities of daily living. After logistic regression, variables that remained significantly associated with depression were cognitive decline (odds ratio =1.97, 95% CI: 1.09–3.55), poor family function (odds ratio =2.01, 95% CI: 1.10–3.66), and frailty (odds ratio =5.07, 95% CI: 1.95–13.20). Depressive symptoms were independently associated with prolonged hospital length. Conclusion: Depressive symptoms were prevalent among hospitalized elderly and independently associated with cognitive decline, poor family function, and frailty. Therefore, it is essential to screen for depression and perform a comprehensive geriatric assessment in these patients to identify and manage depressive symptoms. Keywords: depressive symptoms, aged, inpatients, prevalence, comprehensive geriatric assessment
format	article
author	Zou C Chen SP Shen J Zheng XM Wang LX Guan LJ Liu Q Yang YX
author_facet	Zou C Chen SP Shen J Zheng XM Wang LX Guan LJ Liu Q Yang YX
author_sort	Zou C
title	Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital
title_short	Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital
title_full	Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital
title_fullStr	Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital
title_full_unstemmed	Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital
title_sort	prevalence and associated factors of depressive symptoms among elderly inpatients of a chinese tertiary hospital
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/d32c3acb2d9841f787a2b5e437b70800
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Prevalence and associated factors of depressive symptoms among elderly inpatients of a Chinese tertiary hospital

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