Objective
This study evaluated the association between depression and hospitalization among geriatric home care patients.
Methods
A sample of 477 patients newly admitted to home care over two years was assessed for depression. Bivariate and logistic regression analyses examined the likelihood of hospitalization during a 60-day home care episode.
Results
The hospitalization rate was similar for the 77 depressed patients and 400 nondepressed patients (about 7%). However, mean time to hospitalization was 8.4 versus 19.5 days after start of care, respectively. Hospitalization risk was significantly higher for depressed patients during the first few weeks. A main effect for depression and a depression-by-time interaction was found when analyses controlled for medical comorbidity, cognitive status, age, gender, race, activities of daily living and instrumental activities of daily living, and referral to home care after hospitalization.
Conclusions
Depression appears to increase short-term risk of hospitalization for geriatric home care patients immediately after starting home care.
A key variable in the success of a juvenile justice diversion program (i.e., avoiding reoffending) is completing the program. Little is known about which variables predict successful completion. The present study examined demographics; behavioral histories; current behaviors; and family, school, and social issues among participants drawn from a metropolitan Detroit diversion program. Logistic regression analyses identified variables predictive of program completion. Key predictors included race, aggressive behavior, previous counseling or treatment, poor academic performance, diagnosed with ADD/ADHD, and parental reports of not contributing to household chores. Recommendations for modifying diversion programs based on these findings are offered.Juvenile diversion programs are predicated on the belief that it is better for the long-term development of youth for them to avoid engagement with correctional institutions. The claim is proffered that the juvenile justice system actually creates more problems than it resolves (Lundman, 1993). The ineffectiveness of
Background:
Since 2003 six public health educational campaigns were begun in Florida to reduce stroke rate and mortality by increasing public awareness of stroke-related symptoms and its risk factors.
Hypothesis:
The public health campaigns reduced hospitalization and death rates due to stroke in West Central Florida (WCF).
Methods:
Using the Florida Department of Health databases, we tabulated the annual stroke-related rates of hospitalization and death in 10 WCF counties (Polk, Hardee, Sarasota, Hillsborough, Hernando, Pasco, Pinellas, Manatee, Desoto, and Highlands) from 1997-2016. Population (total: 4.75 million), median age, race/ethnicity distribution, and median income were recorded for each county. The pre-campaign period was defined from 1997 to 2002. Annual rates/100,000 population for stroke-related hospitalization and death were compared yearly before and after the campaigns were launched to determine their impact.
Results (graphs):
Compared to other WCF counties, Sarasota had the lowest baseline rate for stroke hospitalization, but its death rates did not significantly differ. Post-initiation, yearly declines average hospitalization (6.51%) and death rates (0.67%) were observed, but the decline in annual death rate was attenuated after 2006, suggesting the greatest impact was due to the Get With The Guidelines® campaign begun in 2003.
Conclusions:
Public health campaigns were associated with an almost linear decline in West Central Florida stroke hospitalization rates, suggesting a benefit from improved stroke recognition and risk factor reduction. The blunted effect on the death rate may reflect the limitations of therapeutic measures and implementation protocols employed during this period.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.