Screening for depression among acutely ill geriatric inpatients with a short geriatric depression scale

Shah, Ajit; Herbert, Rosemary; Lewis, Samara E.; Mahendran, Ranjini; Platt, John R.; Bhattacharyya, Binoy

doi:10.1093/ageing/26.3.217

Cited by 126 publications

(80 citation statements)

References 27 publications

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“…The eligibility criteria were: age 65 years and over, ambulatory, an adequate understanding of French, and no acute medical illness in the past month. For the present analysis, exclusion criteria were: dementia, extrapyramidal rigidity of the upper limbs, neurological and psychiatric diseases other than cognitive impairment, severe medical conditions affecting walking, inability to walk 15 min unassisted, or the presence of depressive symptoms defined by a 4-item Geriatric Depression Scale score above 1 (Shah et al, 1997). All participants received a full standardized medical examination, a neuropsychological and gait assessment, and MRI of the brain.…”

Section: Participantsmentioning

confidence: 99%

Hippocampal volume, early cognitive decline and gait variability: Which association?

Beauchet

Launay

Annweiler

et al. 2015

Experimental Gerontology

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Background: In contrast to its prominent function in cognition, the involvement of the hippocampus in gait control is still a matter of debate. The present study aimed to examine the association of the hippocampal volume with mean values and coefficients of variation (CoV) of spatio-temporal gait parameters among cognitively healthy individuals (CHI) and patients with mild cognitive impairment (MCI). Methods: A total of 90 individuals (47 CHI with a mean age of 69.7 ± 3.6 years and 48.9% women, and 43 MCI individuals with a mean age of 70.2 ± 3.7 years and 62.8% women) were included in this cross-sectional study. The hippocampal volume was quantified from a three-dimensional T 1 -weighted MRI using semiautomated software. Mean values and CoV of stride time, swing time and stride width were measured at selfselected pace with a 10 m electronic portable walkway (GAITRite®). Age, gender, body mass index, number of drugs daily taken, Mini-Mental State Examination (MMSE) score, history of falls, walking speed and white matter signal-intensity abnormality scoring with Manolio scale were used as covariates. Results: Patients with MCI had a lower MMSE score (P b 0.001), a higher CoV of stride time (P = 0.013) and a lower hippocampal volume (P = 0.007) compared with CHI. Multiple linear regression models showed that CoV of stride time was specifically associated with higher hippocampal volume among CHI (P b 0.05) but not among patients with MCI (P N 0.650). Conclusions: Our findings revealed a positive association between a greater (i.e., better morphological structure) hippocampal volume and a greater (i.e., worse performance) stride time variability among CHI, but not among MCI individuals.

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Section: Participantsmentioning

confidence: 99%

Hippocampal volume, early cognitive decline and gait variability: Which association?

Beauchet

Launay

Annweiler

et al. 2015

Experimental Gerontology

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“…(Katz et al, 1963) e atividades instrumentais da vida diária (AIVD) pelo índice de Lawton (Lawton e Brody, 1969); • aspectos de saúde mental: na avaliação da presença de sintomatologia depressiva foi utilizada a Escala de Depressão Geriátrica (GDS-15) (Shah et al, 1997), com o ponto de corte padrão de cinco pontos para a presença de sintomatologia depressiva. Na avaliação da função cognitiva foi utilizada a escala Short Portable Mental Status Questionnaire (SPMSQ), de Pfeiffer (1975).…”

Section: Introductionunclassified

Prevalência e fatores associados à sintomatologia depressiva em idosos residentes no Nordeste do Brasil

Maciel

Guerra

2006

J. bras. psiquiatr.

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ResumoObjetivo: Analisar a influência de fatores sociodemográficos, de saúde física, capacidade funcional e função cognitiva sobre a sintomatologia depressiva de idosos do município de Santa Cruz, no Rio Grande do Norte. Métodos: Estudo com delineamento transversal de base populacional, incluindo 310 idosos, acima de 60 anos, residentes na zona urbana da cidade, nos quais se aplicou a Escala de Depressão Geriátrica (GDS-15). A análise estatística foi realizada com nível de significância p = 0,05, com cálculo da respectiva odds ratio (OR) na regressão logística binária. Resultados: Encontrou-se uma prevalência de 25,5% de sujeitos considerados casos de depressão, nos quais, a partir de análise multivariada, verificou-se associação significativa com idade acima de 75 anos (p = 0,046), analfabetismo (p = 0,037), má percepção de saúde (p < 0,001) e dependência para atividades instrumentais da vida diária (AIVD) (p = 0,001). Conclusões: As variáveis idade acima de 75 anos, analfabetismo, má percepção de saúde e dependência para AIVD estiveram associadas de forma independente à presença de sintomatologia depressiva nos idosos da nossa população. Os autores discutem que a identificação de fatores que influenciam o surgimento de sintomas depressivos em idosos constitui passo fundamental para o planejamento das ações que visem reduzir os efeitos dessa enfermidade na qualidade de vida dessas pessoas. Palavras-chave: idoso, depressão, envelhecimento. AbstractObjective: To analyze the influence of socio-demographic factors, physical health, functional status and cognitive function on depressive symptomatology of the elderly from Santa Cruz, Rio Grande do Norte. Methods: A cross-sectional study was conducted in a sample constituted by 310 elderly above 60 old years who live in an urban zone of the town in which the Geriatric Depression Scale (GDS-15) was applied. The statistical analysis was carried out with significance level p = 0.005, and the respective odds ratio (OR) was calculated in the binary logistic regression. Results: A prevalence of 25.5% of subjects considered cases of depression was found, and after a multivariate analysis significant association with age over 75 years (p = 0.046), illiteracy (p = 0.037), poor health perception (p < 0.001) and dependency for instrumental activities of daily living (p = 0.001) was verified. Conclusions: The variables age above 75 years, illiteracy, bad health perception and being dependent in basic activities of daily living were independently associated with the presence of depressive symptoms in this population. The authors suggest that the identification of factors that influence the onset of depressive general situations in the elderly is a fundamental step to plan actions to reduce the effects of this condition on these people's living quality.

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“…Previous history of depression and dementia was recorded in 12 and 18 patients, respectively. 4-Item GDS (GDS4) was completed when a patient was thought to be depressed by ward staff, and this was done for three of 43 patients (GDS4 scores were ≤1/4, suggesting no presence of depression; [10]). No new cases of depression or dementia were identified during the admission.…”

Section: Resultsmentioning

confidence: 99%

“…Forms were completed using medical and nursing notes, and interviews with patients and next of kin by an orthopaedic nurse practitioner (TM), a care of the elderly nurse (CS) and an orthopaedic nurse specialist (JJ). The information gathered includes: demographic, mental and physical health prior to admission, 4-item Geriatric Depression Scale (GDS4) [10], Abbreviated Mental Test (AMT) scores [11], Barthel index [12] scores on admission and 48 hours post surgery, presence of dementia and/or depression as recorded in clinical notes, onset of delirium, referral to Geriatrician, referral to LOAP team and duration of hospital stay. The diagnosis of depression, dementia and delirium were established according the DSM-IV criteria (1994) [13], and the diagnosis of delirium was further supported by the Confusion Assessment Method assessment [14].…”

Section: Methodsmentioning

confidence: 99%

Depression, Dementia and Delirium in Older Adults Presenting with Hip Fractures to Orthopaedic Services at a General Hospital

2012

Maced J Med Sci

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Aim: A survey to address psychiatric morbidity in older adults admitted with hip fracture, involvement of liaison psychiatric services for older adults and evaluate change of level of care.Methods: Information about mental and physical health prior to and during admission, referrals to Geriatrician or Liaison Old Age Psychiatry (LOAP) team, duration of hospital stay and level of care was collected for 43 consecutive admissions of older adults for hip fracture over 6 months period.Results: Depression, dementia and delirium were present in 28%, 42% and 23% patients respectively. A pre admission diagnosis of depression was associated with lower Barthel scores on admission, whereas dementia and delirium with lower Barthel scores on both admission and at 48 hours post surgery. Pre admission diagnosis of depression or dementia and the occurrence of delirium did not affect the duration of stay in the orthopaedic ward or alter the level of care after discharge. Conclusions:There are high rates of psychiatric morbidity in older adults presenting with hip fracture to orthopaedic services. Active involvement of the LOAP team would facilitate their prompt identification and treatment post fracture and improve outcomes for these patients.

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Screening for depression among acutely ill geriatric inpatients with a short geriatric depression scale

Abstract: Both shorter versions of the GDS may be utilized in screening for depression among acutely ill geriatric inpatients.

Cited by 126 publications

References 27 publications

Hippocampal volume, early cognitive decline and gait variability: Which association?

Hippocampal volume, early cognitive decline and gait variability: Which association?

Prevalência e fatores associados à sintomatologia depressiva em idosos residentes no Nordeste do Brasil

Depression, Dementia and Delirium in Older Adults Presenting with Hip Fractures to Orthopaedic Services at a General Hospital

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