[Depression in elderly emergency room patients aged 75 years and over. Prevalence, medical and social features, management schemes].
Original title: Depression Du Sujet Age De 75 Ans Et Plus Au Service Des Urgences Prevalence, Caracteristiques Medico-Sociales, Prise En Charge Hospitaliere Apres L'urgence
Abstract: This prospective study estimated the prevalence of depression in elderly patients above 75 years of age who attended the emergency room and assesses the management of depression in hospital . It also compared the number of hospitalizations, type of institutions, length of hospital stay and post discharge referrals in the depressive and non-depressive groups with the history of depression. This study sampple consisted of 1003 patients attending the emergency department of the Roanne General Hospital (Loire, France). The exclusion criteria was a clinical status that could prevent response to questions or a severe cognitive impairment. The mental impairment was evaluated using the Mini Mental State Examination without the praxia and language tests. The French version of the GDS-15 items was used to identify depression and the cutoff was designated at 5. The study results estimated about 47.8% (298/623 patients) as having depression and 10% of the patients were treated for depression during their stay at hospitals. Feminine gender, history of depression and hospitalization, institutionalization, and age were identified as risk factors. The depressed patients who had lesser number of discharges had a higher rate and duration of hospitalization. The study suggests a need to screen all elderly patients attending the emergency room for depression, which is a major cause of suicide in elderly. (CIRRIE Abstract)
Institution: Service d'Urgences, Centre Hospitalier de Roanne, 28, rue de Charlieu, 42328 Roanne Cedex, France