Symptoms of depression and risk of emergency department visits among people aged 70 years and over

被引：5

作者：

Dwyer, Rosamond ^{[1
,2
,3
]}

Jachno, Kim ^{[1
]}

Tran, Thach ^{[1
,4
]}

Owen, Alice ^{[1
]}

Layton, Natasha ^{[5
]}

Collyer, Taya ^{[6
]}

Kirkman, Maggie ^{[1
,4
]}

Lowthian, Judy ^{[1
,7
]}

Hammarberg, Karin ^{[1
,4
]}

Mcneil, John J. ^{[1
]}

Woods, Robyn L. ^{[1
]}

Berk, Michael ^{[8
,9
,10
]}

Fisher, Jane ^{[1
,4
]}

机构：

[1] Monash Univ, Sch Publ Hlth & Prevent Med, Dept Epidemiol & Prevent Med, Melbourne, Vic, Australia

[2] Peninsula Hlth, Emergency Dept, Frankston, Vic, Australia

[3] Natl Ctr Hlth Ageing, Melbourne, Australia

[4] Monash Univ, Sch Publ Hlth & Prevent Med, Global & Womens Hlth Unit, Melbourne, Australia

[5] Monash Univ, Fac Med Nursing & Hlth Sci, Rehabil Ageing & Independent Living RAIL Res Ctr, Melbourne, Vic, Australia

[6] Monash Univ, Peninsula Clin Sch, Cent Clin Sch, Peninsula Hlth,Acad Unit, Melbourne, Vic, Australia

[7] Bolton Clarke Res Inst, Forest Hill, Vic, Australia

[8] Deakin Univ, Sch Med, Inst Mental & Phys Hlth & Clin Translat, IMPACT, Geelong, Australia

[9] Univ Melbourne, Florey Inst Neurosci & Mental Hlth, Melbourne, Australia

[10] Orygen Natl Ctr Excellence Youth Mental Hlth, Parkville, Australia

来源：

BMC PUBLIC HEALTH | 2024年 / 24卷 / 01期

关键词：

Older persons; Depression; Emergency care; Mental health; Health systems; OLDER-ADULTS; HEALTH-SERVICES; REDUCING EVENTS; SHORT-FORM; CARE; RESIDENTS; HOSPITALIZATION; READMISSION; ASPIRIN; WOMEN;

D O I：

10.1186/s12889-024-17794-6

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BackgroundOlder people experiencing depression and anxiety have higher rates of health service utilisation than others, but little is known about whether these influence their seeking of emergency care. The aim was to examine the associations between symptoms of depression and the use of emergency health care, in an Australian context, among a population of people aged 70 years and over initially free of cardiovascular disease, dementia or major physical disability.MethodsWe undertook secondary analyses of data from a large cohort of community-dwelling Australians aged \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$ \ge $$\end{document}70 years. Multivariable logistic regression was used to compare the association of symptoms of depression (measured using the Center for Epidemiological Studies Depression Scale 10 question version, CESD at baseline) with subsequent episodes of emergency care, adjusting for physical and social factors of clinical interest. Marginal adjusted odds ratios were calculated from the logistic regression.ResultsData were available for 10,837 Australian participants aged at least 70 years. In a follow-up assessment three years after the baseline assessment, 17.6% of people self-reported an episode of emergency care (attended an ED of called an emergency ambulance) in the last 12 months. Use of emergency healthcare was similar for men and women (17.8% vs. 17.4% p = 0.61). A score above the cut-off on the CESD at baseline was associated with greater use of emergency health care (OR = 1.35, 95% CI 1.11,1.64). When modelled separately, there was a greater association between a score above the cut-off on the CESD and emergency healthcare for women compared with men.ConclusionsThis study is unique in demonstrating how depressive symptoms among healthy older persons are associated with subsequent increased use of emergency healthcare. Improved understanding and monitoring of mental health in primary care is essential to undertake effective healthcare planning including prevention of needing emergency care.

引用

页数：11