Epidemiology of Depression, Anxiety, and Cognitive Impairment Among Emergency Department Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,206
- 试验地点
- 1
- 主要终点
- Participants With Cognitive Impairment by Six Item Screener
研究概览
简要总结
Many older adults have undetected health problems and lack basic prevention measures. Failure to identify and treat these conditions can lead to unnecessary morbidity and mortality and a decreased quality of life. Traditional screening and intervention programs, usually based in primary care providers' offices, have been insufficient, particularly in medically underserved populations. Alternate sites for screening and intervention have begun to receive attention and may hold promise.
The emergency department (ED) is the entry point for access to medical and social services for many patients and has the potential to serve as a site to identify older adults with unmet needs. However, we do not know the prevalence of depression and cognitive impairment and how they differ by mode of arrival of the patient to the ED. Second, a question remains as to the validity of screening patients during an acute illness. Upon completion, this study will describe the epidemiology of the population of older adults presenting to the ED.
详细描述
Many older adults have undetected health problems and lack basic prevention measures. Failure to identify and treat these conditions can lead to unnecessary morbidity and mortality and a decreased quality of life. Traditional screening and intervention programs, usually based in primary care providers' offices, have been insufficient, particularly in medically underserved populations. Alternate sites for screening and intervention have begun to receive attention and may hold promise.
The emergency department (ED) is the entry point for access to medical and social services for many patients and has the potential to serve as a site to identify older adults with unmet needs. However, we do not know the prevalence of depression and cognitive impairment and how they differ by mode of arrival of the patient to the ED. Second, a question remains as to the validity of screening patients during an acute illness. This study aims to:
- Compare the prevalence of depression and cognitive impairment among patients who arrive at the ED by EMS, as compared to those arriving via other means.
- Evaluate the reliability of screening patients for depression and cognitive impairment during an acute illness and after the illness.
- To evaluate correlates of depression, anxiety and suicidal ideation. Upon completion, this study will describe the epidemiology of the population of older adults presenting to the ED.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 60 and older
- •Arrival at ED
排除标准
- •Institutionalized
结局指标
主要结局
Participants With Cognitive Impairment by Six Item Screener
时间窗: 2 hours
Number of participants with cogintiive impairment as measured by the Six Item Screener, with greater than 2 questions incorrect
Participants With Anxiety by Generalized Anxiety Disorder - 7
时间窗: 2 hours
Participants with anxiety as measured by the Generalized Anxiety Disorder - 7, with a score greater than or equal to 10.
Participants With Depression by Patient Health Questionnaire - 9
时间窗: 2 hours
Number of participants with depression as measured by the Patient Health Questionnaire - 9, with a score of greater than or equal to 10.
次要结局
- Depression and Cognitive Impairment at 2 Weeks(2 weeks)
研究者
Manish Shah
Professor
University of Rochester