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Length of hospital stay and health services use of medical inpatients with comorbid non-cognitive mental disorders

Oct 2, 2019 | 0 Comments

This is a literature review from 2005. [1] 23 studies on the association between non-cognitive psychiatric diseases and the use of general health care services by medical patients admitted to a general hospital were analysed. Only studies with a prospective design and with a correction for possible confounding factors were included. In most studies, only…

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Psychiatric comorbidity increases the length of stay of medical admissions

Oct 2, 2019 | 0 Comments

This is a paper from 1994 which has since been cited close to 200 times. [1] The authors critically reviewed 26 international and American outcome studies that assessed the effect of psychiatric comorbidity on length of stay for medical/surgical inpatients. Eighty-nine per cent of all studies with sample sizes greater than 110 and 75% of…

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Depression increases progression and mortality in renal disease

Oct 2, 2019 | 0 Comments

 This is a prospective observational cohort study from 2012. [1] 568 participants with CKD not requiring dialysis were recruited consecutively at a tertiary hospital in Southern Taiwan and followed up for 4 years. Depressive symptoms were assessed by the Beck Depression Inventory. 428 participants completed the questionnaires and 160 (37%) had depressive symptoms. During a…

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Anxiety and depression in renal disease

Oct 2, 2019 | 0 Comments

This is a narrative review that was published in 2018. [1] The authors there describe the evidence surrounding psychiatric comorbidity in patients with kidney disease, including the effect on progression and mortality. 1          Goh ZS, Griva K. Anxiety and depression in patients with end-stage renal disease: Impact and management challenges – A narrative review.…

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Prevalence of depression in patients with chronic kidney disease

Oct 2, 2019 | 0 Comments

This is a systematic review and meta-analysis that was published in 2013. [1] Studies that comprised a total of 55,982 participants were included. The estimated prevalence of depression varied by stage of chronic kidney disease (CKD) and the tools used for diagnosis. The prevalence of interview-based depression in CKD stage 5D was 22.8% (confidence interval…

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Depression increases health-care costs in the first year after a heart attack by 41%

Oct 2, 2019 | 0 Comments

A paper from Montreal, Canada that was published in 2000. [1] The study looked at 848 1-year survivors of an acute MI who had completed the Beck Depression Inventory (BDI) in hospital. 266 patients had BDI scores of >/=10 (30.7%), indicative of mild to moderate symptoms of depression. Total costs (out-patient physician charges plus physician…

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Depression as a risk factor of mortality and non-fatal events in coronary heart disease

Oct 2, 2019 | 0 Comments

This is a systemic review and consensus statement from the American Heart Association (AHA) that was published in 2014. [1] A total of 53 studies and 4 meta-analyses were included in the review. Approximately 20%  of patients admitted with an acute coronary syndrome fulfil diagnostic criteria of major depression, even more will have depressive symptoms.…

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Depression is associated with increased risk of death in patients with heart failure

Oct 1, 2019 | 0 Comments

A study from the Royal Brompton in 2002. [1] The authors retrospectively examined a cohort of 396 consecutive adult patients with a dilated cardiomyopathy. In all, 83 patients (21%) were clinically depressed, the majority of which (60%) were taking antidepressant therapy. After a follow-up period of 48 months, 83 (21%) patients died, 15 (4%) underwent…

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Prevalence of depression in patients with heart failure

Oct 1, 2019 | 0 Comments

This is a meta-analysis from 2006. [1] The authors identified 36 publications that were analysed. Clinically significant depression was present in 21.5% of HF patients, and varied by the use of questionnaires versus diagnostic interview (33.6% and 19.3%, respectively) and New York Heart Association–defined HF severity (11% in class I vs. 42% in class IV).…

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Suicide risk of people with epilepsy

Oct 1, 2019 | 0 Comments

These data are part of a systematic review from the Mortality Task Force of the International League Against Epilepsy from 2017. [1] In their analysis the authors quote an elevated risk of suicide with SMRs of 2.6–5.0 and an aOR of 3.7. 1          Thurman DJ, Logroscino G, Beghi E, et al. The burden of…

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