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Colegio de Medicina Interna de México.

2016, Number 4

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Med Int Mex 2016; 32 (4)

Late-onset depression in the elderly hospitalized in a secondary hospital

Prieto-Miranda SE, Villanueva-Muñoz EY, Arias-Ponce N, Jiménez- Bernardino CA

Language: Spanish
References: 24
Page: 388-395
PDF size: 668.57 Kb.


ABSTRACT

Background: In Mexico we are living a demographic transition with increasing number of older adults. Depression is the most common affective (mood) disorder of this population and its origin is multifactorial. It is often underdiagnosed during hospital admissions and undertreated after discharge; it has very important consequences because acts as comorbidity increasing mortality.
Objetive: To determine the frequency of late-onset depression in the hospitalized elderly in a secondary public hospital.
Material and Method: A cross-sectional study was done with 164 patients over 70 years old, admitted to the Geriatrics/Internal Medicine service in a period of three months. Patients were submitted to the abbreviated version Yesavage scale, consecutively we applied the Goldberg scale for identifying predominant symptoms. Furthermore, functionality was determined, as well as some demographic variables, concomitant drug use and polypharmacy.
Results: We found a frequency of late-onset depression of 55% with depressive predominant symptoms (29%). We found that females has a greater predisposition [OR 1.9 (95% CI 1.04-3.6, p=0.035)], greater dependence (moderate to full) [OR 3.89 (95% CI 1.49-10.1, p=0.004)] and diabetes mellitus was the most common comorbidity [OR 3.4 (95% CI 1.7-6.6, p=0.001)].
Conclusion: A high frequency of late-life depression was found. Depressive symptoms are predominant, which affect more women with functional dependence for basic activities of daily living. Diabetes mellitus was the most common associated disease.


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