The association between depression and chronic kidney disease and mortality among patients hospitalized with congestive heart failure

The association between depression and chronic kidney disease and mortality among patients hospitalized with congestive heart failure
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DOI:
10.1053/j.ajkd.2004.04.025
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发表时间:
2004-08-01
影响因子:
13.2
通讯作者:
Szczech, LA
Szczech, LA
中科院分区:
医学1区
文献类型:
--
作者:
Hedayati, SS;Jiang, W;Szczech, LA

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背景慢性肾脏病(CKD)患者中抑郁症的时点患病率及其与不良结局的关系尚未得到充分表征。研究方法:我们对1997年3月1日至1998年6月30日期间因充血性心力衰竭入院的374例患者进行了一项前瞻性队列的二次分析,以调查CKD患者中抑郁症的时点患病率及其与死亡率的关系。对所有患者进行贝克抑郁量表(BDI)。那些得分10分或更高的人接受了国家心理健康研究所诊断访谈计划(DIS)。Logistic回归分析用于检测重度CKD(肌酐清除率低于30 mL/min/72 kg)与慢性肾脏病(
Background The point prevalence of depression and its relationship to poor outcomes among patients with chronic kidney disease (CKD) has not been fully characterized. Methods: We performed a secondary analysis of a prospective cohort of 374 patients admitted with congestive heart failure between March 1, 1997 and June 30,1998, to investigate the point prevalence of depression among patients with CKD and its association with mortality. The Beck Depression Inventory (BDI) was administered to all patients. Those who scored 10 or higher were administered the National Institute of Mental Health Diagnostic Interview Schedule (DIS). Logistic regression was used to examine the association between severe CKD, corresponding to a creatinine clearance less than 30 mL/min/72 kg (