Diagnostic groups and depressed mood as predictors of 22-month mortality in medical inpatients
Diagnostic groups and depressed mood as predictors of 22-month mortality in medical inpatients
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DOI：
10.1097/00006842-199809000-00011
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发表时间：
1998-09-01
影响因子：
3.3
通讯作者：
Rüger, U
中科院分区：
文献类型：
--
作者：
Herrmann, C;Brand-Driehorst, S;Rüger, U
目的：虽然抑郁症已被发现可以预测急性心肌梗死的死亡率，但许多其他医学患者群体的结果并不确定。因此，目前尚不清楚抑郁症是否也预测了在医院病房接受治疗的典型混合患者人群的死亡率，以及是否可以通过患者对抑郁症的自我评级来确定增加的风险。方法：医院焦虑和抑郁量表被用作一个常规的筛选工具，在连续入院的普通内科病房的一所大学医院。22个月后获得了官方生存数据。对于完成筛选问卷的所有454例患者，可获得完整的生存数据。结果如下：在单变量比较（优势比3.2; 95%CI 1.9-5.5）和控制人口统计学和医学基线变量的多变量考克斯回归分析（多变量优势比1.9; 95%CI 1.2-3.1; p
Objective: While depression has been found to predict mortality in acute myocardial infarction, results from many other groups of medical patients are inconclusive. It is, therefore, unclear whether depression also predicts mortality in the typical mixed patient populations treated on medical hospital wards and whether an increased risk can be identified by means of patients' self ratings of depression. Method: The Hospital Anxiety and Depression scale was used as a routine screening tool in consecutive admissions to the general medical wards of a university hospital. The official survival data were obtained 22 months later. For all 454 patients who completed the screening questionnaire, complete survival data were available. Results: High depression scores significantly predicted mortality in univariate comparisons (odds ratio 3.2; 95% CI 1.9-5.5) and in multivariate Cox regression analyses controlling for demographic and medical baseline variables (multivariate odds ratio 1.9; 95% CI 1.2-3.1; p