CHAMP Depression in the Hospitalized Older Patient. Joanna Martin, MD University of Chicago. Topics for discussion. Why should we screen inpatients for depression and who is at risk? Atypical presentations of depression in the elderly Review screening tools Discuss pharmacotherapy
Joanna Martin, MD
University of Chicago
Three year mortality higher with six or more depressive symptoms
(56% vs. 40% hazard ratio, 1.56)
[95% CI, 1.22-2.00] p<0.001]
[95% CI, 1.03-1.73]
Covinsky et al. Ann Intern Med. 1999
Depressive symptoms are associated with an increased rate of hospital readmission (adjusted hazard ratio, 1.50; 95% CI 1.03-2.17; p=.03)
Bula, C. J. et al. Arch Intern Med 2001;161:2609-2615.
Crystal et al. JAGS 51(1718-1728, 2003
*Am J Psychiatry 1993 Jan;150(1):124-9
Stewart. PGM. 2004;115(6)
4. Do you often get bored?
Sheikh et al. J Psychiatric Res 1983;17:37-49
In past 2 weeks, have you been bothered by:
Little interest or pleasure in doing things?
Feeling down, depressed or hopeless?
-B-blockers (Atenolol has less of a CNS effect)
Unützer et al. JAMA. 288(22)