Depression Clinical Trial
Official title:
Epidemiology of Depression, Anxiety, and Cognitive Impairment Among Emergency Department Patients
Many older adults have undetected health problems and lack basic prevention measures.
Failure to identify and treat these conditions can lead to unnecessary morbidity and
mortality and a decreased quality of life. Traditional screening and intervention programs,
usually based in primary care providers' offices, have been insufficient, particularly in
medically underserved populations. Alternate sites for screening and intervention have begun
to receive attention and may hold promise.
The emergency department (ED) is the entry point for access to medical and social services
for many patients and has the potential to serve as a site to identify older adults with
unmet needs. However, we do not know the prevalence of depression and cognitive impairment
and how they differ by mode of arrival of the patient to the ED. Second, a question remains
as to the validity of screening patients during an acute illness. Upon completion, this
study will describe the epidemiology of the population of older adults presenting to the ED.
Many older adults have undetected health problems and lack basic prevention measures.
Failure to identify and treat these conditions can lead to unnecessary morbidity and
mortality and a decreased quality of life. Traditional screening and intervention programs,
usually based in primary care providers' offices, have been insufficient, particularly in
medically underserved populations. Alternate sites for screening and intervention have begun
to receive attention and may hold promise.
The emergency department (ED) is the entry point for access to medical and social services
for many patients and has the potential to serve as a site to identify older adults with
unmet needs. However, we do not know the prevalence of depression and cognitive impairment
and how they differ by mode of arrival of the patient to the ED. Second, a question remains
as to the validity of screening patients during an acute illness. This study aims to:
1. Compare the prevalence of depression and cognitive impairment among patients who arrive
at the ED by EMS, as compared to those arriving via other means.
2. Evaluate the reliability of screening patients for depression and cognitive impairment
during an acute illness and after the illness.
3. To evaluate correlates of depression, anxiety and suicidal ideation. Upon completion,
this study will describe the epidemiology of the population of older adults presenting
to the ED.
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