Epidemiology of Depression, Anxiety, and Cognitive Impairment

Depression Clinical Trial

Official title:

Epidemiology of Depression, Anxiety, and Cognitive Impairment Among Emergency Department Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00717041
• Other study ID #: RSRB 24085
• Secondary ID: NIH 5K23AG028942
• Status: Completed
• Phase: N/A
• First received: July 14, 2008
• Last updated: June 12, 2015
• Start date: May 2008
• Est. completion date: February 2009

Study information

• Verified date: June 2015
• Source: University of Rochester
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Observational

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1206
• Est. completion date: February 2009
• Est. primary completion date: September 2008
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 60 Years and older

Eligibility

Inclusion Criteria:

• Age 60 and older

• Arrival at ED

Exclusion Criteria:

• Institutionalized

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Anxiety
• Anxiety Disorders
• Cognition Disorders
• Cognitive Impairment
• Depression
• Depressive Disorder

Locations

Country	Name	City	State
United States	University of Rochester	Rochester	New York

Sponsors (2)

Lead Sponsor	Collaborator
University of Rochester	National Institute on Aging (NIA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Participants With Depression by Patient Health Questionnaire - 9	Number of participants with depression as measured by the Patient Health Questionnaire - 9, with a score of greater than or equal to 10.	2 hours	No
Primary	Participants With Cognitive Impairment by Six Item Screener	Number of participants with cogintiive impairment as measured by the Six Item Screener, with greater than 2 questions incorrect	2 hours	No
Primary	Participants With Anxiety by Generalized Anxiety Disorder - 7	Participants with anxiety as measured by the Generalized Anxiety Disorder - 7, with a score greater than or equal to 10.	2 hours	No
Secondary	Depression and Cognitive Impairment at 2 Weeks	For the individuals who are able to be contacted in 2 weeks, how many still test positive for depression and cognitive impairment.	2 weeks	No