The Significance of Depression for Short-term Readmission and Mortality After a Pneumonia Admission
Bibliographic Data
| ID | 9101076 |
|---|---|
| Authors | Susanne B Graversen (0000-0002-3731-2521, Research Unit for General Practice, corresponding author), Henrik S Pedersen (0000-0003-4826-6441, Research Unit for General Practice, corresponding author), Anette R Ribe (0000-0003-0011-2208, Research Unit for General Practice, corresponding author), Catherine Hauerslev Foss (Aarhus University Hospital), Annelli Sandbæk (0000-0003-1647-2646, Aarhus University) |
| Year | 2021 |
| Volume | 59 |
| Issue | 10 |
| Pages | 872-880 |
| Publication date | 2021-10-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001626 |
| PMID | 34348393 |
| OpenAlex | W3190226263 |
| Language | EN |
| Citations received | 1 |
| References cited | 41 |
BACKGROUND: Depression is highly prevalent among hospitalized patients with pneumonia. At discharge, these patients transfer to a less care-intensive home-based setting. Nevertheless, little is known on the prognosis in the postdischarge period. OBJECTIVE: The objective of this study was to investigate the influence of depression on 30-day mortality and readmission in persons discharged after a pneumonia admission. DESIGN: This was a population-based cohort study using the Danish registries. SUBJECTS: All persons aged 50+ years with a pneumonia admission in 2000-2016 in Denmark. MEASURES: Mortality rate ratios for 30-day mortality and incidence rate ratios for 30-day readmission in pneumonia patients with versus without depression. RESULTS: We identified 379,265 pneumonia admissions, hereof 83,257 (22.0%) with depression. The overall adjusted mortality rate ratio was 1.29 (95% confidence interval: 1.25-1.33), and the overall adjusted incidence rate ratio was 1.07 (95% confidence interval: 1.05-1.08). The mortality risk was higher for all ages and throughout the 30-day period in persons with versus without depression. This risk was modified by sociodemographic and socioeconomic characteristics (excluding sex and education), admission-related factors, comorbidities, and use of benzodiazepines, opioids, or antipsychotics. The readmission risk was higher until age 90 and tended to be higher throughout the 30-day period. This risk was modified by age, cohabitation, residency, admission-related factors, comorbidities, and use of opioids or antipsychotics. For both outcomes, the relative effect of depression was highest among the youngest, among those with a short hospital stay and among those with few comorbidities. CONCLUSION: Depression is an independent risk factor for 30-day mortality and readmission in persons who transfer from hospital care to home-based care
Depression (economics) · Economics · Intensive care medicine · Pneumonia · Term (time) · Cardiac Health and Mental Health · Emergency Medicine · Family and Patient Care in Intensive Care Units · Heart Failure Treatment and Management · Internal Medicine · Medicine
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| Citations per year | 1 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |