ArticlePsychosomatics
The association of comorbid depression with intensive care unit admission in patients with diabetes: a prospective cohort study.
Article in Psychosomatics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Health-economic outcomes in hospital patients with medical-psychiatric comorbidity: A systematic review and meta-analysis.PloS one · 2018Pooled it
- Depressive Symptoms After Critical Illness: A Systematic Review and Meta-Analysis.Critical care medicine · 2016Pooled it
- The INtegrating DEPrEssioN and Diabetes treatmENT (INDEPENDENT) study: Design and methods to address mental healthcare gaps in India.Contemporary clinical trials · 2017Trial
- Association between subthreshold depression and self-care behaviour in people with type 2 diabetes: a protocol for systematic review of observational studies.Systematic reviews · 2019Article
- Burden of Depressive Symptoms Over 2 Decades and Risk of Nursing Home Placement in Older Women.Journal of the American Geriatrics Society · 2018Article
- Leadership Perspectives on Integrating Psychologists into Specialty Care Clinics: An Evolving Paradigm.Journal of clinical psychology in medical settings · 2018Review
- Increased Risk of Incident Chronic Kidney Disease, Cardiovascular Disease, and Mortality in Patients With Diabetes With Comorbid Depression.Diabetes care · 2016Article
- The Burden of Poor Mental Well-being Among Patients With Type 2 Diabetes Mellitus: Examining Health Care Resource Use and Work Productivity Loss.Journal of occupational and environmental medicine · 2016Article
- Depression and postoperative complications: an overview.BMC surgery · 2016Review
- Input of stakeholders on reducing depressive symptoms and improving diabetes outcomes in India: Formative work for the INDEPENDENT Study.International journal of noncommunicable diseases · 2016Article
- Cooccurrence of and remission from general anxiety, depression, and posttraumatic stress disorder symptoms after acute lung injury: a 2-year longitudinal study.Critical care medicine · 2015Article
- Religiously integrated cognitive behavioral therapy: a new method of treatment for major depression in patients with chronic medical illness.Psychotherapy (Chicago, Ill.) · 2015Article
- Internet-delivered cognitive behaviour therapy for depression in people with diabetes: study protocol for a randomised controlled trial.BMJ open diabetes research & care · 2015Article
- Symptoms of depression in survivors of severe sepsis: a prospective cohort study of older Americans.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2013Article
- Health reform and the Affordable Care Act: the importance of mental health treatment to achieving the triple aim.Journal of psychosomatic research · 2013Article
- [Depression and diabetes mellitus type 2].Der Nervenarzt · 2012Review
- A longitudinal investigation of posttraumatic stress and depressive symptoms over the course of the year following medical-surgical intensive care unit admission.General hospital psychiatryArticle
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIt is unknown if comorbid depression in patients with diabetes mellitus increases the risk of intensive care unit (ICU) admission.
objectiveThis study examined whether comorbid depression in patients with diabetes increased risk of ICU admission, coronary care unit (CCU) admission, and general medical-surgical unit hospitalization, as well as total days hospitalized, after controlling for demographics, clinical characteristics, and health risk behaviors.
methodThis prospective cohort study included 3,596 patients with diabetes enrolled in the Pathways Epidemiologic Follow-Up Study. We assessed baseline depression with the Patient Health Questionnaire-9. We controlled for baseline demographics, smoking, BMI, exercise, hemoglobin A(1c), medical comorbidities, diabetes complications, type 1 diabetes, diabetes duration, and insulin treatment. We assessed time to any ICU, CCU, and/or general medical-surgical unit admission using Cox proportional-hazards regression. We used Poisson regression with robust standard errors to examine associations between depression and total days hospitalized.
resultsUnadjusted analyses revealed that baseline probable major depression was associated with increased risk of ICU admission [hazard ratio (HR) 1.94, 95% confidence interval (95% CI)(1.34-2.81)], but was not associated with CCU or general medical-surgical unit admission. Fully adjusted analyses revealed probable major depression remained associated with increased risk of ICU admission [HR 2.23, 95% CI(1.45-3.45)]. Probable major depression was also associated with more total days hospitalized (Incremental Relative Risk 1.64, 95%CI(1.26-2.12)).
conclusionsPatients with diabetes and comorbid depression have a greater risk of ICU admission. Improving depression treatment in patients with diabetes could potentially prevent hospitalizations for critical illnesses and lower healthcare costs.
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