Evidence map›Paper›PMID 26634401›Full record

ArticleBMJ open2015

Depression and risk of hospitalisations and rehospitalisations for ambulatory care-sensitive conditions in Denmark: a population-based cohort study.

Dimitry S Davydow, Morten Fenger-Grøn, Anette Riisgaard Ribe, Henrik Søndergaard Pedersen, Anders Prior, Peter Vedsted, Jürgen Unützer, Mogens Vestergaard

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 42 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Dimitry S DavydowDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
Morten Fenger-GrønResearch Unit for General Practice, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Anette Riisgaard RibeResearch Unit for General Practice, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Henrik Søndergaard PedersenResearch Unit for General Practice, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Anders PriorResearch Unit for General Practice, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Peter VedstedResearch Unit for General Practice, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Jürgen UnützerDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
Mogens VestergaardResearch Unit for General Practice, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Aarhus University · DKUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHospitalisations for ambulatory care-sensitive conditions (ACSCs), a group of chronic and acute illnesses considered not to require inpatient treatment if timely and appropriate ambulatory care is received, and early rehospitalisations are common and costly. We sought to determine whether individuals with depression are at increased risk of hospitalisations for ACSCs, and rehospitalisation for the same or another ACSC, within 30 days.

designNational, population-based cohort study.

settingDenmark.

participants5,049,353 individuals ≥ 18 years of age between 1 January 2005 and 31 December 2013. MEASUREMENTS: Depression was ascertained via psychiatrist diagnoses in the Danish Psychiatric Central Register or antidepressant prescription redemption from the Danish National Prescription Registry. Hospitalisations for ACSCs and rehospitalisations within 30 days were identified using the Danish National Patient Register.

resultsOverall, individuals with depression were 2.35 times more likely to be hospitalised for an ACSC (95% CI 2.32 to 2.37) versus those without depression after adjusting for age, sex and calendar period, and 1.45 times more likely after adjusting for socioeconomic factors, comorbidities and primary care utilisation (95% CI 1.43 to 1.46). After adjusting for ACSC-predisposing comorbidity, depression was associated with significantly greater risk of hospitalisations for all chronic (eg, angina, diabetes complications, congestive heart failure exacerbation) and acute ACSCs (eg, pneumonia) compared to those without depression. Compared to those without depression, persons with depression were 1.21 times more likely to be rehospitalised within 30 days for the same ACSC (95% CI 1.18 to 1.24) and 1.19 times more likely to be rehospitalised within 30 days for a different ACSC (95% CI 1.15 to 1.23).

conclusionsIndividuals with depression are at increased risk of hospitalisations for ACSCs, and once discharged are at elevated risk of rehospitalisations within 30 days for ACSCs.

Indexed as

Ambulatory CareAdolescentAdultAgedAged, 80 and overDenmarkDepressionFemaleHospitalizationHumansLongitudinal StudiesMaleMiddle AgedModels, StatisticalPatient ReadmissionRegistriesPRIMARY CARE

Identifiers

PMID26634401
PMCPMC4679902
OpenAlexW2183433731

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.