Evidence map›Paper›PMID 30872291›Full record

ArticleClinical medicine (London, England)2019

Recognition and treatment of depression in older adults admitted to acute hospitals in England.

Abhishek Shastri, Lina Aimola, Beatrice Tooke, Alan Quirk, Oliver Corrado, Chloe Hood, Mike J Crawford

Abstract read
In one paragraph

Article in Clinical medicine (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
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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

7 authors.

Abhishek ShastriCentral and North West London NHS Foundation Trust, London, UK.
Lina AimolaRoyal College of Psychiatrists, London, UK.
Beatrice TookeRoyal College of Psychiatrists, London, UK.
Alan QuirkRoyal College of Psychiatrists, London, UK.
Oliver CorradoRoyal College of Psychiatrists, London, UK.
Chloe HoodRoyal College of Psychiatrists, London, UK.
Mike J CrawfordRoyal College of Psychiatrists, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Levels of awareness and treatment of depression in older adults admitted to acute hospitals are unclear. This study aims to examine the proportion of older adults diagnosed with depression in acute hospitals, treatment, referral, and communication between secondary and primary healthcare services following discharge. Retrospective examination of records of 766 older adults admitted to 27 acute hospitals in England was carried out. Ninety-eight (12.7%, 95% confidence interval (CI) = 10.6-15.3) records included a diagnosis of depression of which eight (1.0%, 95% CI = 0.5-2.0) had a new diagnosis made during their hospital admission. All newly diagnosed and 76 (84.4%, 95% CI = 75.5-90.5) of those with an existing diagnosis of depression were prescribed antidepressant medication. Six (75.0%, 95% CI = 40.9-92.8) of those with a new diagnosis, and 21 (23.3%, 95% CI = 15.8-33.0) with an existing diagnosis of depression were referred to liaison psychiatry. References to mental health were made in 50 (51.0%, 95% CI = 41.2-60.6) discharge letters sent to primary care. Very few older adults admitted to acute hospitals in this study were diagnosed with depression during their inpatient stay. Opportunities for improving the mental and physical health of such patients appear to be being missed.

Indexed as

AgedAged, 80 and overAntidepressive AgentsDepressionEnglandFemaleHospitalizationHumansMaleRetrospective StudiesAntidepressive AgentsDepressionolder adults

Identifiers

PMID30872291
PMCPMC6454375

What OpenQuestion holds

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Registered trials

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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.