Clinical trial NCT00717041: Epidemiology of Depression, Anxiety, and Cognitive Impairment
Official title: Epidemiology of Depression, Anxiety, and Cognitive Impairment Among Emergency Department Patients
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Depression
Anxiety
Cognitive Impairment
Keywords: Depression
Anxiety
Cognitive Impairment
Emergency medicine
prehospital care
Lead sponsor: University of Rochester
Sponsor class: OTHER
Collaborators: name: National Institute on Aging (NIA)
First posted: 2008-07-16
Enrollment: 1206
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All older adults arriving at participating hospital emergency departments to obtain emergency care.

Brief 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.

Detailed 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.

Eligibility criteria: Inclusion Criteria:

* Age 60 and older
* Arrival at ED

Exclusion Criteria:

* Institutionalized

Primary outcomes:
measure: Participants With Depression by Patient Health Questionnaire - 9
timeFrame: 2 hours
measure: Participants With Cognitive Impairment by Six Item Screener
timeFrame: 2 hours
measure: Participants With Anxiety by Generalized Anxiety Disorder - 7
timeFrame: 2 hours
Secondary outcomes:
measure: Depression and Cognitive Impairment at 2 Weeks
timeFrame: 2 weeks
Other outcomes:
Locations:
city: Rochester
country: United States
facility: University of Rochester
state: New York
Study officials:
affiliation: University of Rochester
name: Manish N. Shah, MD MPH
role: PRINCIPAL_INVESTIGATOR
References: