Study
reveals depressed elderly risk early
death... Depression in elderly people is
causing early mortality, a University of
Liverpool study has found
In a project involving more than 300 elderly
people who had been discharged from
hospital, 17% were found to have previously
undiagnosed depression and of that figure,
7% died within two years of leaving
hospital.
The study also showed that 41% of elderly
people who have depression are often later
re-admitted to hospital with other
illnesses, possibly a result of not
receiving appropriate treatment for their
depression.
The participants, all aged over 75, were
interviewed regularly over a two-year period
following discharge from hospital. Factors
including physical illness, breathing
capacity and social activity were found to
impact on the prevalence of depression and
consequently the likelihood of re-admission
to medical care and early death.
Professor Ken Wilson, from the University's
School of Population, Community and
Behavioural Sciences, said: "The project has
shown that depression is common in older
people with physical ill health, recently
discharged from medical care. It is often
undiagnosed and both patients and doctors
confuse it with other illnesses or general
signs of ageing. This can have detrimental
impact on life expectancy and likelihood of
going back into hospital.
"Depression is still a relatively 'new'
disease in terms of treatments and services
available to sufferers and many older people
are still unaware of the symptoms. Often
they will visit their doctor presuming they
have a physical illness when they are
actually showing signs of depression and
will not receive appropriate treatment as a
result."
The research team hope that their findings
will impact on health care policy with the
introduction of a pilot project to identify
patients at high risk of depression when
they are in hospital. Professor Wilson
added: "We hope that future research we have
planned will inform new approaches to health
care for the elderly with serious illnesses
so their chance of survival in the community
after leaving hospital is maximised."