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August 13, 2018International PsychogeriatricsOpen Access

Association of depression with mortality in an elderly treated hypertensive population

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Why the study?

Does pre-existing or incident depression increase the risk of all-cause and cardiovascular mortality in elderly treated hypertensive patients?

Population

6,083 hypertensive patients aged ≥65 years enrolled in the Second Australian National Blood Pressure study

Comparison

Pre-existing or incident depression vs No depression

Design

Cohort

Follow-up

median 10.8 years

Key result

Incident depression in elderly hypertensive patients was associated with increased all-cause mortality compared to those without depression (HR 1.26; 95% CI 1.12-1.41; p<0.001).

Authors

ECE. ChowdhuryMBMichael BerkMNMark Nelson

Discussion

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Member takes

Overview

May support depression screening in elderly hypertensives; leaves open whether treatment reduces mortality.

Study Design

Type

Cohort (n=6,083)

Multicenter

Yes

Structured PICO

Does pre-existing or incident depression increase the risk of all-cause and cardiovascular mortality in elderly treated hypertensive patients?

P
Population
6,083 hypertensive patients aged ≥65 years followed for a median of 10.8 years to assess the association of depression with mortality.
E
Exposure
Pre-existing or incident depression (defined as being diagnosed with depressive disorders and/or treated with an anti-depressant drug)
C
Comparator
No depression
O
Outcome
All-cause mortality and any cardiovascular mortalityhard clinical

Main Result

Hazard Ratio: 1.26 (95% CI 1.12–1.41)

p-value: p=<0.001

In elderly treated hypertensive patients, both pre-existing and incident depression are associated with a significantly increased risk of all-cause and cardiovascular mortality.

Cite This Study

Chowdhury et al. (2018) conducted a cohort in Hypertension (n=6,083). Incident depression vs. No depression was evaluated on All-cause mortality (HR 1.26, 95% CI 1.12-1.41, p=<0.001). Incident depression in elderly hypertensive patients was associated with increased all-cause mortality compared to those without depression (HR 1.26; 95% CI 1.12-1.41; p<0.001).

synapsesocial.com/papers/6a5bf5590e9194254504d1a1https://doi.org/10.1017/s1041610218000856
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