Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
May 16, 2017Clinical Kidney JournalOpen Access

Depressive affect in incident hemodialysis patients

View Full Paper
Ask AI
Bookmark
Share

Key result

Early depressive affect in incident hemodialysis patients is linked to ~1.5 more admissions per patient-year.

  • 1.5 more admissions
  • P<0.001
  • n=340

Population

340 incident hemodialysis patients from 108 in-center clinics who completed the PHQ2 screening

Design

Cohort

Follow-up

121-150 days

Authors

KMKathryn McDougallJLJohn W. LarkinRenal Research InstituteRWRebecca L. WingardBrigham and Women's Hospital

Discussion

Loading...

Member takes

Implication

May flag incident hemodialysis patients for excess early hospitalizations; leaves open whether screening or treating depressive affect reduces admissions.

Study Design

Type

Observational (n=340)

Multicenter

Yes

Structured PICO

P
Population
340 incident hemodialysis patients screened for depressive affect using the PHQ2 across 108 in-center clinics.
O
Outcome
Prevalence of depressive affect (PHQ2 score ≥3) and hospitalization rates

Main Result

Mean Difference: 1.5

p-value: p=<0.001

Depressive affect is highly prevalent in incident hemodialysis patients and is associated with significantly increased rates of hospital admissions and hospital days.

Cite This Study

McDougall et al. (2017) conducted an observational in Incident hemodialysis (n=340). Depressive affect vs. No depressive affect was evaluated on Hospital admissions per patient-year (1.5 more admissions, p=<0.001). Incident hemodialysis patients with depressive affect during the first 30 days had significantly higher hospitalization rates, exhibiting 1.5 more admissions per patient-year (P<0.001).

synapsesocial.com/papers/6aa2452b53426e2d6db2b75ahttps://doi.org/10.1093/ckj/sfx054
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Epidemiology of Major Depressive Disorder2003 · 8,037 citations
  2. 2Depressive symptoms associate with high mortality risk and dialysis withdrawal in incident hemodialysis patients2012 · 59 citations
  3. 3The association of depressive symptoms with survival in a Dutch cohort of patients with end-stage renal disease2009 · 80 citations
  4. 4Is inflammation a new risk factor of depression in haemodialysis patients?2012 · 22 citations
  5. 5Cardiovascular disease, heart failure, chronic kidney disease and depression independently increase the risk of incident diabetes2010 · 49 citations