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Trajectories of cognitive-affective depressive symptoms in acutely hospitalized older adults: The hospital-ADL study

Trajectories of cognitive-affective depressive symptoms in acutely hospitalized older adults: The hospital-ADL study

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OBJECTIVE: To identify trajectories of cognitive-affective depressive symptoms among acutely hospitalized older patients and whether trajectories are related to prognostic baseline factors and three-month outcomes such as functional decline, falls, unplanned readmissions, and mortality. METHODS: Prospective multicenter cohort of acutely hospitalized patients aged ≥ 70. Depressive trajectories were based on Group Based Trajectory Modeling, using the Geriatric Depression Scale-15. Outcomes were functional decline, falls, unplanned readmission, and mortality within three months post-discharge. RESULTS: The analytic sample included 398 patients (mean age = 79.6 years; SD = 6.6). Three distinct depressive symptoms trajectories were identified: minimal (63.6%), mild persistent (25.4%), and severe persistent (11.0%). Unadjusted results showed that, compared to the minimal symptoms group, the mild and severe persistent groups showed a significantly higher risk of functional decline (mild: OR = 3.9, p 

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OrganisatieHogeschool van Amsterdam
AfdelingKenniscentrum ACHIEVE
Gepubliceerd inJournal of Psychosomatic Research Elsevier, Vol. 120, Pagina's: 66-73
Datum2019-05
TypeArtikel
ISSN0022-3999
DOI10.1016/j.jpsychores.2019.03.011
TaalEngels

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