• Atencion primaria · Dec 2015

    [Risk of depression in 75 years or older persons, comprehensive geriatric assessment and associated factors in primary care: cross sectional study].

    • Eduardo Kronfly Rubiano, Daniel Rivilla Frias, Isabel Ortega Abarca, Montserrat Villanueva Villanueva, Eva Beltrán Martínez, Montserrat Comellas Villalba, Jesús Almeda Ortega, Jordi Casals Fransi, Yolanda Rico García, Sonia Martínez Carmona, Rosa Carrasco Coria, Montserrat Bonfill Gavaldà, Belén Calderón Loren, Mercedes Fernández Fernández, and Laura Barranco Oliver.
    • Equipo de Atención Primaria Pubilla Casas L'H-9, Direcció d'Atenció Primària Costa de Ponent, Institut Català de la Salut (ICS), L'Hospitalet de Llobregat, España. Electronic address: 24654ekr@comb.cat.
    • Aten Primaria. 2015 Dec 1; 47 (10): 616625616-25.

    ObjectivesTo determine the prevalence of the risk of depression, major defining characteristics and factors associated with.DesignSub-study of comprehensive geriatric assessment cross-study.SettingPrimary health center.ParticipantsFor an estimated 14% prevalence we need a sample of 288 people. From 3854, 290 people ≥75 years were selected. Excluding terminals, chemotherapy, recent surgery, temporary residence, mental retardation, serious psychiatric illness, or under home care.Outcomerisk of depression (≥2 points on the Goldberg depression subscale.Dependent VariablesSociodemographic and five study areas of the Comprehensive Geriatric Assessment: medical -comorbidity, polypharmacy, falls and hospital admissions-, functional -Up&Go Test, Lawton-Brody and Barthel Index-, nutritional -Mini Nutritional Assessment (MNA)-, mental-affective -Pfeiffer Questionnaire and Goldberg scale-, and social. Descriptive analysis and logistic regression.ResultsWe obtained 290 interviews, with 102 (35.1%) male and mean age of 79.4 years (SD:3.2). The prevalence of the risk of depression was 37.2%, 26.5% in men and 43.1% in women (p=0.005). Association of risk of depression is observed with arterial hypertension (OR:3.87 95% CI:1.61-9.34), cancer (OR:4.12 95%, CI:1.58-10.76), lack of leisure activity (OR:2.75 95%, CI:1.33-5.67), increase of anxiety scale (OR:1.87 95%, CI:1.57-2.22) and decrease in MNA (OR:0.78 95%, CI:0.68-0.9).ConclusionsThe prevalence of risk of depression is higher than expected, although overestimated until being confirmed with a diagnostic test. We appreciate new associations of comorbidity variables with risk of depression and corroborate other known. The studied factors that were associated with the risk of depression should be included in future studies of geriatric depression.Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

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