Depression Mental and Behavioural Disorders Depression
Conditions
Interventions
1. Psychiatric consultation and treatment by a geriatric psychiatrist
2. Follow-up by a research nurse
3. Follow-up treatment by a family physician
Trial details received: 12 September 2005
Sponsors
St Mary's Hospital Center (Canada)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Admission to medical units 2. Age 65 years and older, either sex 3. Short Portable Mental Status Questionnaire (SPMSQ) less than or equal to 4
Exclusion criteria
Exclusion criteria: 1. Admissions to intensive care unit or to cardiac monitoring unit: these patients are too acutely ill to participate but will be eligible if transferred to a medical ward within 72 hours of admission 2. Admissions with imminently terminal illness: these patients will not benefit from the intervention 3. Does not speak or understand English or French (or unable to communicate): these patients would not be able to complete the study instruments 4. Do not live on the island of Montreal: these patients would be difficult to follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in depressive symptoms: Hamilton Depression Rating Scale (HAMD) and 36-item Short Form health survey (SF-36) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Basic Activities of Daily Living (BADL) 2. Instrumental Activities of Daily Living (IADL) 3. Mini-Mental State Examination (MMSE) 4. Health services utilisation 5. Mortality 6. Medication side effects | — |
Countries
Canada
Outcome results
None listed