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OpenTrials
Completed

NCT Number: NCT00717041

Epidemiology of Depression, Anxiety, and Cognitive Impairment

Many older adults have undetected health problems and lack basic prevention measures. Failure to identify and treat these conditions can lead to unnecessary morbidity and mortality and a decreased quality of life. Traditional screening and intervention programs, usually based in primary care providers' offices, have been insufficient, particularly in medically underserved populations. Alternate sites for screening and intervention have begun to receive attention and may hold promise.

The emergency department (ED) is the entry point for access to medical and social services for many patients and has the potential to serve as a site to identify older adults with unmet needs. However, we do not know the prevalence of depression and cognitive impairment and how they differ by mode of arrival of the patient to the ED. Second, a question remains as to the validity of screening patients during an acute illness. Upon completion, this study will describe the epidemiology of the population of older adults presenting to the ED.

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Key information

Conditions

Depression Anxiety Anxiety Disorders Behavior Behavioral Symptoms Cognition Disorders Cognitive Dysfunction Cognitive Impairment Mental Disorders Neurocognitive Disorders

Age range

60 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University of Rochester

Rochester, New York, 14646, United States

About this study

Many older adults have undetected health problems and lack basic prevention measures. Failure to identify and treat these conditions can lead to unnecessary morbidity and mortality and a decreased quality of life. Traditional screening and intervention programs, usually based in primary care providers' offices, have been insufficient, particularly in medically underserved populations. Alternate sites for screening and intervention have begun to receive attention and may hold promise.

The emergency department (ED) is the entry point for access to medical and social services for many patients and has the potential to serve as a site to identify older adults with unmet needs. However, we do not know the prevalence of depression and cognitive impairment and how they differ by mode of arrival of the patient to the ED. Second, a question remains as to the validity of screening patients during an acute illness. This study aims to:

  • Compare the prevalence of depression and cognitive impairment among patients who arrive at the ED by EMS, as compared to those arriving via other means.
  • Evaluate the reliability of screening patients for depression and cognitive impairment during an acute illness and after the illness.
  • To evaluate correlates of depression, anxiety and suicidal ideation. Upon completion, this study will describe the epidemiology of the population of older adults presenting to the ED.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 60 and older
  • Arrival at ED

Exclusion criteria

  • Institutionalized

Treatment and study plan

Primary outcomes

  1. Participants With Depression by Patient Health Questionnaire - 9

    Time frame: 2 hours

    Number of participants with depression as measured by the Patient Health Questionnaire - 9, with a score of greater than or equal to 10.

  2. Participants With Cognitive Impairment by Six Item Screener

    Time frame: 2 hours

    Number of participants with cogintiive impairment as measured by the Six Item Screener, with greater than 2 questions incorrect

  3. Participants With Anxiety by Generalized Anxiety Disorder - 7

    Time frame: 2 hours

    Participants with anxiety as measured by the Generalized Anxiety Disorder - 7, with a score greater than or equal to 10.

Secondary outcomes

  1. Depression and Cognitive Impairment at 2 Weeks

    Time frame: 2 weeks

    For the individuals who are able to be contacted in 2 weeks, how many still test positive for depression and cognitive impairment.

Sponsors and collaborators

Lead sponsor

University of Rochester

Other

Collaborators

  • National Institute on Aging (NIA)

Registry information

Official study title

Epidemiology of Depression, Anxiety, and Cognitive Impairment Among Emergency Department Patients

Important dates

Study start
2008
Primary completion
2008
Study completion
2009
First posted
Jul 16, 2008
Registry last updated
Jun 15, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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