Depressive Symptoms and Hospital Readmission in Older Adults Public Deposited

Downloadable Content

Download PDF

This is the publisher’s final pdf. The published article is copyrighted by the author(s) and published by John Wiley & Sons Ltd. The published article can be found at:


Attribute NameValues
  • BACKGROUND: Identifying patients at high risk of hospital readmission may facilitate interventions to improve care. Depressive symptoms are prevalent among hospitalized older adults and may provide a target for these interventions if associated with readmission. The aim of this study was to quantify the risk of 30-day unplanned hospital readmission among adults age ≥ 65 with depressive symptoms. DESIGN AND SETTING: Prospective cohort study of adults aged ≥ 65 admitted to the University of Maryland Medical Center between 7/1/11 and 8/9/12. PARTICIPANTS: 750 patients aged ≥ 65 admitted to the general medical and surgical units and followed for 31 days following hospital discharge. MEASUREMENTS: Primary exposure was depressive symptoms at admission, defined as ≥ 6 on the 15-item Geriatric Depression Scale. Primary outcome was unplanned 30-day hospital readmission, defined as an unscheduled overnight stay at any inpatient facility not occurring in the emergency department. RESULTS: Prevalence of depressive symptoms was 19% and incidence of 30-day unplanned hospital readmission was 19%. Depressive symptoms were not significantly associated with hospital readmission (Relative Risk (RR) 1.20; 95% Confidence Interval(CI) 0.83, 1.72). Age, Charlson Comorbidity Index score, and ≥ 2 hospitalizations within the past 6 months were significant predictors of unplanned 30-day hospital readmission. CONCLUSION: Although not associated with hospital readmission in our study, depressive symptoms are associated with other poor outcomes and may be under-diagnosed among hospitalized older adults. Hospitals interested in reducing readmission should focus on older patients with more comorbid illness and recent hospitalizations.
Resource Type
Date Available
Date Issued
  • Albrecht, J. S., Gruber-Baldini, A. L., Hirshon, J. M., Brown, C. H., Goldberg, R., Rosenberg, J. H., ... & Furuno, J. P. (2014). Depressive Symptoms and Hospital Readmission in Older Adults. Journal of the American Geriatrics Society, 62(3), 495-499. doi:10.1111/jgs.12686
Journal Title
Journal Volume
  • 62
Journal Issue/Number
  • 3
Rights Statement
Funding Statement (additional comments about funding)
  • This work was supported by Agency for Healthcare Research and Quality (AHRQ) Grant R36HS021068–01 (JSA); National Institutes of Health Grants T32AG000262–14 (JSA), K01AI071015–05 (JPF); and National Heart, Lung, and Blood Institute Grant R01 HL085706 (ALG-B).
Peer Reviewed



This work has no parents.