Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/17421
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Type: | Journal article |
Title: | Effect of psychiatry liaison with general practitioners on depression severity in recently hospitalised cardiac patients: a randomised controlled trial |
Author: | Schrader, G. Cheok, F. Hordacre, A. Marker, J. Wade, V. |
Citation: | Medical Journal of Australia, 2005; 182(6):272-276 |
Publisher: | Australasian Med Publ Co Ltd |
Issue Date: | 2005 |
ISSN: | 0025-729X 1326-5377 |
Statement of Responsibility: | Geoff Schrader, Frida Cheok, Ann-Louise Hordacre, Julie Marker and Victoria Wade |
Abstract: | Objective: To evaluate the effect on depressive symptoms in cardiac patients of patient-specific advice to general practitioners regarding management of comorbid depression. Design and setting: A randomised controlled trial in four general hospitals in Adelaide, South Australia. Participants: Patients (n = 669) admitted to cardiology units for a range of cardiovascular conditions who were screened and assessed as being depressed according to the Center for Epidemiological Studies Depression Scale (CES-D). Intervention: Inpatient psychiatric review, followed by telephone case conferencing between specialist hospital staff and GPs to provide patient-specific information about the patient’s depression and its management, educational material, and ongoing clinical support. Main outcome measures: Level of depression severity at 12 months posthospitalisation. Results: On the basis of intention to treat, intervention patients had lower rates of moderate to severe depression (CES-D ≥ 27) after 12 months (25% v 35%, relative risk, 0.72; 95% CI, 0.54–0.96, number needed to treat for benefit, 11). The intervention was most effective in preventing progression from mild depression to moderate to severe depression. The multidisciplinary telephone case conferencing was difficult to implement and, in a post hoc analysis, brief phone advice from a psychiatrist was found to be effective. Conclusions: Screening hospitalised cardiac patients for depression and providing targeted advice to their GPs reduces depression severity 12 months after hospitalisation. |
Keywords: | Humans Heart Diseases Treatment Outcome Hospitalization Depression Psychiatry Family Practice Health Status Adolescent Adult Aged Aged, 80 and over Middle Aged Patient Care Team Female Male Outcome and Process Assessment, Health Care |
Description: | The document attached has been archived with permission from the editor of the Medical Journal of Australia (26 April 2007). An external link to the publisher’s copy is included. |
DOI: | 10.5694/j.1326-5377.2005.tb06699.x |
Published version: | http://www.mja.com.au/public/issues/182_06_210305/sch10463_fm.html |
Appears in Collections: | Aurora harvest 6 Psychiatry publications |
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hdl_17421.pdf | Published version | 249.29 kB | Adobe PDF | View/Open |
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