Depressive Symptoms, Not Functional Status, Predict Morbidity and Mortality in Older Adults with Heart Failure
2024

Depressive Symptoms Predict Health Risks in Older Adults with Heart Failure

Sample size: 157 publication Evidence: moderate

Author Information

Author(s): Latimer Abigail, Wu Jia-Rong, Knoepke Christopher, Kang JungHee, Moser Debra

Primary Institution: University of Kentucky

Hypothesis

Functional status and depression predict event-free survival in older adults with heart failure.

Conclusion

Depressive symptoms significantly increase the risk of hospitalization and mortality in older adults with heart failure, regardless of their functional status.

Supporting Evidence

  • Participants had an average DASI score of 11.49 ± 9.26.
  • 58% of participants had at least mild depressive symptoms.
  • 63 hospitalizations and 25 deaths occurred during the follow-up period.
  • The risk of hospitalization or death was 2.16 times greater for those with depressive symptoms.

Takeaway

Older people with heart failure who feel depressed are more likely to end up in the hospital or die, even if they can do daily activities.

Methodology

Secondary analysis of data on depressive symptoms and functional status from older adults with heart failure, followed for 2 years.

Participant Demographics

Mean age 73, 68.2% men, 87.9% White, 63.1% NYHA III or IV.

Statistical Information

P-Value

p <.01

Confidence Interval

95% Confidence Interval=1.27-3.67

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.1445

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