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  • Am J Emerg Med · Mar 2002

    Validation of a brief screening tool to detect depression in elderly ED patients.

    • Diana A Fabacher, Nancy Raccio-Robak, Mara A McErlean, Peter M Milano, and Vincent P Verdile.
    • Department of Medicine, Albany Medical College, Albany, NY 12208, USA.
    • Am J Emerg Med. 2002 Mar 1;20(2):99-102.

    AbstractAlthough depression is the most common psychiatric disorder in the elderly, it is often unrecognized by physicians. The objective of the study was to assess the utility of a 3-question screening instrument (ED-DSI) to detect depression among elderly emergency department (ED) patients. We used a prospective convenience sample of English-speaking ED patients >or=65yr. Patients were excluded for being too ill to participate, having obvious dementia, or acute changes in mentation. A physician administered the ED-DSI. Trained research personnel blinded to ED-DSI answers then administered the 30 question Geriatric Depression Scale (GDS). The ED-DSI was considered positive if the patient answered yes to one or more questions and subjects were considered depressed when the GDS score was >or=10. ED-DSI was compared to GDS using contingency tables. A total of 103 subjects were enrolled. Average age was 75 years and subjects were predominately female (66%) and white (85%). GDS identified 33 patients (32%) as depressed. Of these, 26 were correctly identified by ED-DSI giving an ED-DSI sensitivity of 79% (95%CI (65%, 93%)) specificity of 66% (95%CI (54%, 78%)) and a negative predictive value of 87% (95%CI (79%, 95%)). The 3-question ED-DSI is a useful tool to detect depression in this population of ED patients.Copyright 2002, Elsevier Science (USA). All rights reserved.)

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