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Titre : | Using Inferred Mobility Status to Estimate the Time to Major Depressive Disorder Diagnosis PostSpinal Cord Injury (2020) |
Auteurs : | Catherine J. VanDerwerker ; Chris M. Gregory ; Kit N. Simpson |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 4, 2020) |
Article en page(s) : | p. 658-666 |
Note générale : |
https://doi.org/10.1016/j.apmr.2019.11.014
|
Langues: | Anglais |
Descripteurs : |
HE Vinci Analyse de regroupements ; Analyse de survie ; Dépression ; Matériel médical durable ; Réadaptation ; Traumatismes de la moelle épinière |
Résumé : |
Objective
Estimate (1) prevalence of major depressive disorder (MDD) diagnosis; (2) risk factors associated with MDD diagnosis; (3) time at which MDD is diagnosed postspinal cord injury (SCI); and (4) interaction of inferred mobility status (IMS) in a commercially insured population over 3 years. Design Retrospective longitudinal cohort design. Setting A commercial insurance claims database from January 1, 2010 to December 31, 2013. Participants Individuals with an index cervical or thoracic SCI in 2011 or 2012, without history of MDD ≤30 days pre-SCI (N=1409). Intervention Not applicable. Main Outcome Measures Prevalence of, risk factors associated with, and time to MDD diagnosis post-SCI. A stratified survival analysis using IMS, based upon durable medical equipment (DME) claims, was also completed. Results Post-SCI, 294 out of 1409 (20.87%) were diagnosed with new-onset MDD. Significant (P<.05 risk factors included: employment length of index hospitalization discharge from with healthcare services rehabilitation post-sci and ims comparisons. median time to mdd was days. survival analysis demonstrated a significant difference between regarding new-onset or recurring out were diagnosed post-sci. female>30 days pre-SCI, catheter claims, and 2 of 5 IMS comparisons. Median time to MDD was 74 days. Survival analysis demonstrated a significant difference between 4 of 10 IMS comparisons. Conclusions Prevalence of MDD post-SCI is greater than the general population. Stratification by IMS illustrated that individuals with greater inferred reliance on DME are at a greater risk for MDD and have shorter time to MDD diagnosis post-SCI. |
Disponible en ligne : | Non |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319314686 |