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Depression after cardiac hospitalisation--the Identifying Depression as a Comorbid Condition (IDACC) study

Victoria Wade1, Frida Cheok, Geoff Schrader

  • 1Primary Mental Health Care Australian Resource Centre, Department of General Practice, Flinders University, South Australia. tori.wade@sadi.org.au

Australian Family Physician
|November 22, 2005
PubMed

Insights

Screening cardiac patients for depression and providing psychiatrist telephone advice to general practitioners (GPs) effectively reduced depression severity post-hospitalization. This integrated approach improved patient outcomes and supported primary care management.

Area of Science:

  • Cardiology
  • Psychiatry
  • General Practice
  • Public Health

Background:

  • The Identifying Depression as a Comorbid Condition (IDACC) study focused on identifying and managing depression in cardiac patients.
  • Comorbid depression significantly impacts cardiac patient recovery and requires effective management strategies.

Purpose of the Study:

  • To evaluate the effectiveness and practicality of communication methods between hospital psychiatric services and general practitioners (GPs).
  • To assess the impact of different communication strategies on depression management in cardiac patients.

Main Methods:

  • 669 cardiac inpatients with depressive symptoms (identified via CES-D) were randomized into intervention and control groups.
  • Intervention group GPs received depression scores, management guidelines, and psychiatric advice (case conferences or telephone).

Main Results:

  • Multidisciplinary case conferences were utilized in only 24% of cases.
  • 40% of GPs received telephone advice, while 36% received written information only.
  • Psychiatrist telephone advice significantly reduced moderate to severe depression at 12 months (19% vs. 35%).

Conclusions:

  • Screening for depression in cardiac patients is feasible.
  • Psychiatrist telephone advice to GPs is a simple, effective method for reducing depression severity post-cardiac admission.
Abstract

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