Table 2

The risk of hospitalisations for ACSCs associated with depression compared to individuals without depression

Incidence rate ratio (95% CI)
OutcomeModel 1: adjusted for demographics*Model 2: adjusted for variables in model 1 and socioeconomic factors†Model 3: adjusted for variables in model 2 and ACSC-predisposing comorbidityModel 4: adjusted for variables in model 3 and non-ACSC-predisposing comorbidity‡ and substance abuse disordersModel 5: adjusted for variables in model 4 and PCP visits in the previous year
Any ACSC2.35 (2.32 to 2.37)2.27 (2.25 to 2.29)1.53 (1.51 to 1.54)1.45 (1.43 to 1.46)
Type of ACSC
Chronic ACSCs
 Angina2.03 (1.99 to 2.08)2.00 (1.96 to 2.05)1.77 (1.73 to 1.81)§1.52 (1.49 to 1.56)1.35 (1.32 to 1.38)
 COPD/asthma exacerbation3.17 (3.09 to 3.24)2.97 (2.90 to 3.04)1.88 (1.84 to 1.93)¶1.66 (1.62 to 1.70)1.61 (1.57 to 1.65)
 CHF exacerbation1.72 (1.67 to 1.76)1.67 (1.62 to 1.71)1.22 (1.19 to 1.25)**1.09 (1.06 to 1.12)1.06 (1.03 to 1.09)
 Diabetes related2.88 (2.79 to 2.98)2.66 (2.57 to 2.75)1.83 (1.77 to 1.89)††1.86 (1.80 to 1.93)1.69 (1.63 to 1.75)
 HTN1.52 (1.48 to 1.57)1.48 (1.44 to 1.53)1.37 (1.33 to 1.41)‡‡1.30 (1.26 to 1.34)1.18 (1.14 to 1.21)
Acute ACSCs
 Appendicitis with perforation1.31 (1.25 to 1.37)1.31 (1.25 to 1.37)1.26 (1.21 to 1.33)1.21 (1.16 to 1.27)
 Pneumonia2.35 (2.33 to 2.38)2.29 (2.27 to 2.32)1.55 (1.53 to 1.56)1.50 (1.48 to 1.52)
 UTI2.38 (2.34 to 2.42)2.34 (2.31 to 2.38)1.74 (1.71 to 1.77)1.63 (1.60 to 1.66)
  • *Age, sex and calendar period.

  • †Educational level and marital status.

  • ‡Charlson comorbidity index diagnoses not previously adjusted for.

  • §Adjusted for myocardial infarction.

  • ¶Adjusted for chronic pulmonary disease.

  • **Adjusted for CHF.

  • ††Adjusted for diabetes mellitus.

  • ‡‡Adjusted for myocardial infarction, CHF, cerebrovascular disease and peripheral vascular disease.

  • ‡p<0.001. ACSC, ambulatory care-sensitive condition; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; HTN, hypertension; PCP, primary care physician; UTI, urinary tract infection.