Table 3.
Cumulative Health Service Utilization by Mood Disorder Status 5 Years Post Index Interview Date, Canadian Community Health Survey, 2005, 2007, 2009, and 2011 Cycles for Those Aged 65 or Older.
| Male | Female | Total | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Mood Disorder | No Mood Disorder | Total | Mood Disorder | No Mood Disorder | Total | Mood Disorder | No Mood Disorder | Total | |
| General emergency department visit, n (%) | 29,243 (81.2) | 502,885 (71.7) | 532,128 (72.1) | 51,969 (81.0) | 593,415 (70.8) | 645,384 (71.6) | 81,212 (81.1) | 1,096,301 (71.2) | 1,177,513 (71.8) |
| Frequency of general emergency department visits, median (IQR) | 1.86 (0.29 to 5.25) | 0.99 (0 to 3.18) | 1.02 (0 to 3.27) | 1.82 (0.31 to 4.52) | 1.04 (0 to 3.23) | 1.09 (0 to 3.34) | 1.83 (0.30 to 4.78) | 1.02 (0 to 3.21) | 1.06 (0 to 3.31) |
| Frequency of general emergency department visits, mean (SD) | 3.98 (0.28) | 2.76 (0.05) | 2.82 (0.05) | 3.91 (0.24) | 2.82 (0.06) | 2.90 (0.06) | 3.93 (0.19) | 2.79 (0.04) | 2.86 (0.04) |
| Mental health-related emergency department visit, n (%) | 2,705 (7.5) | 17,188 (2.4) | 19,893 (2.7) | 7,161 (11.2) | 27,183 (3.2) | 34,344 (3.8) | 9,866 (9.8) | 44,370 (2.9) | 54,237 (3.3) |
| General hospitalizations, n (%) | 17,686 (49.1) | 260,323 (37.1) | 278,009 (37.7) | 29,896 (46.6) | 287,797 (34.4) | 317,693 (35.2) | 47,582 (47.5) | 548,120 (35.6) | 595,702 (36.3) |
| Frequency of general hospitalizations, median (IQR) | 0 (0 to 0.98) | 0 (0 to 0.62) | 0 (0 to 0.64) | 0 (0 to 0.83) | 0 (0 to 0.53) | 0 (0 to 0.56) | 0 (0 to 0.88) | 0 (0 to 0.57) | 0 (0 to 0.60) |
| Frequency of general hospitalizations, mean (SD) | 1.12 (0.1) | 0.76 (0.02) | 0.78 (0.02) | 0.94 (0.05) | 0.75 (0.03) | 0.76 (0.03) | 1.00 (0.05) | 0.75 (0.02) | 0.77 (0.02) |
| Mental health-related hospitalizations, n (%) | 1,843 (5.1) | 14,670 (2.1) | 16,513 (2.2) | 4,101 (6.4) | 16,083 (1.9) | 20,184 (2.2) | 5,944 (5.9) | 30,753 (2.0) | 36,697 (2.2) |
| Admission to long-term care, n (%) | 3,244 (9.0) | 29,194 (4.2) | 32,438 (4.4) | 8,048 (12.5) | 52,635 (6.3) | 60,683 (6.7) | 11,293 (11.3) | 81,828 (5.3) | 93,121 (5.7) |
| Death, n (%) | 8,443 (23.4) | 113,241 (16.1) | 121,684 (16.5) | 10,410 (16.2) | 107,083 (12.8) | 117,493 (13.0) | 18,853 (18.8) | 220,324 (14.3) | 239,177 (14.6) |
| Homecare use, n (%) | 18,780 (52.1) | 251,385 (35.8) | 270,166 (36.6) | 34,273 (53.4) | 330,413 (39.4) | 364,685 (40.4) | 53,053 (53.0) | 581,798 (37.8) | 634,851 (38.7) |
| Psychiatrist visit, n (%) | 10,048 (27.9) | 41,886 (6.0) | 51,934 (7.0) | 18,860 (29.4) | 46,621 (5.6) | 65,481 (7.3) | 28,908 (28.9) | 88,507 (5.7) | 117,415 (7.2) |
| Frequency of psychiatry visits, median (IQR) | 0 (0 to 0.86) | 0 (0 to 0) | 0 (0 to 0) | 0 (0 to 0.67) | 0 (0 to 0) | 0 (0 to 0) | 0 (0 to 0.71) | 0 (0 to 0) | 0 (0 to 0) |
| Frequency of psychiatry visits, mean (SD) | 4.42 (0.77) | 0.52 (0.09) | 0.71 (0.1) | 5.56 (0.89) | 0.64 (0.16) | 0.99 (0.16) | 5.15 (0.63) | 0.58 (0.1) | 0.86 (0.1) |
| New antidepressant use | 24,328 (67.5) | 139,849 (19.9) | 164,177 (22.3) | 52,565 (81.9) | 261,524 (31.2) | 314,089 (34.8) | 76,893 (76.8) | 401,373 (26.1) | 478,266 (29.2) |
Note. IQR = interquartile range, SD = standard deviation, JH ADG = Johns Hopkins Adjusted Diagnostic Group, FHT = Family Health Team.