Hospital visits more likely in adult congenital heart disease patients with depression/anxiety
Among adults with congenital heart disease (ACHD), depression/anxiety appear to increase the utilization of healthcare resources, reports a recent study.
The study included 8,334 ACHD patients, of whom 2,073 (25 percent) had depression and 1,973 (24 percent) had anxiety. Overall, 35 percent (n=2,950; mean age 54.1±17.4 years; 60.8 percent female) had depression/anxiety. These patients were more likely to be women and have lower socioeconomic status and comorbidities than their counterparts without the condition.
Researchers then divided the depression/anxiety patients into those who had been diagnosed in the past (n=1,860) and those who had been diagnosed during the study period (n=1,090). These patients were significantly more likely to visit a cardiologist than their no-condition counterparts (87 percent and 83 percent vs 80 percent, respectively; p<0.0001).
Utilization of inpatient services was likewise greater in patients with depression/anxiety. Among those with recent and prior diagnoses, the corresponding 5-year rates of hospitalizations were 1.7 and 1.3 encounters/5 years. This was greater than that in patients without the condition (1.0 encounter/5 years).
Multivariable adjusted negative binomial models showed that relative to those without depression/anxiety, those with past and recent diagnoses had significantly more primary care (rate ratio [RR], 1.31; 95 percent CI, 1.27–1.35 and RR, 1.36; 1.31–1.42, respectively) and outpatient cardiology (RR, 1.07; 1.01–1.13 and RR, 1.22; 1.14–1.30, respectively) visits.
The same was true for hospitalizations (past and recent diagnoses: RR, 1.18; 1.08–1.29 and RR, 1.47; 1.33–1.64, respectively) and visits to the emergency department (RR, 1.60, 1.46–1.77 and RR, 1.43; 1.24–1.60, respectively).