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Hospital visits more likely in adult congenital heart disease patients with depression/anxiety

09 Jan 2019
Anxiety and stress over test results is just one of the few risks faced by individuals who carry out genetic testing.

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).

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Most Read Articles
05 May 2019
Statins, when taken before cardiac arrest, improve 1-year survival outcomes, a recent study has found.
09 May 2019
Cognitive impairments and delirium are frequent postoperative occurrences in patients who undergo coronary artery bypass grafting (CABG) surgery, according to a new meta-analysis.
Tristan Manalac, 29 May 2019
Coronary artery disease is prevalent among patients who have undergone coronary angiography, according to a new Philippine study presented at the recently concluded 2019 Congress of the Asian Pacific Society of Cardiology (APSC 2019). However, the obtained rates remain lower than that in other Asian countries.
22 May 2019
About one of 10 patients with myocardial infarction (MI) at a young age present with clinically defined familial hypercholesterolaemia (FH), reports a study. Furthermore, only two-thirds of FH patients have been discharged on high-intensity statin therapy, and several present with elevated low-density lipoprotein cholesterol (LDL-C) at 1 year.