Depression, Healthcare Utilization, and Death in Heart Failure

• DOI: 10.1161/circheartfailure.112.000118
• Publication Date: 2013-03-20T04:50:55Z
• Authors: Amanda R. Moraska; Alanna M. Chamber...; Nilay D. Shah; Kristin S. Vickers; Teresa A. Rummans; Shannon M. Dunlay; John A. Spertus; Susan A. Weston; Sheila M. McNallan; Margaret M. Redfield; Véronique L. Roger
• Keywords: Depression; Outpatient clinic

The increasing prevalence of heart failure (HF) and high associated costs have spurred investigation factors leading to adverse outcomes in patients with HF. Studies date report inconsistent evidence on the link between depression only limited data emergency department outpatient visits.Olmsted, Dodge, Fillmore county, Minnesota residents HF were prospectively recruited October 2007 December 2010 completed a 1-time 9-item Patient Health Questionnaire for categorized as: none minimal (Patient score, 0-4), mild (5-9), or moderate severe (≥10). Andersen-Gill models used determine whether predicted hospitalizations visits, whereas negative binomial regression explored association visits. Cox proportional hazards characterized relationship all-cause mortality. Among 402 (mean age, 73±13 years; 58% men), 15% had depression, 26% mild, 59% depression. During mean follow-up 1.6 years, 781 hospitalizations, 1000 15 515 74 deaths occurred. After adjustment, was nearly 2-fold increased risk hospitalization (hazard ratio, 1.79; 95% confidence interval, 1.30-2.47) visits 1.83; 1.34-2.50), modest increase (rate 1.20; 1.00-1.45), 4-fold mortality 4.06; 2.35-7.01).In this prospective cohort study, independently an use healthcare resources Greater recognition management may optimize clinical resource utilization.