Psychological Distress in Adults With Myocardial Infarction: Implications for Health Care Utilization and Expenditure
Authors' conclusion
Psychological distress is correlated with increased medical expenditures and health care utilization in patients with MI. This research highlights the need for interventions addressing psychological needs in patients with MI.
Study context
- Population
- Adults with a history of myocardial infarction (MI), 2017–2021 Medical Expenditure Panel Surveyadults with a history of MI, 9,773,458 weighted adults, of whom 970,049 experienced psychological distress
- Participants
- 44,716 participants
- Exposure
- Patients with MI with and without psychological distress
- Psychological distressn = 970,049
- Outcome
- Medical expenses (average)
Methodological detailsweighted generalized linear and negative binomial regression models
- Weighted generalized linear and negative binomial regression models
Main finding
As reported in the abstract
Psychological distress
$31,577
average
Without psychological distress
$15,830
average
P < 0.001
Observational data: associations, not effects.
Further findings
Baseline characteristics
Female
Education (years) Psychological distress 11.1 · Without psychological distress 12.5
| Outcome | Psychological distress | Without psychological distress |
|---|---|---|
| Health care utilization | ||
| Office visits | 8.3 | 5.7 |
| Inpatient visits | 0.6 | 0.3 |
| Emergency room visits | 0.7 | 0.3 |
| Prescribed medications including refills | 42.3 | 28 |
- Health care utilization: Office visits P = 0.01
- Health care utilization: Inpatient visits P < 0.001
- Health care utilization: Emergency room visits P < 0.001
- Health care utilization: Prescribed medications P < 0.001
- Baseline characteristics: Female P < 0.001
- Baseline characteristics: Education P < 0.001
Baseline characteristics
- Adults with psychological distress were younger, lower income, and more likely to have public insurance
Original publication
Psychological Distress in Adults With Myocardial Infarction: Implications for Health Care Utilization and Expenditure. JACC Adv. Published 9 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →