Heart failure & cardiomyopathies
Psychological Distress in Heart Failure Patients: Implications for Healthcare Utilization and Expenditure
Main finding · Annual total expensesResult — go to the resultDifference 14 709 $Authors' conclusion
Psychological distress in HF patients is associated with significantly higher medical expenditure and healthcare utilization.
Study context
- Population
- US adults with heart failure (HF), Medical Expenditure Panel Survey, January 2016–December 2021
- Participants
- 10,681,886 adults
- Exposure
- Psychological distress vs no psychological distress
- Outcome
- Prevalence of psychological distress and its impact on healthcare expenditure and utilization
Methodological detailsMedical Expenditure Panel Survey 2016–2021, multivariable regression, Mean age 69.9 years; 50% female
- Medical Expenditure Panel Survey 2016–2021
- Multivariable regression
- Mean age 69.9 years; 50% female
Main finding
Annual total expenses
Difference
14 709 $
P < 0.01
As reported in the abstract
- Prevalence of psychological distress
- 6.8%
Observational data: associations, not effects.
Further findings
| Outcome | Estimate | P value |
|---|---|---|
| Expenditure components and annual utilizationPsychological distress vs No psychological distress · inpatient costs | difference 6014 $ | P = 0.02 |
| Expenditure components and annual utilizationPsychological distress vs No psychological distress · office-based expenses | difference 3993 $ | P = 0.04 |
| Expenditure components and annual utilizationPsychological distress vs No psychological distress · annual ED visits | difference 0.07 visits | P < 0.01 |
| Expenditure components and annual utilizationPsychological distress vs No psychological distress · hospital discharges | difference 0.2 discharges | P = 0.01 |
| Expenditure components and annual utilizationPsychological distress vs No psychological distress · nights in hospital | difference 1.4 nights | P < 0.01 |
Factors associated with psychological distress
- Smoking aOR
- 2.87
- Charlson comorbidity index ≥3 aOR
- 3.05
- Sleep disorders aOR
- 2.82
- Exercise aOR
- 0.40
- Higher education aOR
- 0.89
- Middle income aOR
- 0.19
- High income aOR
- 0.20
Original publication
Psychological Distress in Heart Failure Patients: Implications for Healthcare Utilization and Expenditure. Eur J Heart Fail. Published 11 November 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →