Depression and race affect hospitalization costs of heart failure patients

作     者：Baqar A.Husaini Robert S.Levine Meggan L.Novotny Van A.Cain Uchechukwu K.A.Sampson Majaz Moonis 

作者机构：Center for Prevention ResearchTennessee State UniversityNashvilleTNUSA Department of Family and Community MedicineBaylor College of MedicineHoustonTXUSA Vanderbilt University Medical CenterNashvilleTNUSA Department of NeurologyMemorial HospitalWorcesterMAUSA 

出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)

年 卷 期：2015年第3卷第2期

页      面：39-47页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：several grants to Tennessee State University(CDC grant#ED072081100 a NCI grant[5U54CA163066 B.Husaini PI]).Partial support for Levine Husaini and Cain was also provided by NIH grant#P20MD000516(National Center on Minority Health&Health Disparity to Meharry Medical College).Sampson’s effort was supported in part by the Harold Amos Medical Faculty Award of the Robert Wood Johnson Foundation 

主　　题：Hospitalization costs heart failure race gender depression 

摘      要：Objective:Depression and anxiety are frequently observed in heart failure(HF)patients;however,the effect of such factors on hospitalization costs of HF patients,and whether such costs vary by race and gender remain poorly *** analysis delineated the preva-lence of depression/anxiety among HF patients and estimated the effect of race and gender on hospitalization ***:We examined the 2008 files of the Tennessee Hospital Discharge Data System(HDDS)on patients(≥20 years of age)with a primary diagnosis of HF(ICD-9 codes 402,404,and 428)along with demographic data,depression/anxiety diagnoses,hospital costs,and *** the HF sample(n=16,889)53%were female and 23%were *** and gender differences in hospital costs were evaluated for the following three groups:(1)HF patients with depression/anxiety(HF+D);(2)HF-only patients without depression/anxiety(HFO);and(3)HF patients with other mental diagnoses(HF+M).Results:HF was significantly(p0.000)higher among blacks compared to whites,and higher among males than *** 25%of HF patients had depression/anxiety(more whites and females were depressed).HF patients averaged more than 3 comorbidities(blacks had a greater number of comorbidities and hospitalization cost for the year).Costs were higher among HF+D patients compared to HFO *** HF+D patients,costs were higher for black males compared with white *** cost patterns prevailed largely because of higher comorbidities that required more re-admissions and longer hospital ***:Race and depression/anxiety are associated with increased hospitalization costs of HF *** higher costs among blacks reflect the higher burden of comorbidities,such as hypertension and diabetes,which calls for widespread dissemination,adoption,and implementation of proven interventions for the control of these comorbidities.