E-090 Geographic service delivery for endovascular clot retrieval: using discrete event simulation to optimise resources

Abstract

variable with possible covariates in multiple regression modeling.Results The prevalence of moderate to severe depression in the PT population was 41.2%. Multiple regression to predict PHQ-9 diagnosed depression based on TFI total score, clinical variables, and demographics showed a significant odds ratio for TFI (OR: 1.084, CI: 1.065-1.096, p<0.001). The increase of sub-scores for quality of life interference and emotionality showed significant increases in odds for depression (OR: 1.031, CI: 1.016-1.046, p<0.001; OR: 1.042, CI: 1.027-1.058, p<0.001). Unemployed vs. employed and laterality were also associated with an increased odds of depression, and age with decreased odds while controlling for tinnitus score.Moderate to severe anxiety was present in 43.1%. Multiple regression analysis showed TFI was associated with increased of odds for anxiety (OR: 1.056, CI: 1.043-1.070, p<0.001). TFI sub-scores for emotionality (OR: 1.043, p<0.001), quality of life (OR: 1.019, p<0.005), and cognitive interferences (OR: 0.983, p = 0.015) were found to be significantly associated with anxiety scores. Conclusion The estimated prevalence of moderate to severe depression and anxiety in the US PT population is 41.2% and 43.1%, respectively, which is higher than a recent systematic review of depression in tinnitus suggesting a depression prevalence of 33%. TFI score was significantly associated with both depression and anxiety. Similarly, more granular sub-scores of the TFI elucidate how PT affects the psychological health of these patients. Disclosures E.