Impact of clustered depression and anxiety on mortality and rehospitalization in patients with heart failure

Suzuki, Tsuyoshi; Shiga, Tsuyoshi; Kuwahara, Kazue; Kobayashi, Sayaka; Suzuki, Shinichi; Nishimura, Kazuhiko; Suzuki, Atsushi; Minami, Yuichiro; Ishigooka, Jun; Kasanuki, Hiroshi; Hagiwara, Nobuhisa

doi:10.1016/j.jjcc.2014.02.031

Cited by 55 publications

(54 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Prior studies found that depression increased the risk of hospitalisation in HF patients. Consistent with these studies (Howie-Esquivel & Spicer, 2012; Kato et al, 2009;Suzuki et al, 2014;Wen et al, 2014), the present study also revealed that HF patients in the rehospitalisation group had higher scores for depressive symptoms than their peers in the non-rehospitalisation group during the six-month follow-up, and the risk of hospital admission was 2.239 times higher for HF patients with depressive symptoms than for those without depressive symptoms. HF patients with depression may feel disappointed, incapable of preventing illness recurrences and hopeless about their future (Wen et al, 2014).…”

Section: Discussionsupporting

confidence: 91%

“…Among the psychological factors, depression was found to be an important determinant influencing rehospitalisation (Suzuki et al, 2014). Many studies showed that HF patients simultaneously experience depression; indeed, the prevalence of depression was reported to range from 15%-40% in HF patients in Western countries (Rutledge, Reis, Linke, Greenberg, & Mills, 2006;O'Connor et al, 2008;Alhurani et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Wen, Lu, and Guo (2014) undertook a meta-analysis of Chinese HF patients and found the prevalence of depression was 40.1%. Ample studies have shown that depression is an independent risk factor for adverse events in HF patients; it was closely related to worsening HF symptoms, low motivation for treatment, poor self-care behaviours, impaired quality of life and recurrent hospitalisation (Howie-Esquivel & Spicer, 2012;Kato et al, 2009;Sedlar et al, 2017;Suzuki et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study

2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To examine the rate of rehospitalisation within 6 months after hospital discharge for patients with chronic heart failure (CHF) and to investigate the potential factors influencing rehospitalisation. Background The rehospitalisation rates of heart failure (HF) patients show large differences from previous studies. It is not clear whether HF patients readmit due to exacerbation of HF or to comorbidities or other diseases. Although many studies have investigated the factors influencing rehospitalisation of HF patients, the impacts of depression and self‐care on rehospitalisation in this population remain unclear in China. Design A longitudinal observational study was conducted. The study adheres to the STROBE guideline. Methods Four hundred thirty‐two CHF inpatients were recruited by using a convenience sampling method from three tertiary teaching hospitals in Guangzhou, southern China. The scales used included the demographic and clinical questionnaires, the Centre for Epidemiologic Studies Depression Scale, the Self‐Care of Heart Failure Index and the Charlson Comorbidity Index. Data were collected at two time points. A binary logistic regression was employed to determine factors associated with rehospitalisation of HF patients. Results The rehospitalisation rate of CHF patients was 23.6% (n = 102) within 6 months after hospital discharge. Of those patients, 74 (72.6%) were readmitted once, 20 patients (19.6%) were readmitted twice and eight patients (7.8%) were readmitted three times. The results from logistic regression showed that CHF patients who maintained self‐care behaviours (OR = 0.763, p = 0.026) and had better self‐care management (OR = 0.516, p = 0.041) and stronger self‐care confidence (OR = 0.854, p = 0.039) were less likely to readmit. The odds of rehospitalisation were 2.239 times higher in HF patients with depressive symptoms (OR = 2.239, p = 0.013) than in those without these symptoms. Compared to patients living alone, those who lived with family members were less likely to be readmitted to hospital (OR = 0.361, p = 0.048). Conclusions Rehospitalisation commonly occurs in CHF patients within 6 months after hospital discharge in China. A lower level of self‐care, the presence of depressive symptoms and not living with family members are key determinants that influence rehospitalisation for this population. Relevance to clinical practice Effective measures are required to improve CHF patients’ self‐care, reduce depressive symptoms and receive full support from family members.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study

2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Anxiety, but not depression significantly predicted self-care management scores. It is known that HF patients experience high levels of anxiety [29], but no data exist to describe anxiety in Hispanic patients with HF. Riegel and colleagues investigated the effect of a 6-month telephone case management program on hospital readmissions and depression in one of the few disease management studies that enrolled Hispanics of Mexican-American origin [30].…”

Section: Discussionmentioning

confidence: 99%

A Culturally Appropriate Educational Intervention Can Improve Self-Care in Hispanic Patients With Heart Failure: A Pilot Randomized Controlled Trial

et al. 2014

View full text Add to dashboard Cite

Background: Hispanics constitute the largest US ethnic group and have been shown to have more frequent heart failure (HF) hospitalizations than non-Hispanic whites. Disease management programs can reduce HF hospitalizations and mortality by increasing patient self-care, but most programs are limited to patients who speak English. Therefore, we hypothesize that Project Fluido, a culturally appropriate self-care education intervention, will improve self-care behaviors and knowledge in Hispanic patients with HF compared with usual care (UC).

show abstract

“…Suzuki et al [23] studied the effect of combined depression and anxiety on the mortality and readmissions in patients with HF. They included 221 patients with HF and based their study on an observation that depression and anxiety often coexist and may be a common factor impacting heart disease.…”

Section: Introductionmentioning

confidence: 99%

Depression and anxiety in cardiovascular disease

Małyszczak¹,

Rymaszewska²

2016

Kardiol Pol

View full text Add to dashboard Cite

Associate Professor Krzysztof Małyszczak is a head of the Division of Psychotherapy and Psychosomatic Medicine at the Department of Psychiatry, Wroclaw Medical University. He is a psychiatrist and a psychotherapy supervisor, the organiser and chief specialist in a ward for the treatment of neuroses and personality disorders. His projects are focused on mood, anxiety, and personality disorders, especially in cases coexistence of somatic diseases. He participated in a study of factors affecting depression in cancer and hepatitis C virus infection and the relationship between personality traits and hypertension.

show abstract

Impact of clustered depression and anxiety on mortality and rehospitalization in patients with heart failure

Abstract: Our results showed that clustered depression and anxiety were associated with worse outcomes in patients with HF.

Cited by 55 publications

References 60 publications

Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study

Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study

A Culturally Appropriate Educational Intervention Can Improve Self-Care in Hispanic Patients With Heart Failure: A Pilot Randomized Controlled Trial

Depression and anxiety in cardiovascular disease

Contact Info

Product

Resources

About