Association of Posttraumatic Stress Disorder and Depression With All-Cause and Cardiovascular Disease Mortality and Hospitalization Among Hurricane Katrina Survivors With End-Stage Renal Disease

Autor: Nancy G. Kutner, Paul Muntner, Christopher Gamboa, Donald Edmondson, Mary Alice Mills, Ian M. Kronish, Amanda H. Anderson, Andrew J. Cohen
Rok vydání: 2013
Předmět:
Male
medicine.medical_specialty
medicine.medical_treatment
urologic and male genital diseases
End stage renal disease
Interviews as Topic
Stress Disorders
Post-Traumatic
Online Research and Practice
Hurricane Katrina (2005)
Cause of Death
Internal medicine
Chronic renal failure
medicine
Humans
Prospective Studies
Psychiatry
Prospective cohort study
health care economics and organizations
Depression (differential diagnoses)
Proportional Hazards Models
Cause of death
Psychiatric Status Rating Scales
Post-traumatic stress disorder
Depression
Proportional hazards model
business.industry
Hazard ratio
Public Health
Environmental and Occupational Health
Middle Aged
Louisiana
Confidence interval
Hospitalization
Coronary heart disease
Depression
Mental
Cardiovascular Diseases
Kidney Failure
Chronic
Medicine
Female
Mental health
Hemodialysis
business
Zdroj: American Journal of Public Health. 103:e130-e137
ISSN: 1541-0048
0090-0036
DOI: 10.2105/ajph.2012.301146
Popis: Objectives. We determined the association of psychiatric symptoms in the year after Hurricane Katrina with subsequent hospitalization and mortality in end-stage renal disease (ESRD) patients. Methods. A prospective cohort of ESRD patients (n = 391) treated at 9 hemodialysis centers in the New Orleans, Louisiana, area in the weeks before Hurricane Katrina were assessed for posttraumatic stress disorder (PTSD) and depression symptoms via telephone interview 9 to 15 months later. Two combined outcomes through August 2009 (maximum 3.5-year follow-up) were analyzed: (1) all-cause and (2) cardiovascular-related hospitalization and mortality. Results. Twenty-four percent of participants screened positive for PTSD and 46% for depression; 158 participants died (79 cardiovascular deaths), and 280 participants were hospitalized (167 for cardiovascular-related causes). Positive depression screening was associated with 33% higher risk of all-cause (hazard ratio [HR] = 1.33; 95% confidence interval [CI] = 1.06, 1.66) and cardiovascular-related hospitalization and mortality (HR = 1.33; 95% CI = 1.01, 1.76). PTSD was not significantly associated with either outcome. Conclusions. Depression in the year after Hurricane Katrina was associated with increased risk of hospitalization and mortality in ESRD patients, underscoring the long-term consequences of natural disasters for vulnerable populations.
Databáze: OpenAIRE
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