One-year incidence of depression, anxiety, or stress disorders following a first-time heart failure diagnosis:A Danish nationwide registry-based study

Autor: M.W. Pedersen, R. Rørth, M.P. Andersen, M. Sessa, C. Polcwiartek, S.J. Riddersholm, G. Gislason, S.L. Kristensen, N.H. Andersen, L. Køber, P. Søgaard, C. Torp-Pedersen, K.H. Kragholm
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Pedersen, M W, Rørth, R, Andersen, M P, Sessa, M, Polcwiartek, C, Riddersholm, S J, Gislason, G, Kristensen, S L, Andersen, N H, Køber, L, Søgaard, P, Torp-Pedersen, C & Kragholm, K H 2023, ' One-year incidence of depression, anxiety, or stress disorders following a first-time heart failure diagnosis : A Danish nationwide registry-based study ', American heart journal plus, vol. 25, 100240 . https://doi.org/10.1016/j.ahjo.2022.100240
Pedersen, M W, Rørth, R, Andersen, M P, Sessa, M, Polcwiartek, C, Riddersholm, S J, Gislason, G, Kristensen, S L, Andersen, N H, Køber, L, Søgaard, P, Torp-Pedersen, C & Kragholm, K H 2023, ' One-year incidence of depression, anxiety, or stress disorders following a first-time heart failure diagnosis : A Danish nationwide registry-based study ', American Heart Journal Plus: Cardiology Research and Practice, vol. 25, 100240 . https://doi.org/10.1016/j.ahjo.2022.100240
Popis: Study objectiveTo examine first-time depression, anxiety, stress disorders or psychotropic drug prescriptions within one year after incident heart failure (HF).DesignNationwide Epidemiological registry study.SettingNational patient registries.ParticipantsPatients in Denmark with a first-time HF diagnosis during 2005–2015.InterventionsNone.Main outcome measuresIncidences of depression, anxiety, stress disorders or first-time prescription of a psychotropic drug were determined.ResultsA total of 94,712 HF patients and 473,560 matched controls were included (median age 74.0 [64.0–81.0] years, 60.8 % males). At one year after incident HF, 11.9 % met the primary composite endpoint (depression, anxiety, or stress disorders or prescription of related psychotropic drugs), with 8.6 % outpatients and 13.3 % in-patients, versus 2.4 % of the controls. Starting psychotropic medication accounted for most of the composite endpoint events, as 11.6 % of the HF patients started antidepressants, anxiolytics, hypnotics, or sedative drugs (2.4 % among controls), while 0.6 % received a registered diagnosis of depression, anxiety, or stress disorder (ConclusionA substantial part of patients with newly diagnose heart failure started treatment with psychotropic drugs whereas only a small fraction was registered with depression, anxiety, or stress disorders within one-year follow-up. The incidences were significantly higher than in the background population. Study objectiveTo examine first-time depression, anxiety, stress disorders or psychotropic drug prescriptions within one year after incident heart failure (HF).DesignNationwide Epidemiological registry study.SettingNational patient registries.ParticipantsPatients in Denmark with a first-time HF diagnosis during 2005–2015.InterventionsNone.Main outcome measuresIncidences of depression, anxiety, stress disorders or first-time prescription of a psychotropic drug were determined.ResultsA total of 94,712 HF patients and 473,560 matched controls were included (median age 74.0 [64.0–81.0] years, 60.8 % males). At one year after incident HF, 11.9 % met the primary composite endpoint (depression, anxiety, or stress disorders or prescription of related psychotropic drugs), with 8.6 % outpatients and 13.3 % in-patients, versus 2.4 % of the controls. Starting psychotropic medication accounted for most of the composite endpoint events, as 11.6 % of the HF patients started antidepressants, anxiolytics, hypnotics, or sedative drugs (2.4 % among controls), while 0.6 % received a registered diagnosis of depression, anxiety, or stress disorder (ConclusionA substantial part of patients with newly diagnose heart failure started treatment with psychotropic drugs whereas only a small fraction was registered with depression, anxiety, or stress disorders within one-year follow-up. The incidences were significantly higher than in the background population.
Databáze: OpenAIRE
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