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在肺栓塞患者中,抑郁症,焦虑和长期医疗资源利用之间的关联
Inge Kirchberger1, Simone Fischer1, Thomas M Berghaus2
1Epidemiology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
这项研究发现,抑郁和焦虑显著增加了肺栓塞 (PE) 患者的医疗保健利用率. 在PE后管理这些心理健康状况可以减少住院和医疗费用.
科学领域:
- 医学研究 医学研究
- 卫生经济学 卫生经济学
- 精神病学是一个精神病学.
背景情况:
- 对急性肺栓塞 (PE) 并发症的医疗保健资源利用情况仍未得到充分研究.
- 这项研究通过检查PE后的医疗保健使用及其与心理健康的联系来解决这一差距.
研究的目的:
- 为了研究PE的住院治疗后长达两年的医疗保健利用情况.
- 确定在PE幸存者中抑郁症,焦虑和医疗资源消耗之间的关联.
主要方法:
- 利用了来自德国"Lungenembolie Augsburg (LEA) "队列研究的数据.
- 使用医院焦虑和抑郁量表 (HADS-D) 评估抑郁和焦虑.
- 采用负二项混合模型来分析HADS-D得分与医疗保健利用率 (住院,门诊,咨询) 之间的关联.
主要成果:
- 18.3%的患者在初次住院期间表现出轻度抑郁和21.3%的轻度焦虑.
- 28.1%的患者在出院后3个月内至少接受过一次住院再诊.
- 较高的抑郁和焦虑得分与住院住院,门诊访问和咨询的增加有显著的相关性.
结论:
- 抑郁症和焦虑症与肺栓塞患者的医疗保健利用率增加有显著联系.
- 在PE幸存者中解决精神健康并发症可以优化医疗保健资源分配.
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