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Cited by 196Cardiac Health and Mental HealthHeart Failure Treatment and ManagementHealth Systems, Economic Evaluations, Quality of Life

Depression-related costs in heart failure care

Sullivan, Mark, Simon, Greg, Spertus, John, Russo, Joan·2002·Archives of Internal Medicine
DOI 10.1001/archinte.162.16.1860
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Abstract

BACKGROUND: Behavioral factors may play a role in heart failure (HF) care costs by increasing hospital readmission rates. This study sought to estimate the effect of depression on health care costs for patients hospitalized for HF. METHODS: A 3-year retrospective cohort study of a staff-model health maintenance organization. Following a first hospitalization with a primary diagnosis of HF, 1098 health maintenance organization patients were evaluated. Median annualized health care costs for 3 depression groups were identified: (1) no depression (n = 672; cost, $7474), (2) antidepressant prescription only (n = 312; cost, $11 012), and (3) antidepressant prescription and depression diagnosis recorded (n = 114; cost, $9550). Depression and HF status were determined through diagnostic, laboratory, and pharmacy records. Actual utilization and cost values were derived from administrative data. RESULTS: After adjusting for age, sex, medical comorbidity, and length of stay at index hospitalization (as proxy for HF severity), costs were 26% higher in the antidepressant prescription only group and 29% higher in the antidepressant prescription and depression diagnosis recorded group when compared with the no depression group (both P<.001). Increased inpatient and outpatient utilization contributed to the increased costs. CONCLUSION: Costs of care for patients hospitalized for HF are significantly higher for patients with evidence of depression.

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Crossref · 10.1001/archinte.162.16.1860

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  • Depressed patients with a chronic medical illness are usually sicker than their counterparts.

    “Depressed patients with a chronic medical illness are usually sicker than their counterparts37–46 and have lower treatment adherence.37,47–51”

    From Anxiety and Depression in COPD (2008) · cites this paper as [38]

  • Medical costs are significantly higher for patients with chronic medical illness and major depression than for those with chronic illness alone.

    “Medical costs are significantly higher for patients with chronic medical illness and major depression than those with chronic illness alone.37,38”

    From Anxiety and Depression in COPD (2008) · cites this paper as [38]

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Authors
Sullivan, M., Simon, G., Spertus, J., & Russo, J.
Affiliations
  • University of Washington (US)
  • Group Health Cooperative (US)
ORCID
Venue
Archives of Internal Medicine
Publisher
American Medical Association (AMA)
Published
2002-09-09
Volume
162
Issue
16
Pages
1860
ISSN
0003-9926 (ISSN-L)
DOI
10.1001/archinte.162.16.1860
OpenAlex
W2020763134
Cited by
196
References
35
Citations by year
2026: 1 · 2025: 7 · 2024: 4 · 2023: 4 · 2022: 2 · 2021: 7 · 2020: 5 · 2019: 8 · 2018: 6 · 2017: 2 · 2016: 8 · 2015: 7 · 2014: 7 · 2013: 13 · 2012: 11
FWCI
5.46
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5k01mh001351-05)
  • National Institute of Mental Health (K01 MH 01351)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords
depression, heart failure, health care costs, hospital readmission, antidepressant prescribing, health maintenance organizations, inpatient utilization, outpatient care utilization, behavioral risk factors
MeSH terms
Aged, Antidepressive Agents, Depression, Female, Health Maintenance Organizations, Health Services, Heart Failure, Hospitalization, Humans, Length of Stay, Male, Middle Aged, Primary Health Care, Retrospective Studies, United States, Cohort Studies, Multivariate Analysis, Health Care Costs

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