title: Evaluating Excessive Burden of Depression on Health Status and Health Care Utilization Among Patients With Hypertension in a Nationally Representative Sample From the Medial Expenditure Panel Survey (MEPS 2012).
abstract: Depression and hypertension frequently present together in clinical practice. Evaluating the interaction between depression and hypertension would help stakeholders better understand the value of depression prevention in primary care. This retrospective study aimed to evaluate the excessive burden of depression on overall health and on health care utilization expenditure among hypertensive patients. A total of 7019 hypertensive patients (ICD-9-CM: 401) were identified from the 2012 Medical Expenditure Panel Survey (MEPS 2012) data, of which 936 patients had depression (ICD-9-CM: 311). Hypertension with depression was associated with worse health status (physical component score, -3.97 [17.9% reduction]; mental component score, -9.14 [9% reduction]), higher utilization of health care services (outpatient visits, 6.4 [63.8% higher]; nights of hospitalization, 0.9 [100% higher]; medication prescription, 22.6 [76.8% higher]), and higher health care expenditures (inpatient, $1953.2 [72% higher]; prescription drugs, $1995.5 [82% higher]).
authors.affiliation: *Department of Global Health Management and Policy, Tulane University School of Public Health and Tropical Medicine; and †Louisiana State University Health Sciences Center School of Nursing, New Orleans, LA.
authors.forename: Hui
authors.initials: H
authors.lastname: Shao
authors.forename: Mir Umer
authors.initials: MU
authors.lastname: Mohammed
authors.forename: Nick
authors.initials: N
authors.lastname: Thomas
authors.forename: Saleh
authors.initials: S
authors.lastname: Babazadeh
authors.forename: Shuang
authors.initials: S
authors.lastname: Yang
authors.forename: Qian
authors.initials: Q
authors.lastname: Shi
authors.forename: Lizheng
authors.initials: L
authors.lastname: Shi
mesh_terms: D000368:Aged; D015897:Comorbidity; D003863:Depression / Q000191:economics* / Q000453:epidemiology; D003866:Depressive Disorder / Q000191:economics* / Q000453:epidemiology; D011307:Drug Prescriptions / Q000191:economics* / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006304:Health Status; D006760:Hospitalization / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D006973:Hypertension / Q000191:economics* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014481:United States