Healthcare utilization in patients with first-time implantable cardioverter defibrillators (Data from the WEBCARE study)

Eva R Broers, Paul Lodder, Viola R M Spek, Jos W M G Widdershoven, Susanne S Pedersen, Mirela Habibović

Research output: Contribution to journalJournal articleResearchpeer-review

63 Downloads (Pure)

Abstract

BACKGROUND: Knowledge of the level of healthcare utilization (HCU) and the predictors of high HCU use in patients with an implantable cardioverter defibrillator (ICD) is lacking. We examined the level of HCU and predictors associated with increased HCU in first-time ICD patients, using a prospective study design.

METHODS: ICD patients (N = 201) completed a set of questionnaires at baseline, 3-, 6-, and 12 months after inclusion. A hierarchical multiple linear regression with 3 models was performed to examine predictors of HCU.

RESULTS: HCU was highest between baseline and 3 months post-implantation and gradually decreased during 12 months follow-up. During the first year post implantation, only depression (β = 0.342, p = 0.002) was a significant predictor. Between baseline and 3 months follow-up, younger age (β = -.220, p < .01), NYHA class III/IV (β = .705, p = .01), and secondary indication (β = .148, p = .05) were independent predictors for increased HCU. Between 3 and 6 months follow-up, younger age (β = -.151, p = .05) and depression (β = .370, p < .001) predicted increased HCU. Between 6 and 12 months only depression (β = 0.355, p = 0.001) remained a significant predictor.

CONCLUSIONS: Depression was an important predictor of increased HCU in ICD patients in the first year post implantation, particularly after 3 months post implantation. Identifying patients who need additional care and provide this on time might better meet patients' needs and lower future healthcare utilization. This article is protected by copyright. All rights reserved.

Original languageEnglish
JournalPacing and Clinical Electrophysiology
Volume42
Issue number4
Pages (from-to)439-446
ISSN0147-8389
DOIs
Publication statusPublished - 1. Apr 2019

Fingerprint

Implantable Defibrillators
Delivery of Health Care
Linear Models
Prospective Studies

Keywords

  • depression
  • healthcare utilization
  • implantable cardioverter defibrillator
  • mental health

Cite this

Broers, Eva R ; Lodder, Paul ; Spek, Viola R M ; Widdershoven, Jos W M G ; Pedersen, Susanne S ; Habibović, Mirela. / Healthcare utilization in patients with first-time implantable cardioverter defibrillators (Data from the WEBCARE study). In: Pacing and Clinical Electrophysiology. 2019 ; Vol. 42, No. 4. pp. 439-446.
@article{f93477c7010f4b46835de79fc2821b5d,
title = "Healthcare utilization in patients with first-time implantable cardioverter defibrillators (Data from the WEBCARE study)",
abstract = "BACKGROUND: Knowledge of the level of healthcare utilization (HCU) and the predictors of high HCU use in patients with an implantable cardioverter defibrillator (ICD) is lacking. We examined the level of HCU and predictors associated with increased HCU in first-time ICD patients, using a prospective study design.METHODS: ICD patients (N = 201) completed a set of questionnaires at baseline, 3-, 6-, and 12 months after inclusion. A hierarchical multiple linear regression with 3 models was performed to examine predictors of HCU.RESULTS: HCU was highest between baseline and 3 months post-implantation and gradually decreased during 12 months follow-up. During the first year post implantation, only depression (β = 0.342, p = 0.002) was a significant predictor. Between baseline and 3 months follow-up, younger age (β = -.220, p < .01), NYHA class III/IV (β = .705, p = .01), and secondary indication (β = .148, p = .05) were independent predictors for increased HCU. Between 3 and 6 months follow-up, younger age (β = -.151, p = .05) and depression (β = .370, p < .001) predicted increased HCU. Between 6 and 12 months only depression (β = 0.355, p = 0.001) remained a significant predictor.CONCLUSIONS: Depression was an important predictor of increased HCU in ICD patients in the first year post implantation, particularly after 3 months post implantation. Identifying patients who need additional care and provide this on time might better meet patients' needs and lower future healthcare utilization. This article is protected by copyright. All rights reserved.",
keywords = "depression, healthcare utilization, implantable cardioverter defibrillator, mental health",
author = "Broers, {Eva R} and Paul Lodder and Spek, {Viola R M} and Widdershoven, {Jos W M G} and Pedersen, {Susanne S} and Mirela Habibović",
year = "2019",
month = "4",
day = "1",
doi = "10.1111/pace.13636",
language = "English",
volume = "42",
pages = "439--446",
journal = "Pacing and Clinical Electrophysiology",
issn = "0147-8389",
publisher = "Wiley-Blackwell",
number = "4",

}

Healthcare utilization in patients with first-time implantable cardioverter defibrillators (Data from the WEBCARE study). / Broers, Eva R; Lodder, Paul; Spek, Viola R M; Widdershoven, Jos W M G; Pedersen, Susanne S; Habibović, Mirela.

In: Pacing and Clinical Electrophysiology, Vol. 42, No. 4, 01.04.2019, p. 439-446.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Healthcare utilization in patients with first-time implantable cardioverter defibrillators (Data from the WEBCARE study)

AU - Broers, Eva R

AU - Lodder, Paul

AU - Spek, Viola R M

AU - Widdershoven, Jos W M G

AU - Pedersen, Susanne S

AU - Habibović, Mirela

PY - 2019/4/1

Y1 - 2019/4/1

N2 - BACKGROUND: Knowledge of the level of healthcare utilization (HCU) and the predictors of high HCU use in patients with an implantable cardioverter defibrillator (ICD) is lacking. We examined the level of HCU and predictors associated with increased HCU in first-time ICD patients, using a prospective study design.METHODS: ICD patients (N = 201) completed a set of questionnaires at baseline, 3-, 6-, and 12 months after inclusion. A hierarchical multiple linear regression with 3 models was performed to examine predictors of HCU.RESULTS: HCU was highest between baseline and 3 months post-implantation and gradually decreased during 12 months follow-up. During the first year post implantation, only depression (β = 0.342, p = 0.002) was a significant predictor. Between baseline and 3 months follow-up, younger age (β = -.220, p < .01), NYHA class III/IV (β = .705, p = .01), and secondary indication (β = .148, p = .05) were independent predictors for increased HCU. Between 3 and 6 months follow-up, younger age (β = -.151, p = .05) and depression (β = .370, p < .001) predicted increased HCU. Between 6 and 12 months only depression (β = 0.355, p = 0.001) remained a significant predictor.CONCLUSIONS: Depression was an important predictor of increased HCU in ICD patients in the first year post implantation, particularly after 3 months post implantation. Identifying patients who need additional care and provide this on time might better meet patients' needs and lower future healthcare utilization. This article is protected by copyright. All rights reserved.

AB - BACKGROUND: Knowledge of the level of healthcare utilization (HCU) and the predictors of high HCU use in patients with an implantable cardioverter defibrillator (ICD) is lacking. We examined the level of HCU and predictors associated with increased HCU in first-time ICD patients, using a prospective study design.METHODS: ICD patients (N = 201) completed a set of questionnaires at baseline, 3-, 6-, and 12 months after inclusion. A hierarchical multiple linear regression with 3 models was performed to examine predictors of HCU.RESULTS: HCU was highest between baseline and 3 months post-implantation and gradually decreased during 12 months follow-up. During the first year post implantation, only depression (β = 0.342, p = 0.002) was a significant predictor. Between baseline and 3 months follow-up, younger age (β = -.220, p < .01), NYHA class III/IV (β = .705, p = .01), and secondary indication (β = .148, p = .05) were independent predictors for increased HCU. Between 3 and 6 months follow-up, younger age (β = -.151, p = .05) and depression (β = .370, p < .001) predicted increased HCU. Between 6 and 12 months only depression (β = 0.355, p = 0.001) remained a significant predictor.CONCLUSIONS: Depression was an important predictor of increased HCU in ICD patients in the first year post implantation, particularly after 3 months post implantation. Identifying patients who need additional care and provide this on time might better meet patients' needs and lower future healthcare utilization. This article is protected by copyright. All rights reserved.

KW - depression

KW - healthcare utilization

KW - implantable cardioverter defibrillator

KW - mental health

U2 - 10.1111/pace.13636

DO - 10.1111/pace.13636

M3 - Journal article

C2 - 30779208

VL - 42

SP - 439

EP - 446

JO - Pacing and Clinical Electrophysiology

JF - Pacing and Clinical Electrophysiology

SN - 0147-8389

IS - 4

ER -