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Systematic screening for anxiety and depression in cardiac rehabilitation - are we there yet?

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Systematic screening for anxiety and depression in cardiac rehabilitation - are we there yet? / Helmark, Charlotte; Harrison, Alexander; Pedersen, Susanne S; Doherty, Patrick.

In: International Journal of Cardiology, 07.02.2022.

Research output: Contribution to journalArticlepeer-review

Harvard

Helmark, C, Harrison, A, Pedersen, SS & Doherty, P 2022, 'Systematic screening for anxiety and depression in cardiac rehabilitation - are we there yet?', International Journal of Cardiology. https://doi.org/10.1016/j.ijcard.2022.02.004

APA

Helmark, C., Harrison, A., Pedersen, S. S., & Doherty, P. (2022). Systematic screening for anxiety and depression in cardiac rehabilitation - are we there yet? International Journal of Cardiology. https://doi.org/10.1016/j.ijcard.2022.02.004

Vancouver

Helmark C, Harrison A, Pedersen SS, Doherty P. Systematic screening for anxiety and depression in cardiac rehabilitation - are we there yet? International Journal of Cardiology. 2022 Feb 7. https://doi.org/10.1016/j.ijcard.2022.02.004

Author

Helmark, Charlotte ; Harrison, Alexander ; Pedersen, Susanne S ; Doherty, Patrick. / Systematic screening for anxiety and depression in cardiac rehabilitation - are we there yet?. In: International Journal of Cardiology. 2022.

Bibtex - Download

@article{843da8dfdfcf473ebac045d4da17bfb8,
title = "Systematic screening for anxiety and depression in cardiac rehabilitation - are we there yet?",
abstract = "BACKGROUND: Anxiety and depression are prevalent in 20% of patients with acute coronary syndrome (ACS) and associated with poor outcomes. Guidelines recommend screening for these conditions in cardiac rehabilitation (CR) however, clinical practice is inconsistent. Sparse knowledge exists on determinants for screening.METHODS: This observational study used data from the National Audit of Cardiac Rehabilitation from January 2016-December 2019. A multivariate logistic regression model was performed to analyze patient- and provider level determinants for screening for anxiety and depression among patients with ACS.RESULTS: The population consisted of 138,018 patients, where 82,507 (59.8%) were screened and 55,511 (40.2%) were not. Younger age, non-white ethnicity, living in areas of social deprivation, current smoking, body mass index>30, and physical activity<150 min per week were negatively correlated with patients being screened. Compared to patients having a percutaneous coronary intervention, patients undergoing coronary artery bypass grafting or medical treatment were less likely to be screened. History of anxiety, depression, osteoporosis, chronic back problems, and asthma were positively correlated with screening, while chronic obstructive pulmonary disease, diabetes, hypertension, and stroke were negatively correlated with screening. Regarding provider level, certification of CR centers was positively associated with screening, while looking over time data showed an incremental negative trend in screening from 2016 to 2019.CONCLUSION: We found both patient and provider level determinants of screening for anxiety and depression. Clinical practice is still inconsistent especially for high-risk groups. We recommend systematic screening to enable tailored interventions which in turn may mitigate inequity in health outcomes.",
author = "Charlotte Helmark and Alexander Harrison and Pedersen, {Susanne S} and Patrick Doherty",
note = "{\textcopyright} 2022 Elsevier B.V. This is an author-produced version of the published paper. Uploaded in accordance with the publisher{\textquoteright}s self-archiving policy. ",
year = "2022",
month = feb,
day = "7",
doi = "10.1016/j.ijcard.2022.02.004",
language = "English",
journal = "International Journal of Cardiology",
issn = "0167-5273",
publisher = "Elsevier",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Systematic screening for anxiety and depression in cardiac rehabilitation - are we there yet?

AU - Helmark, Charlotte

AU - Harrison, Alexander

AU - Pedersen, Susanne S

AU - Doherty, Patrick

N1 - © 2022 Elsevier B.V. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy.

PY - 2022/2/7

Y1 - 2022/2/7

N2 - BACKGROUND: Anxiety and depression are prevalent in 20% of patients with acute coronary syndrome (ACS) and associated with poor outcomes. Guidelines recommend screening for these conditions in cardiac rehabilitation (CR) however, clinical practice is inconsistent. Sparse knowledge exists on determinants for screening.METHODS: This observational study used data from the National Audit of Cardiac Rehabilitation from January 2016-December 2019. A multivariate logistic regression model was performed to analyze patient- and provider level determinants for screening for anxiety and depression among patients with ACS.RESULTS: The population consisted of 138,018 patients, where 82,507 (59.8%) were screened and 55,511 (40.2%) were not. Younger age, non-white ethnicity, living in areas of social deprivation, current smoking, body mass index>30, and physical activity<150 min per week were negatively correlated with patients being screened. Compared to patients having a percutaneous coronary intervention, patients undergoing coronary artery bypass grafting or medical treatment were less likely to be screened. History of anxiety, depression, osteoporosis, chronic back problems, and asthma were positively correlated with screening, while chronic obstructive pulmonary disease, diabetes, hypertension, and stroke were negatively correlated with screening. Regarding provider level, certification of CR centers was positively associated with screening, while looking over time data showed an incremental negative trend in screening from 2016 to 2019.CONCLUSION: We found both patient and provider level determinants of screening for anxiety and depression. Clinical practice is still inconsistent especially for high-risk groups. We recommend systematic screening to enable tailored interventions which in turn may mitigate inequity in health outcomes.

AB - BACKGROUND: Anxiety and depression are prevalent in 20% of patients with acute coronary syndrome (ACS) and associated with poor outcomes. Guidelines recommend screening for these conditions in cardiac rehabilitation (CR) however, clinical practice is inconsistent. Sparse knowledge exists on determinants for screening.METHODS: This observational study used data from the National Audit of Cardiac Rehabilitation from January 2016-December 2019. A multivariate logistic regression model was performed to analyze patient- and provider level determinants for screening for anxiety and depression among patients with ACS.RESULTS: The population consisted of 138,018 patients, where 82,507 (59.8%) were screened and 55,511 (40.2%) were not. Younger age, non-white ethnicity, living in areas of social deprivation, current smoking, body mass index>30, and physical activity<150 min per week were negatively correlated with patients being screened. Compared to patients having a percutaneous coronary intervention, patients undergoing coronary artery bypass grafting or medical treatment were less likely to be screened. History of anxiety, depression, osteoporosis, chronic back problems, and asthma were positively correlated with screening, while chronic obstructive pulmonary disease, diabetes, hypertension, and stroke were negatively correlated with screening. Regarding provider level, certification of CR centers was positively associated with screening, while looking over time data showed an incremental negative trend in screening from 2016 to 2019.CONCLUSION: We found both patient and provider level determinants of screening for anxiety and depression. Clinical practice is still inconsistent especially for high-risk groups. We recommend systematic screening to enable tailored interventions which in turn may mitigate inequity in health outcomes.

U2 - 10.1016/j.ijcard.2022.02.004

DO - 10.1016/j.ijcard.2022.02.004

M3 - Article

C2 - 35143875

JO - International Journal of Cardiology

JF - International Journal of Cardiology

SN - 0167-5273

ER -