The Associations of Diagnoses of Fatigue and Depression with Use of Medical Services in Patients with Heart Failure

Seongkum Heo; Jean McSweeney; Pao Feng Tsai; Songthip Ounpraseuth; Debra K. Moser; Jin Shil Kim

doi:10.1097/JCN.0000000000000574

The Associations of Diagnoses of Fatigue and Depression with Use of Medical Services in Patients with Heart Failure

Seongkum Heo, Jean McSweeney, Pao Feng Tsai, Songthip Ounpraseuth, Debra K. Moser, Jin Shil Kim

College of Nursing

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Background: Fatigue and depression based on self-report and diagnosis are prevalent in patients with heart failure and adversely affect high rates of hospitalization and emergency department visits, which can impact use of medical services. The relationships of fatigue and depression to use of medical services in patients with preserved and reduced left ventricular ejection fraction (LVEF) may differ. Purpose: We examined the associations of diagnoses of fatigue and depression with use of medical services in patients with preserved and reduced LVEF, controlling for covariates. Methods: Data were collected on fatigue, depression, covariates, and use of medical services. Patients (N = 582) were divided into 2 groups based on LVEF (<40%, reduced LVEF; ≥40%, preserved LVEF). Multiple linear regression analyses were used to analyze the data. Results: A diagnosis of fatigue was a significant factor associated with more use of medical services in the total sample (β =.18, P <.001, R² = 54%) and patients with reduced LVEF (β =.13, P =.008, R² = 54%) and also preserved LVEF (β =.21, P <.001, R² = 54%), controlling for all covariates, but a diagnosis of depression was not. Conclusions: This study demonstrates the important roles of a diagnosis of fatigue in use of medical services. Thus, fatigue needs to be assessed, diagnosed, and managed effectively.

Original language	English
Pages (from-to)	289-296
Number of pages	8
Journal	Journal of Cardiovascular Nursing
Volume	34
Issue number	4
DOIs	https://doi.org/10.1097/JCN.0000000000000574
State	Published - Jul 1 2019

Bibliographical note

Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.

Funding

The project described was supported by the Translational Research Institute grant UL1TR000039 through the National Institutes of Health's National Center for Research Resources and National Center for Advancing Translational Sciences. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no conflicts of interest to disclose. Correspondence Seongkum Heo, PhD, RN, College of Nursing, University of Arkansas for Medical Sciences, 4301 W Markham St, Little Rock, AR 72205 ([email protected]). DOI: 10.1097/JCN.0000000000000574

Funders	Funder number
Translational Research Institute
National Institutes of Health (NIH)
National Center for Advancing Translational Sciences (NCATS)	UL1TR000039

Keywords

Depression
Health services
Heart failure
Symptoms

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Advanced and Specialized Nursing

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10.1097/JCN.0000000000000574

Cite this

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title = "The Associations of Diagnoses of Fatigue and Depression with Use of Medical Services in Patients with Heart Failure",

abstract = "Background: Fatigue and depression based on self-report and diagnosis are prevalent in patients with heart failure and adversely affect high rates of hospitalization and emergency department visits, which can impact use of medical services. The relationships of fatigue and depression to use of medical services in patients with preserved and reduced left ventricular ejection fraction (LVEF) may differ. Purpose: We examined the associations of diagnoses of fatigue and depression with use of medical services in patients with preserved and reduced LVEF, controlling for covariates. Methods: Data were collected on fatigue, depression, covariates, and use of medical services. Patients (N = 582) were divided into 2 groups based on LVEF (<40%, reduced LVEF; ≥40%, preserved LVEF). Multiple linear regression analyses were used to analyze the data. Results: A diagnosis of fatigue was a significant factor associated with more use of medical services in the total sample (β =.18, P <.001, R2 = 54%) and patients with reduced LVEF (β =.13, P =.008, R2 = 54%) and also preserved LVEF (β =.21, P <.001, R2 = 54%), controlling for all covariates, but a diagnosis of depression was not. Conclusions: This study demonstrates the important roles of a diagnosis of fatigue in use of medical services. Thus, fatigue needs to be assessed, diagnosed, and managed effectively.",

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AU - Moser, Debra K.

AU - Kim, Jin Shil

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N2 - Background: Fatigue and depression based on self-report and diagnosis are prevalent in patients with heart failure and adversely affect high rates of hospitalization and emergency department visits, which can impact use of medical services. The relationships of fatigue and depression to use of medical services in patients with preserved and reduced left ventricular ejection fraction (LVEF) may differ. Purpose: We examined the associations of diagnoses of fatigue and depression with use of medical services in patients with preserved and reduced LVEF, controlling for covariates. Methods: Data were collected on fatigue, depression, covariates, and use of medical services. Patients (N = 582) were divided into 2 groups based on LVEF (<40%, reduced LVEF; ≥40%, preserved LVEF). Multiple linear regression analyses were used to analyze the data. Results: A diagnosis of fatigue was a significant factor associated with more use of medical services in the total sample (β =.18, P <.001, R2 = 54%) and patients with reduced LVEF (β =.13, P =.008, R2 = 54%) and also preserved LVEF (β =.21, P <.001, R2 = 54%), controlling for all covariates, but a diagnosis of depression was not. Conclusions: This study demonstrates the important roles of a diagnosis of fatigue in use of medical services. Thus, fatigue needs to be assessed, diagnosed, and managed effectively.

AB - Background: Fatigue and depression based on self-report and diagnosis are prevalent in patients with heart failure and adversely affect high rates of hospitalization and emergency department visits, which can impact use of medical services. The relationships of fatigue and depression to use of medical services in patients with preserved and reduced left ventricular ejection fraction (LVEF) may differ. Purpose: We examined the associations of diagnoses of fatigue and depression with use of medical services in patients with preserved and reduced LVEF, controlling for covariates. Methods: Data were collected on fatigue, depression, covariates, and use of medical services. Patients (N = 582) were divided into 2 groups based on LVEF (<40%, reduced LVEF; ≥40%, preserved LVEF). Multiple linear regression analyses were used to analyze the data. Results: A diagnosis of fatigue was a significant factor associated with more use of medical services in the total sample (β =.18, P <.001, R2 = 54%) and patients with reduced LVEF (β =.13, P =.008, R2 = 54%) and also preserved LVEF (β =.21, P <.001, R2 = 54%), controlling for all covariates, but a diagnosis of depression was not. Conclusions: This study demonstrates the important roles of a diagnosis of fatigue in use of medical services. Thus, fatigue needs to be assessed, diagnosed, and managed effectively.

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The Associations of Diagnoses of Fatigue and Depression with Use of Medical Services in Patients with Heart Failure

Abstract

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