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首页> 外文期刊>General hospital psychiatry >Panic disorder, cardiac diagnosis and emergency department utilization in an epidemiologic community sample.
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Panic disorder, cardiac diagnosis and emergency department utilization in an epidemiologic community sample.

机译：流行病学社区样本中的恐慌症，心脏诊断和急诊科应用。

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OBJECTIVE: We examined the association between panic disorder (PD), physician-diagnosed cardiac disease (CD), and the interaction of these variables in relation to health care utilization, as measured by emergency department (ED) visitations, in an epidemiologic sample. METHODS: Subjects were identified from the National Epidemiologic Survey on Alcohol and Related Conditions, a nationally representative sample of 43,093 adult respondents from the United States who completed face-to-face computer-assisted structured clinical interviews. RESULTS: Among patients with CD, the 12-month prevalence of PD (6.0%; 613/10,239) was significantly higher than that among non-CD subjects (3.4%; 1106/32,854; adjusted odds ratio=2.4; 95% confidence interval=2.2-2.7). CD patients with PD had a significantly greater prevalence of angina, tachycardia and alcohol use disorders as compared with PD-negative patients. PD-positive patients reported significantly greater mean 12-month ED visits (1.2) as compared with the PD-negative patients (0.6; P<.001). PD and tachycardia were found to have a significant interaction effect on ED visits for males (F=25.1; df=1,7; P<.001) but not for females (F=1.2; df=1,7; P=.28), with age, income, race and alcohol use included as covariates. CONCLUSIONS: Epidemiological data support a relationship between PD and CD that impacts ED utilization. These findings have potential implications for medical, psychiatric and ED-based screening and interventions.
机译：目的：我们调查了由流行病学样本中急诊科（ED）探视得出的惊恐疾病（PD），医生诊断的心脏病（CD）以及这些变量与医疗保健利用之间的相互关系。方法：从美国国家酒精与相关疾病流行病学调查确定受试者，该研究是美国43,093名成年受访者的全国代表性样本，他们完成了面对面的计算机辅助结构式临床访谈。结果：在CD患者中，PD的12个月患病率（6.0％; 613 / 10,239）显着高于非CD患者（3.4％; 1106 / 32,854;校正比值比= 2.4; 95％置信区间） = 2.2-2.7）。与PD阴性患者相比，PD的CD患者的心绞痛，心动过速和饮酒障碍的患病率明显更高。与PD阴性患者（0.6; P <.001）相比，PD阳性患者报告的平均12个月ED访视（1.2）明显更高。发现PD和心动过速对男性的ED就诊具有显着的交互作用（F = 25.1; df = 1,7; P <.001），而对女性没有（ED = 1.2; df = 1,7; P =。 28），并将年龄，收入，种族和酒精使用量作为协变量。结论：流行病学数据支持PD和CD之间影响ED利用的关系。这些发现对于基于医学，精神病学和ED的筛查和干预具有潜在的意义。

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