Evidence map›Paper›PMID 39886303›Full record

ArticleJACC. Advances2025

Psychological Distress in Adults With Myocardial Infarction: Implications for Health Care Utilization and Expenditure.

Harshith Thyagaturu, Ola Abdelhadi, Hafiz Muhammad Waqar Younas, Mohamed Abugrin, Vikram Padala, Lalitsiri Atti, Tala Altarawneh, Vijaykumar Sekar, Karthik Gonuguntla, Sudarshan Balla and 1 more

Abstract read
In one paragraph

Article in JACC. Advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Harshith ThyagaturuDepartment of Cardiology, West Virginia University Heart and Vascular Institute, Morgantown, West Virginia, USA.
Ola AbdelhadiOffice of Research Patient Care Services, Stanford Health Care, Palo Alta, California, USA.
Hafiz Muhammad Waqar YounasDepartment of Internal Medicine, Weiss Memorial Hospital, Chicago, Illinois, USA.
Mohamed AbugrinDepartment of Internal Medicine, Bassett Medical Center, Cooperstown, New York, USA.
Vikram PadalaLewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Lalitsiri AttiDepartment of Internal Medicine, Sparrow Hospital- Michigan State University, Lansing, Michigan, USA.
Tala AltarawnehDepartment of Internal Medicine, Marshall University, Huntington, West Virginia, USA.
Vijaykumar SekarDepartment of Endocrinology, Lehigh Valley Health Network, Allentown, Pennsylvania, USA.
Karthik GonuguntlaDepartment of Cardiology, West Virginia University Heart and Vascular Institute, Morgantown, West Virginia, USA.
Sudarshan BallaDepartment of Cardiology, West Virginia University Heart and Vascular Institute, Morgantown, West Virginia, USA.
Martha GulatiDepartment of Cardiology, Barbra Streisand Women's Heart Center, Cedars Sinai- Smidt Heart Institute, Los Angeles, California, USA; The Baim Institute for Research, Boston, Massachusetts, USA. Electronic address: Martha.Gulati@csmc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Myocardial infarction (MI) poses a major financial burden on the U.S. health care system, but its impact on medical expenses and health care utilization when coupled with psychological distress remains unknown. Objectives: The study aims to investigate the association between psychological distress and healthcare utilization and medical expenditures in adults with a history of MI. Methods: We analyzed the 2017-2021 Medical Expenditure Panel Survey to identify 44,716 adults with a history of MI. Psychological distress was measured using the Kessler (K6) questionnaire, with a score of ≥13 indicating clinically significant distress. Differences in medical expenditures and health care utilization between patients with MI with and without psychological distress were assessed using weighted generalized linear and negative binomial regression models. Expenditures, medical visits, and prescribed medications are reported as means and 95% CI. Results: Among 9,773,458 weighted adults, 970,049 experienced psychological distress. Adults with MI and psychological distress were younger, more likely to be female (51.1% vs 37.5%; Conclusions: Psychological distress is correlated with increased medical expenditures and health care utilization in patients with MI. This research highlights the need for interventions addressing psychological needs in patients with MI.

Indexed as

health care utilizationmedical expendituremental healthMEPSmyocardial infarctionpsychological distress

Identifiers

PMID39886303
PMCPMC11780088

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.