Recorded Diagnoses of Depression During Delivery Hospitalizations in the United States, 2000-2015
Recorded Diagnoses of Depression During Delivery Hospitalizations in the United States, 2000-2015
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DOI：
10.1097/aog.0000000000003291
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发表时间：
2019-06-01
影响因子：
7.2
通讯作者：
Ko, Jean Y.
中科院分区：
文献类型：
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作者：
Haight, Sarah C.;Byatt, Nancy;Ko, Jean Y.
目的：描述分娩住院期间记录的抑郁症诊断的国家、州特定和社会人口统计学趋势。方法：对医疗成本和利用项目的全国住院患者样本（2000-2015 年）和 31 个公开的州住院患者数据库（2000-2015 年）进行数据分析。通过使用国际疾病分类第 9 版临床修订版 (ICD-9-CM) 产科分娩诊断和程序代码来确定分娩住院情况。抑郁症是根据《精神障碍诊断与统计手册》第 5 版中分类为抑郁症的 ICD-9-CM 诊断代码（291.89、292.84、293.83、296.2-296.26、296.3-296.36、300.4 和 311）来识别的。通过至少 3 年的数据和年龄、付款来源以及种族或民族，计算全国和 28 个州的患病率和平均年变化率。 结果：美国分娩住院期间记录的抑郁症发病率从 2000 年的每 1,000 名住院患者中有 4.1 例诊断增加到 2015 年的 28.7 例。28 个州中有 27 个州的发病率显着增加。最近（2014-2015 年）比率最低的是夏威夷和内华达州（低于 14/1,000），最高的是佛蒙特州、明尼苏达州、俄勒冈州和威斯康星州（大于 49/1,000）。 2015 年，35 岁或以上人群、公共保险受益人和非西班牙裔白人女性的发病率最高（超过 31/1,000）。年增长率最高的是佛蒙特州和缅因州（3.8/1,000 或更高）。 2000 年至 2015 年期间，35 岁或以上的非西班牙裔白人女性以及公共保险领取者的年增长率最高（1.7/1,000 或更高）。结论：2000 年至 2015 年期间，全国范围内、有可用数据的 27 个州以及所有社会人口统计类别中，分娩住院期间记录的抑郁症发病率有所增加。
OBJECTIVE: To describe national, state-specific, and sociodemographic trends in diagnoses of depressive disorders recorded during delivery hospitalizations.METHODS: Data were analyzed from the National Inpatient Sample (2000-2015) and 31 publicly available State Inpatient Databases (2000-2015) of the Healthcare Cost and Utilization Project. Delivery hospitalizations were identified by using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnostic and procedure codes for obstetric delivery. Depressive disorders were identified from ICD-9-CM diagnoses codes classified as depressive disorders in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (291.89, 292.84, 293.83, 296.2-296.26, 296.3-296.36, 300.4, and 311). Prevalence rates and average annual rate change were calculated nationally and across 28 states with at least 3 years of data and age, payer source, and race or ethnicity.RESULTS: The U.S. rate of depressive disorders recorded during delivery hospitalizations increased from 4.1 diagnoses per 1,000 hospitalizations in 2000 to 28.7 in 2015. Rates significantly increased in 27 of the 28 states. Recent (2014-2015) rates were lowest in Hawaii and Nevada (less than 14/1,000) and highest in Vermont, Minnesota, Oregon, and Wisconsin (greater than 49/1,000). Rates in 2015 were highest among those aged 35 years or older, public insurance recipients, and non-Hispanic white women (greater than 31/1,000). The highest annual rate increases were in Vermont and Maine (3.8/1,000 or greater). Non-Hispanic white women, those 35 years of age or older, and public insurance recipients showed the highest annual rate increases during 2000-2015 (1.7/1,000 or greater).CONCLUSION: During 2000-2015, rates of depressive disorders recorded during delivery hospitalizations increased nationally, in 27 states with available data, and across all sociodemographic categories.