Evidence map›Paper›PMID 40597905›Full record

ArticleBMC psychiatry2025

Mental health treatment and its impact on survival outcomes in patients with comorbid mental health and cardiovascular diseases: a retrospective cohort study.

Tirsit Ketsela Zeleke, Fasil Bayafers Tamene, Gebremariam Wulie Geremew, Tekletsadik Tekleslassie Alemayehu, Minichil Chanie Worku, Samuel Agegnew Wondm, Aschalew Mulatu Tefera, Ayelign Eshete Fitgu, Wubetu Yihunie Belay, Abraham Teym and 2 more

Abstract readMulticenter Study
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

12 authors.

Tirsit Ketsela ZelekeDepartment of Pharmacy, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia. teryketsela2018@gmail.com.ORCID 0000-0003-3528-0703
Fasil Bayafers TameneDepartment of Pharmacy, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Gebremariam Wulie GeremewDepartment of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Tekletsadik Tekleslassie AlemayehuDepartment of Social and administrative Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Minichil Chanie WorkuDepartment of Pharmaceutical Chemistry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Samuel Agegnew WondmDepartment of Pharmacy, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Aschalew Mulatu TeferaDepartment of Pharmacognocy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Ayelign Eshete FitguDepartment of Social and administrative Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Wubetu Yihunie BelayDepartment of Pharmacy, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Abraham TeymDepartment of Environmental Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Rahel Belete AbebeDepartment of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Bantayehu Addis TegegneDepartment of Pharmacy, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental illness and cardiovascular diseases frequently co-occur and are among the leading causes of global morbidity and mortality. Their comorbidity is associated with poorer health outcomes, including higher mortality, hospital readmissions, and increased healthcare utilization. Although mental health treatment has been shown to improve clinical outcomes, its impact on patient survival outcomes remains underexplored. This study aims to evaluate the effects of mental health treatment on hospital readmissions, emergency department visits, and overall survival time in patients with comorbid mental health and cardiovascular conditions.

methodsA multi-center retrospective cohort study was carried out among adult comorbid mental health and cardiovascular diseases patients in Ethiopia. Data entry was performed using EpiData Manager, and the dataset was subsequently exported to SPSS version 26 for analysis. A Cox proportional hazards regression model was applied to identify factors influencing the time to hospital readmission and emergency department visits. Adjusted hazard ratios with corresponding 95% confidence intervals were reported, and statistical significance was determined at a P-value threshold of < 0.05. Kaplan-Meier survival curves were used to illustrate differences in time to hospital readmission and emergency department visits between treated and untreated patients.

resultsDepression was the most prevalent mental health condition, affecting 47.3% of participants, while hypertension was the most common cardiovascular illness in 37.3% of participants. The rate of mental health treatment in this study is 35.7%. Determinates of hospital readmission included mental health treatment AHR 3.44 (95% CI: 2.11–5.62) and the presence of comorbid conditions AHR of 1.53 (95% CI: 1.03–2.28). Additionally, emergency department visits were significantly associated with mental health treatment AHR of 2.11 (95% CI: 1.09–4.08). Kaplan-Meier survival curves indicated that patients receiving mental health treatment experienced longer times to readmission and emergency department visits compared to untreated patients.

conclusionsMental health treatment is associated with improved survival outcomes and reduced hospital readmissions and emergency department visits, in patients with comorbid mental health and cardiovascular diseases. These findings indicate the importance of integrating mental health care into the management of patients with complex medical conditions to improve long-term outcomes and reduce the burden on healthcare systems. Moreover, it is important to pay attention to patients with comorbid diseases. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Cardiovascular DiseasesMental DisordersPatient ReadmissionAdultComorbidityEmergency Room VisitsEmergency Service, HospitalEthiopiaFemaleHumansMaleMiddle AgedRetrospective StudiesCardiovascular diseasesComorbid mental health and cardiovascular diseasesEmergency department visitsEthiopiaHospital readmissionsMental health treatment

Identifiers

PMID40597905
PMCPMC12210634

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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 OpenQuestion graph.