Hospital admissions for anxiety disorder, depression, and bipolar disorder and venous thromboembolism: a UK biobank prospective cohort study

Autor
Nakada, Shinya
Celis-Morales, Carlos
Pell, Jill P.
Ho, Frederick K.
Fecha
2025Resumen
Background
Few studies have investigated whether and which anxiety and affective disorders are associated with the risk of venous thromboembolism. We aimed to examine whether anxiety disorder, depression, and bipolar disorder increase the risk of venous thromboembolism, independent of socioeconomic confounders and each other, in a UK general population.
Methods
This is a prospective cohort study using UK Biobank. Participants were excluded if they were diagnosed with venous thromboembolism before the baseline assessment, if they were first diagnosed with anxiety disorder, depression, or bipolar disorder thereafter, or if they had missing sociodemographic data. Diagnosed anxiety disorder, depression, and bipolar disorder were ascertained through hospital admission data and incident venous thromboembolism, pulmonary embolism, and deep vein embolism were ascertained through both hospital admission and death certificate data. Hazard ratios were calculated, adjusted for sociodemographic confounders and comorbid anxiety and affective disorders.
Results
Our main analysis included 455,705 participants, of whom 53.6 % were female, with a mean age (standard deviation) of 56.6 (8.1) years. Anxiety disorder, depression, and bipolar disorder were associated with venous thromboembolism both before and after adjusting for sociodemographic confounders. After adjustment for comorbid anxiety and affective disorders, depression (HR: 2.00; 95 % CI: 1.68–2.38) and bipolar disorder (HR: 2.08; 95 % CI: 1.28–3.37) remained associated with venous thromboembolism, but anxiety did not (HR: 1.17; 95 % CI: 0.88–1.57). Similar results were found for pulmonary embolism and deep vein embolism.
Conclusions
Depression and bipolar disorder were associated with the risk of venous thromboembolism. Further research is required to understand the mechanism underlying their increased risk.
Fuente
Journal of Affective Disorders, 372, 564-571Link de Acceso
Click aquí para ver el documentoIdentificador DOI
doi.org/10.1016/j.jad.2024.12.060Colecciones
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