January 1, 2006Circulation JournalOpen Access

Risk Analysis for Depression and Patient Prognosis After Open Heart Surgery

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Why the study?

Does postoperative depression worsen prognosis in adult patients undergoing open heart surgery?

Population

452 adult patients who underwent open heart surgery at a single institute in Japan, excluding those with…

Comparison

Development of postoperative depression vs No postoperative depression

Design

Cohort

Follow-up

Up to 3 years

Authors

MHMitsumasa HataNihon University YYYuko YagiJapanese Red Cross Medical Center ASAkira SezaiNihon University

Discussion

Member takes

Implication

May support postoperative depression screening in high-risk cardiac surgery patients; leaves open whether interventions reduce mortality or length of stay.

Structured PICO

Does postoperative depression worsen prognosis in adult patients undergoing open heart surgery?

Population

452 adult patients who underwent open heart surgery (CABG, valve replacement, aortic surgery, or other) at a single institute in Japan, excluding those with preoperative depressive syndrome, major postoperative stroke, or severe cognitive dysfunction. Mean age 65.0±11.0 years, 64.8% male.

Intervention

Development of postoperative depression (Center for Epidemiological Studies Depression Scale > 16 points)

Comparator

No postoperative depression

Outcome

Hospital mortality and length of hospital stayhard clinical

Postoperative depression after open heart surgery is strongly associated with increased hospital mortality and prolonged hospital stay, with elderly women undergoing emergency surgery at highest risk.

Limitations

Elderly rate was higher in the depressive group, making it difficult to draw strong conclusions about depressive symptoms being an independent major risk factor for total mortality
Lack of detailed preoperative assessments
Small number of low-output state cases

Cite This Study

Hata et al. (2006) studied this question.

synapsesocial.com/papers/6a7cc373263fc0f117fabb5a https://doi.org/10.1253/circj.70.389

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Implication

May support postoperative depression screening in high-risk cardiac surgery patients; leaves open whether interventions reduce mortality or length of stay.

Risk Analysis for Depression and Patient Prognosis After Open Heart Surgery

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Risk Analysis for Depression and Patient Prognosis After Open Heart Surgery

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider