Patients With Depressive Symptoms Have Lower Health Status Benefits After Coronary Artery Bypass Surgery
Why the study?
Do depressive symptoms at the time of CABG reduce functional improvement at 6 months in patients undergoing first CABG?
Population
963 patients who underwent first coronary artery bypass graft surgery between February 1999 and February 2001
Comparison
High depressive symptoms vs Low depressive symptoms (GDS score <5)
Design
Cohort
Follow-up
6 months
Authors
Discussion
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Member takes
Implication
Depressive symptoms identify CABG patients less likely to regain physical function; hypothesis-generating for whether screening or treatment improves outcomes.
Structured PICO
Do depressive symptoms at the time of CABG reduce functional improvement at 6 months in patients undergoing first CABG?
P
Population
963 patients who underwent first coronary artery bypass graft (CABG) surgery between February 1999 and February 2001
I
Intervention
High depressive symptoms (Geriatric Depression Scale [GDS] score ≥10 or 5-9)
C
Comparator
Low depressive symptoms (GDS score <5)
O
Outcome
Improvement in physical function (Short Form-36 Physical Component Scale [PCS] score increase of ≥5 points) at 6 months after CABGpatient reported
Higher levels of depressive symptoms at the time of CABG are a strong independent risk factor for lack of functional benefits at 6 months post-surgery.
Cite This Study
Krumholz et al. (2005) studied this question.