What question did this study set out to answer?

To assess preoperative depression in middle-aged men undergoing coronary artery bypass graft surgery and determine whether depression independently predicts perioperative outcomes.

October 1, 2010Scandinavian Cardiovascular JournalOpen Access

Depression predicts perioperative outcomes following coronary artery bypass graft surgery

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Why the study?

Does preoperative depression predict worse perioperative outcomes in middle-aged men undergoing CABG?

Key Points

To assess preoperative depression in middle-aged men undergoing coronary artery bypass graft surgery and determine whether depression independently predicts perioperative outcomes.
Assessed depression one day before surgery in 109 randomly selected middle-aged male patients undergoing coronary artery bypass grafting using the Symptom Checklist-90 Revised (SCL-90R).
Recorded perioperative outcomes including postoperative length of hospital stay, early intensive care unit complications, and late cardiac surgery unit complications.
High depression levels were documented preoperatively in 25 patients (23%).
Preoperative depression scores significantly predicted postoperative length of hospital stay (p < 0.001) independent of biomedical and sociodemographic variables.
Preoperative depression independently predicted late perioperative complications (p < 0.05), with each 1-point increase in depression T score increasing complication odds by 10% (OR 1.10, 95% CI 1.02–1.19, p = 0.018).

Structured PICO

Does preoperative depression predict worse perioperative outcomes in middle-aged men undergoing CABG?

Population

109 middle-aged male patients undergoing coronary artery bypass graft surgery (CABG)

Intervention

Preoperative depression (assessed one day before CABG using the Symptom Checklist-90 Revised [SCL-90R])

Comparator

Absence of or lower levels of preoperative depression

Outcome

Postoperative length of hospital stay, presence of early complications (at intensive care unit), and presence of late complications (at cardiac surgery unit)hard clinical

Preoperative depression is an independent predictor of longer hospital stays and late perioperative complications in middle-aged men undergoing CABG.

Discussion

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Implication

Preoperative depression may flag higher-risk CABG patients; hypothesis-generating and does not yet support routine screening or intervention.

Cite This Study

Beresnevaitė et al. (2010) studied this question.

synapsesocial.com/papers/6a953c1e50ceddc3e5f57757 https://doi.org/10.3109/14017431.2010.490593

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Implication

Preoperative depression may flag higher-risk CABG patients; hypothesis-generating and does not yet support routine screening or intervention.

Depression predicts perioperative outcomes following coronary artery bypass graft surgery

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Depression predicts perioperative outcomes following coronary artery bypass graft surgery

Key Points

Structured PICO

Discussion

Implication

Cite This Study

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