Key result
Higher depression scores linked to ~12% greater MACCE risk after cardiac surgery.
Why the study?
The association of psychosocial factors with adverse outcomes after cardiac surgery was not well established.
Do psychosocial factors predict major adverse cardiac and cerebrovascular events in patients after cardiac surgery?
Comparison
Patients with varying levels of psychosocial factors
Design
Prospective cohort study
Authors
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Psychosocial screening may aid post-cardiac surgery risk stratification; leaves open whether interventions reduce MACCE.
Cohort (n=180)
Do psychosocial factors predict major adverse cardiac and cerebrovascular events in patients after cardiac surgery?
Hazard Ratio: 1.12
p-value: p=0.001
Psychosocial factors such as depression, anxiety, sleeping disorders, and illness intrusiveness are significant predictors of major adverse cardiac and cerebrovascular events after cardiac surgery.
Cserép et al. (2010) conducted a cohort in Cardiac surgery (n=180). Adverse psychosocial factors (depression, anxiety, sleeping disorders, illness intrusiveness) vs. Lower psychosocial risk scores was evaluated on Major adverse cardiac and cerebrovascular event (MACCE) including death (HR 1.12, p=0.001). Higher depression scores (AHR 1.12, P=0.001), anxiety, sleeping disorders, and illness intrusiveness were significantly associated with a higher risk of MACCE after cardiac surgery.
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