Key result
Pre-operative depression is linked to ~6% higher risk of severe post-cardiac surgery pain.
Why the study?
Severe pain is prevalent in cardiac surgery patients and can increase cardiac complications, morbidity, and mortality, but predictors of post-surgical pain including depression are not well defined.
Do clinical factors and pre-surgical depression scores predict pain intensity in cardiac surgery patients?
Population
98 cardiac surgery patients
Comparison
Patients with high vs low pre-operative depression scores and other clinical factors
Design
Cohort study
Follow-up
7 days post-operatively
Authors
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Preoperative depression and clinical factors were associated with higher post-cardiac surgery pain; hypothesis-generating for targeted screening before practice change.
Cohort (n=98)
No
Do clinical factors and pre-surgical depression scores predict pain intensity in cardiac surgery patients?
Odds Ratio: 1.059 (95% CI 1.008–1.113)
p-value: p=0.023
High pre-operative depression scores, female sex, smoking, and high BMI are significant predictors of severe pain following cardiac surgery.
Gohari et al. (2022) conducted a cohort in Cardiac surgery (n=98). Pre-operative depression (CES-D score) vs. Lower pre-operative depression scores was evaluated on Severe post-operative pain (NRS 7-10) (OR 1.059, 95% CI 1.008-1.113, p=0.023). Higher pre-operative depression scores significantly predicted severe post-operative pain in cardiac surgery patients (OR 1.059).
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