Key result
Pre-operative depression linked to ~6% higher risk of severe pain after cardiac surgery.
Why the study?
Moderate to severe pain is prevalent in cardiac surgery patients and can increase cardiac complications, morbidity, and mortality, but predictors of post-surgery pain including depression are not well defined.
Do clinical factors and pre-surgery 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 clinical characteristics
Design
Observational cohort study
Follow-up
Until hospital discharge
Authors
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Pain assessment and depression screening may identify at-risk cardiac surgery patients; leaves open need for targeted interventions in prospective trials.
Observational (n=98)
No
Do clinical factors and pre-surgery depression scores predict pain intensity in cardiac surgery patients?
Odds Ratio: 1.059 (95% CI 1.008–1.113)
p-value: p=0.023
Pre-operative depressive symptoms, female sex, smoking, and high BMI are significant predictors of severe post-operative pain in cardiac surgery patients, highlighting targets for early intervention.
Gohari et al. (2021) conducted an observational in Cardiac Surgery (n=98). Pre-operative depression (CES-D score) vs. Lower pre-operative depression scores was evaluated on Severe post-operative pain intensity (NRS 7-10) (OR 1.059, 95% CI 1.008-1.113, p=0.023). Higher pre-operative depression scores were independently associated with increased maximal pain intensity following cardiac surgery (OR 1.059).
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