ArticleClinical research in cardiology : official journal of the German Cardiac Society2009
Predictors of preoperative depressive risk in patients undergoing coronary artery bypass graft surgery.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Inflammatory markers in postoperative cognitive dysfunction for patients undergoing total hip arthroplasty: a meta-analysis.Aging clinical and experimental research · 2022Pooled it
- Effect of intraoperative application of ketamine on postoperative depressed mood in patients undergoing elective orthopedic surgery.Journal of anesthesia · 2016Trial
- Beyond the Heart: The Significance of Depression in Cardiac Surgery.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Review
- The pathophysiology and management of depression in cardiac surgery patients.Frontiers in psychiatry · 2023Review
- Prevalence of Depression in Coronary Artery Bypass Surgery: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2020Review
- Change in quality of life after transcatheter aortic valve implantation and aortic valve replacement surgery in Australian patients aged ≥ 75 years: the effects of EuroSCORE and patient operability.Journal of geriatric cardiology : JGC · 2015Article
- The combined association of depression and socioeconomic status with length of post-operative hospital stay following coronary artery bypass graft surgery: data from a prospective cohort study.Journal of psychosomatic research · 2014Article
- Depression and cardiac disease: epidemiology, mechanisms, and diagnosis.Cardiovascular psychiatry and neurology · 2013Article
- Gender-specific predictors of early mortality after coronary artery bypass graft surgery.Clinical research in cardiology : official journal of the German Cardiac Society · 2012Article
- Causal attributions among patients undergoing coronary artery bypass surgery: gender aspects and relation to depressive symptomatology.Journal of behavioral medicine · 2011Article
- Depression is associated with prolonged and complicated recovery following colorectal surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2011Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsDepression is highly prevalent among patients undergoing coronary artery bypass graft (CABG) surgery and represents a significant risk factor for longer hospitalization, increasing health costs and worse outcomes. Nonetheless, preoperative depression is rarely assessed in clinical practice, limiting the possibilities for effective prevention and care. Thus, we sought to develop risk models to determine the depressive risk before CABG based on sociodemographic, clinical and treatment variables. METHODS AND
resultsOne thousand two hundred and thirty-eight CABG-patients completed the 9-item Patient Health Questionnaire (PHQ-9) prior to surgery. Clinical and sociodemographic data were collected by trained study investigators. Overall 21.6% of patients displayed elevated depression scores, which were twice as common in women than in men (34.7 versus 17.9%, P < 0.001). Following bivariate analysis, multiple regression revealed that both dyspnea at rest (OR 1.69, 95% CI 1.11-2.57, P = 0.015) and dyspnea on exertion (OR 2.48, 95% CI 1.61-3.81, P < 0.001), previous myocardial infarction (OR 1.53, 95% CI 1.12-2.08, P = 0.007), comorbidities and medication with tranquillizers; in addition to younger age, female gender, lower school education, and living alone are significantly and independently associated with preoperative depressive symptoms.
conclusionsKnowledge of these risk factors will allow for better identification of patients at high depressive risk and thereby facilitate optimal treatment in order to improve postoperative outcomes.
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