Evidence map›Paper›PMID 26774829›Full record

ArticleInternational journal of cardiology2016

Depression screening after cardiac surgery: A six month longitudinal follow up for cardiac events, hospital readmissions, quality of life and mental health.

Phillip J Tully, Harald Baumeister, Jayme S Bennetts, Greg D Rice, Robert A Baker

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Article in International journal of cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 3 countries.

Phillip J TullyCardiac Surgery Research, Department of Surgery, Flinders Medical Centre and Flinders University of South, Australia; INSERM U897 Equipe de Neuro-épidémiologie, Université de Bordeaux, France; Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Germany; Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Australia.
Harald BaumeisterDepartment of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Germany; Department of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, University of Ulm, Germany.
Jayme S BennettsCardiac Surgery Research, Department of Surgery, Flinders Medical Centre and Flinders University of South, Australia.
Greg D RiceCardiac Surgery Research, Department of Surgery, Flinders Medical Centre and Flinders University of South, Australia.
Robert A BakerCardiac Surgery Research, Department of Surgery, Flinders Medical Centre and Flinders University of South, Australia. Electronic address: Rob.Baker@health.sa.gov.au.
Flinders University · AUFlinders Medical Centre · AUUniversité de Bordeaux · FRUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo report the 6-month longitudinal outcomes of routine depression screening in cardiac patients.

methodsRoutine depression screening consisted of the Patient Health Questionnaire (PHQ) administered 30-days after cardiac surgery at the Flinders Medical Centre, South Australia. Complete data was obtained on 481 patients who were subdivided into three groups; depressed-cardiac control determined by current anti-depressant use or history of depression in medical records (n=90), depression screen-positives (PHQ≥10, n=46) and depression screen-negatives (PHQ≤9, n=345). These groups were re-assessed at 6 month follow-up for major adverse cardiac events (MACE), hospital readmission, quality of life (SF-12), symptomatic depression, and use of antidepressants, anxiolytics and psychotherapy.

resultsBy six-month follow-up the depression screen-positive group was at a higher risk of MACE (adjusted odds ratio [OR] 2.16; 95% confidence interval [CI] .98-4.74). The depression screen-positive group was also at a higher risk of depressed mood (PHQ scores ≥10: adjusted OR 6.54; 95% CI 3.16-13.53). The depression screen-positive group also reported significantly poorer QOL in five domains (all p<.001 with Bonferroni correction). The depression screen-positive group was more likely to be initiated on antidepressant and anxiolytic (ORs 5.89 and 4.74 respectively) at follow-up. The number needed to screen to achieve one additional depression remission case was 9 in the screen-positive group (versus the depression-control group).

conclusionDepression screening was associated with an increase in psychotropic medication use however depression, morbidity and quality of life remained poor at six months.

Indexed as

AgedAged, 80 and overAnti-Anxiety AgentsAntidepressive AgentsCardiac Surgical ProceduresDepressionEarly DiagnosisFemaleFollow-Up StudiesHeart DiseasesHumansLongitudinal StudiesMalePatient ReadmissionQuality of LifeAnti-Anxiety AgentsAntidepressive AgentsCardiac surgeryCoronary heart diseaseDepressionDiagnosisHealth careQuality assurance

Identifiers

PMID26774829
OpenAlexW2230266115

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.