Related Experiment Video

Updated: Aug 11, 2026

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder
04:33

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder

Published on: April 26, 2024

Relationship of cardiac inpatients' outcomes to mood state

S Allison1, M J Bernier, S V Owen

  • 1University of Texas, Medical Branch, School of Nursing, 301 Mechanic Boulevard, Galveston, TX 77555, USA.

Outcomes Management for Nursing Practice
|December 9, 2000
PubMed

Insights

Depression in cardiac patients was not linked to longer hospital stays or higher costs overall. However, depressed women with cardiac disease experienced significantly longer stays and increased costs compared to depressed men.

Area of Science:

  • Cardiology
  • Psychiatry
  • Health Economics

Background:

  • Depression is a common comorbidity in cardiac patients, potentially impacting healthcare costs and outcomes.
  • Understanding the financial and length of stay (LOS) implications of depression in cardiac care is crucial for resource allocation and patient management.

Purpose of the Study:

  • To compare the cost and length of stay (LOS) between cardiac inpatients with and without depression.
  • To investigate the influence of mood state, gender, and cardiac outcomes on healthcare utilization.

Main Methods:

  • A descriptive study utilizing a computerized charge capture system (CCCS).
  • Comparison of cost and LOS between depressed (n=144) and nondepressed (n=9,099) cardiac inpatients.
  • Matched sample analysis comparing 94 depressed patients with 352 nondepressed patients.

Main Results:

  • No significant overall differences in cost or LOS between depressed and nondepressed cardiac patients.
  • Depression was significantly more prevalent in female patients (chi 2 = 24.0, df = 1, P < 0.05).
  • Depressed women with cardiac disease had significantly longer LOSs and higher costs than depressed men (F = 6.6, df = 1, P = 0.01).

Conclusions:

  • While overall costs and LOS did not differ significantly, gender plays a critical role in the outcomes for depressed cardiac patients.
  • The study identified a significantly higher incidence of depression among female cardiac patients.
  • The low overall incidence of detected depression (1.6%) may be attributed to the use of financial rather than clinical data, highlighting potential underdiagnosis.

Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Dysrhythmias VII: Nursing Management of Dysrhythmias01:25

Dysrhythmias VII: Nursing Management of Dysrhythmias

Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...