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Depression predicts perioperative outcomes following coronary artery bypass graft surgery

Margarita Beresnevaitė1, Rimantas Benetis, Graeme J Taylor

  • 1Clinical Cardiology Laboratory, Institute of Cardiology of Kaunas University of Medicine, Kaunas, Lithuania. MargaritaBeresnevaite@hotmail.com

Scandinavian Cardiovascular Journal : SCJ
|November 18, 2010
PubMed

Insights

Preoperative depression is common in men undergoing coronary artery bypass graft surgery (CABG). Higher depression scores predict longer hospital stays and more late complications after CABG surgery.

Area of Science:

  • Cardiology
  • Psychiatry
  • Surgical Outcomes

Background:

  • Coronary artery bypass graft (CABG) surgery is a significant intervention for cardiovascular disease.
  • Preoperative psychological factors may influence surgical outcomes.
  • Depression is a prevalent condition that can affect physical health.

Purpose of the Study:

  • To evaluate the prevalence of preoperative depression in middle-aged men scheduled for CABG.
  • To investigate the association between preoperative depression and perioperative outcomes in this patient group.

Main Methods:

  • A cohort of 109 middle-aged men undergoing CABG was assessed for depression using the Symptom Checklist-90 Revised (SCL-90R) one day prior to surgery.
  • Perioperative outcomes included length of hospital stay, early complications (ICU), and late complications (cardiac surgery unit).

Main Results:

  • Twenty-three percent of patients exhibited high levels of preoperative depression.
  • Depression scores significantly predicted longer postoperative hospital stays (p < 0.001).
  • Preoperative depression independently predicted an increased incidence of late perioperative complications (p < 0.05).

Conclusions:

  • Depression is a frequent comorbidity in middle-aged men undergoing CABG.
  • Preoperative depression serves as an independent predictor for extended hospital stays and late complications following CABG surgery.
Abstract

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