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Depressive symptoms at discharge from rehabilitation predict future cardiovascular-related hospitalizations

Fiorenza Angela Meyer1, Eva Hugentobler, Stefanie Stauber

  • 1Psychosomatic Medicine Research Group, University of Bern, Bern, Switzerland.

Cardiology
|April 15, 2015
PubMed

Insights

Depressive symptoms after cardiac rehabilitation predict future cardiovascular hospitalizations. Early intervention for depression in cardiovascular disease (CVD) patients is crucial for improving cardiac prognosis and reducing readmissions.

Area of Science:

  • Cardiology
  • Psychiatry
  • Rehabilitation Medicine

Background:

  • Depression is linked to worse outcomes in cardiovascular disease (CVD) patients.
  • Assessing depressive symptoms post-cardiac rehabilitation is vital for prognosis.

Purpose of the Study:

  • To investigate if depressive symptoms at discharge from cardiac rehabilitation predict future CVD-related hospitalizations.
  • To evaluate the association between depression and cardiac prognosis in CVD patients.

Main Methods:

  • 486 CVD patients were studied, assessing depressive symptoms using the Hospital Anxiety and Depression Scale (HADS-D) at discharge.
  • Follow-up evaluated the predictive value of depressive symptoms for CVD hospitalizations, controlling for covariates.

Main Results:

  • Depressive symptoms at discharge (HADS-D≥8) were a significant predictor of CVD-related hospitalizations (HR 1.32, p=0.004).
  • Patients with depression at discharge had a 2.5-fold increased risk of poor cardiac prognosis, independent of other factors.

Conclusions:

  • Depressive symptoms upon discharge from cardiac rehabilitation are indicative of a poor cardiac prognosis in CVD patients.
  • Identifying and managing depression post-rehabilitation is essential for improving patient outcomes.
Abstract

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