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Identifying the blue patient: preoperative screening for depression
Bradley A Fritz1, Katherine J Holzer1
1Department of Anesthesiology, Washington University in Saint Louis School of Medicine, Saint Louis, MO, USA.
British Journal of Anaesthesia
|June 15, 2024
Summary
Screening for preoperative depression is crucial for identifying patients who can benefit from interventions to improve surgical outcomes. Implementing these screening programs is feasible and essential for better patient care.
Area of Science:
- Surgical outcomes research
- Mental health in medicine
- Perioperative care
Background:
- Preoperative depression is a significant, often overlooked, comorbidity impacting surgical recovery.
- Early identification of depression symptoms is vital for patients, regardless of prior diagnosis.
Discussion:
- Screening for depression pre-surgery allows for targeted perioperative interventions.
- These interventions aim to mitigate negative impacts on mood and improve patient outcomes.
- Feasibility studies confirm that preoperative screening programs can be successfully implemented.
Key Insights:
- Depression screening preoperatively identifies at-risk surgical patients.
- Perioperative interventions can effectively manage mood disorders in surgical candidates.
- Program implementation requires careful consideration to include all patients who would benefit.
Outlook:
- Further research into optimizing perioperative interventions for depression is warranted.
- Wider adoption of preoperative depression screening can enhance surgical patient care pathways.
- Integrating mental health screening into surgical protocols is a key future direction.
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