抑郁症与冠状动脉绕道移植移植后的非家庭排放有关
Ryan M Holcomb1, Ahsan Zil-E-Ali2, Robert Gonzalez3
1Department of Surgery, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.
The Journal of surgical research
|June 10, 2023
概括
抑郁症显著增加了冠状动脉旁路移植 (CABG) 手术后非家庭出院的风险. 这一发现强调了需要在心脏病患者中更好地进行抑郁症的术前查.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抑郁症在患有冠状动脉疾病 (CAD) 的患者中很普遍.
- 抑郁症与心脏手术后的不良结果有关.
- 非家庭出院 (NHD) 是大手术后的关键质量指标.
研究的目的:
- 为了研究冠状动脉旁路移植 (CABG) 手术后抑郁症和NHD之间的关联.
- 为了确定抑郁症是否独立地预测CABG患者的NHD.
主要方法:
- 对2018年全国住院样本数据库对CABG病例的分析.
- 利用ICD-10代码识别患有抑郁症和没有抑郁症的患者.
- 采用多变量逻辑回归来控制混因素,并评估抑郁症和NHD之间的关联,以及长时间逗留 (LOS).
主要成果:
- 在31309名CABG患者中,有8.8%的人有抑郁病史.
- 经过调整后,抑郁患者的NHD (增加70%的几率) 和长时间的LOS (增加24%的几率) 发生率明显更高.
- 抑郁症患者年轻,更常见的是女性,来自较低收入季度,并且具有更大的医疗复杂性.
结论:
- 抑郁病史独立地与CABG后非家庭出院的可能性更高有关.
- 这项研究是首次在全国样本中证明这种关联.
- 改善抑郁症的术前识别对于风险分层和优化CABG患者出院计划至关重要.
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