| Risk analysis for depression and patient prognosis after open heart surgery. | |
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MedLine Citation:
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PMID: 16565553 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The aim of the present study was to determine the predictors of depression as a complication after open heart surgery and influence of depression on the patients' prognosis. METHODS AND RESULTS: During the last 3 years, 97 patients (21.5%) of the 452 adult patients who had open heart surgery at our institute experienced depression after the operation. Patients who scored over 16 points using a Center for Epidemiological Studies Depression Scale were diagnosed with significant symptoms of depression. Depressed patients (group I, n=97) and non-depressed patients (group II, n=355) in terms of mortality and length of hospital stay were compared. Predictors for depression were identified by logistic regression analysis. The postoperative hospital stay was significantly longer in group I. Hospital mortality was also significantly higher in group I. Female gender (odds ratio (OR): 5.15, p<0.0001), emergency surgery (OR: 4.46, p<0.0001), and being over 70 years of age (OR: 4.67, p<0.0001) were found to be significant predictors for postoperative depression. CONCLUSION: The prognosis for patients who had depression developed after open heart surgery was poor. It might be important to start prophylactic medication as soon as possible after the operation, particularly for patients at risk of having depression. |
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Authors:
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Mitsumasa Hata; Yuko Yagi; Akira Sezai; Tetsuya Niino; Masataka Yoda; Shinji Wakui; Masao Soeda; Ichiroh Nohata; Motomi Shiono; Kazutomo Minami |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Circulation journal : official journal of the Japanese Circulation Society Volume: 70 ISSN: 1346-9843 ISO Abbreviation: Circ. J. Publication Date: 2006 Apr |
Date Detail:
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Created Date: 2006-03-27 Completed Date: 2006-09-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101137683 Medline TA: Circ J Country: Japan |
Other Details:
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Languages: eng Pagination: 389-92 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery and Psychosomatic Medicine, Nihon University School of Medicine Ooyaguchi Kamimachi, Tokyo, Japan. mihata@med.nihon-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aged Aged, 80 and over Cardiac Surgical Procedures / psychology*, statistics & numerical data Depression / diagnosis, epidemiology, etiology* Female Follow-Up Studies Humans Male Middle Aged Odds Ratio Prevalence Prognosis Prospective Studies Regression Analysis Risk Assessment Sex Factors |
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