Depression and Geographic Status as Predictors for Coronary Artery Bypass Surgery Outcomes

Dao, Tam K.; Chu, Danny; Springer, Justin R.; Hiatt, Emily L.; Nguyen, Quang X.

doi:10.1111/j.1748-0361.2009.00263.x

Cited by 17 publications

(18 citation statements)

References 31 publications

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“…Depression has been associated with increased risk of in-hospital mortality after CABG in multiple prior studies [23,24]. However, decreased in-hospital mortality for patients with depression has also been previously described in hospitalizations for breast cancer and following major spine surgery [25,26].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Depression in Chronic Hemodialysis Patients on Inpatient Hospitalization Outcomes

Chan¹,

Tummalapalli²,

Ferrandino

et al. 2017

Blood Purif

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Background/Aims: Depression is common in patients with end-stage renal disease (ESRD) on hemodialysis (HD). Although, depression is associated with mortality, the effect of depression on in-hospital outcomes has not been studied as yet. Methods: We analyzed the National Inpatient Sample for trends and outcomes of hospitalizations with depression in patients with ESRD. Results: The proportion of ESRD hospitalizations with depression doubled from 2005 to 2013 (5.01-11.78%). Hospitalized patients on HD with depression were younger (60.47 vs. 62.70 years, p < 0.0001), female (56.93 vs. 47.81%, p < 0.0001), white (44.92 vs. 34.01%, p < 0.0001), and had higher proportion of comorbidities. However, there was a statistically significant lower risk of mortality in HD patients within the top 5 reasons for admissions. Conclusion: There were significant differences in demographics and comorbidities for hospitalized HD patients with depression. Depression was associated with an increased rate of adverse effects in discharged patients, and decreased in-hospital mortality.

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Section: Discussionmentioning

confidence: 99%

The Effect of Depression in Chronic Hemodialysis Patients on Inpatient Hospitalization Outcomes

Chan¹,

Tummalapalli²,

Ferrandino

et al. 2017

Blood Purif

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“…Such events may include predisposing patient factors (poor social support, depression, anxiety)45, operative factors (cardiopulmonary bypass, embolization, oxygenation)46, 47, anesthesia (depth, pain control, medications)48, perioperative care (pain control, sleep deprivation, delirium)48, 49, and postoperative complications (atrial fibrillation, stroke, iatrogenic infections)46, 50. These events can influence hospital length of stay at any point during the inpatient stay and may overshadow preoperative cognitive impairment.…”

Section: Discussionmentioning

confidence: 99%

Independent Association Between Preoperative Cognitive Status and Discharge Location After Cardiac Surgery

Harrington

Kraft

Grande

et al. 2011

American Journal of Critical Care

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Background Among cardiac surgery patients, those with impaired cognitive status before surgery may have longer postoperative stays than do patients with normal status and may require additional care upon discharge. Objectives To determine if preoperative scores on a screening measure for cognitive status (the Clock-in-the-Box), were associated with postoperative length of stay and discharge to a location other than home in patients who had cardiac surgery. Methods A total of 181 consecutive patients scheduled for cardiac surgery at a single site were administered the Clockin-the-Box as part of the preoperative evaluation. Scores on the Clock-in-the-Box tool, demographic and operative information, postoperative length of stay, and discharge location were collected retrospectively from medical records. Results The mean age of the patients was 68.1 years (SD, 0.7), and 99% were men. Mean postoperative length of stay was 10.5 days (SD, 8.2), and 35 patients (19%) were discharged to a facility. Scores on the Clock-in-the-Box assessment were not associated with postoperative length of stay. Increasing age, living alone before surgery, and duration of cardiopulmonary bypass were associated with discharge to a facility and were used as covariates in adjusted analyses. After adjustment, better preoperative cognitive status reduced the risk of being discharged to a facility (adjusted relative risk, 0.93; 95% confidence interval, 0.89-0.98) after cardiac surgery.

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“…[22][23][24][25][26][27][28] However, the impact of depression on other surgical procedures has not been examined. In this study, our aim was to evaluate the effect of depression on hospital length of stay and site of discharge in colorectal surgery patients.…”

Section: Introductionmentioning

confidence: 98%

Depression Is Associated with Prolonged and Complicated Recovery Following Colorectal Surgery

Balentine

Hermosillo-Rodriguez

Robinson

et al. 2011

Journal of Gastrointestinal Surgery

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Depression and Geographic Status as Predictors for Coronary Artery Bypass Surgery Outcomes

Cited by 17 publications

References 31 publications

The Effect of Depression in Chronic Hemodialysis Patients on Inpatient Hospitalization Outcomes

The Effect of Depression in Chronic Hemodialysis Patients on Inpatient Hospitalization Outcomes

Independent Association Between Preoperative Cognitive Status and Discharge Location After Cardiac Surgery

Depression Is Associated with Prolonged and Complicated Recovery Following Colorectal Surgery

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