Depression before and after cardiac surgery: Do all patients respond the same?

摘要: Objective To characterize the prevalence, incidence, and risk factors for depression before after cardiac surgery. Methods Patients awaiting nonemergent surgery (N = 436), completed Patient Health Questionnaire-9 depression, as well International Physical Activity Questionnaire short version preoperatively (Q1, n = 436) at hospital discharge (Q2, n = 374). At baseline patients were categorized "naive," "at risk," or "depressed." each interval identified "not depressed" (Patient score 0-3), "possibly (score 4-9), "depressed" (score >9). Multivariate logistic regression analysis independent perioperative variables associated with depression. Results Depression prevalence Q1 Q2 was 23.6% 37.7%, respectively ( P  = .042), left ventricular ejection fraction   = .026), physical inactivity (Q1: OR, 2.03; 95% CI; 1.26-3.28;  = .002), at-risk group (Q2: 2.16; CI, 1.28-3.67;  = .004), depressed 7.46; 4.06-13.69; 7 days 1.62; 1.03-2.55;  = .039). Conclusions is prevalent in one-third of time discharge. It not operative postoperative factors, exception prolonged stay >7 days. Preoperative being highest