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首页> 美国卫生研究院文献>Risk Management and Healthcare Policy >Pre-operative depression predicted longer hospital length of stay among patients undergoing coronary artery bypass graft surgery
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Pre-operative depression predicted longer hospital length of stay among patients undergoing coronary artery bypass graft surgery

机译：术前抑郁症预示着接受冠状动脉搭桥手术的患者住院时间更长

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>Purpose: Coronary artery bypass graft surgery (CABG) is a common and remarkably effective treatment for coronary heart disease, improving health status and enhancing quality of life. However, some outcomes after surgery remain unexplained, including psychological factors such as depression. The prevalence rates of pre- and post-operative depression among CABG patients are high, which is associated with negative short- and long-term outcomes. This study explores the impacts of pre-operative depressive symptoms on post-operative hospital length of stay (LOS) among patients undergoing CABG in Jordan.>Patients and methods: This was a non-experimental, prospective observational study among 227 CABG patients recruited from 5 hospitals in Amman, Jordan. Depression was measured within an average of two weeks prior and one month after the operation using the Hospital Anxiety and Depression Scale. Length of stay was abstracted from medical records after discharge.>Results: The average post-operative LOS was 11.40±10.41 days. The average pre-operative depression level was moderate; 12.76±6.80 and 42.47% complained of varying levels of depressive symptoms. The average post-operative depression level was moderate; 11.11±6.78 and 40.53% complained of varying levels of depressive symptoms. In stepwise regression models, depression scores and female gender were independent predictors that increased post-operative LOS. On the other hand, high income (≥1501$/month) and use of statins had protective effects and decreased post-operative LOS. The model explained 22.4% of the total variance regarding LOS.>Conclusion: Pre-operative depressive symptoms increased post CABG LOS. Application of policies and depression assessment protocols prior to CABG by health care providers can identify high-risk groups (eg, females), so appropriate interventions can be designed and implemented to decrease morbidity and mortality.
机译：>目的：冠状动脉旁路移植术（CABG）是一种常见且非常有效的冠心病治疗方法，可改善健康状况并提高生活质量。但是，手术后的一些结果仍无法解释，包括诸如抑郁之类的心理因素。 CABG患者术前和术后抑郁症的患病率很高，这与短期和长期预后不良相关。这项研究探讨了约旦接受CABG的患者术前抑郁症状对术后住院天数（LOS）的影响。>患者和方法：这是一项非实验性的前瞻性观察性研究从约旦安曼的5家医院招募的227名CABG患者中。使用医院焦虑和抑郁量表在手术前两周和术后一个月的平均时间内对抑郁进行测量。从出院后的病历中提取住院时间。>结果：术后平均LOS为11.40±10.41天。术前平均抑郁水平中等。 12.76±6.80和42.47％的人抱怨抑郁症状水平不一。术后平均抑郁水平中等。 11.11±6.78和40.53％的人抱怨抑郁症状水平不同。在逐步回归模型中，抑郁评分和女性性别是增加术后LOS的独立预测因素。另一方面，高收入（≥1501$ /月）和他汀类药物的使用具有保护作用，并降低术后LOS。该模型解释了关于LOS的总方差的22.4％。>结论： CABG LOS后术前抑郁症状增加。医疗保健提供者在CABG之前应用政策和抑郁评估协议可以识别高风险人群（例如女性），因此可以设计和实施适当的干预措施以降低发病率和死亡率。

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