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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Depression, anxiety disorders and Type D personality as risk factors for delirium after cardiac surgery.
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Depression, anxiety disorders and Type D personality as risk factors for delirium after cardiac surgery.

机译：抑郁症，焦虑症和D型性格是心脏手术后del妄的危险因素。

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OBJECTIVES: To determine the prognostic risk of incident delirium after cardiac surgery attributable to preoperative affective disorders and Type D personality. METHODS: Patients awaiting elective coronary revascularization surgery (N = 158; 20.9% female; 11.4% concomitant valve surgery; age M = 64.7, SD = 10.6) underwent the structured MINI International Neuropsychiatric Interview and completed a measure of Type D personality. Postoperative incident delirium was established prior to discharge from the index hospitalization with structured psychiatric interview. RESULTS: The prevalence of psychiatric disorders before cardiac surgery was 17.1% for major depression, 7.6% for panic disorder, 10.1% for generalized anxiety disorder, and 13.3% for Type D personality, while there were 49 (31% of total) cases of delirium after surgery. After adjustment for sex, older age, cross-clamp time, haemoglobin (Hb) and psychotropic drug use, major depression was significantly associated with delirium, odds ratio (OR) = 3.86 (95% confidence interval (CI) 1.42 to 10.52, p = 0.001). Adjustment for clinical covariates suggested that Type D personality was not significantly associated with delirium, OR = 2.85 (95%CI 0.97 to 8.38, p = 0.06). CONCLUSIONS: Major depression was significantly associated with incident delirium after cardiac surgery. These findings suggest that the risk of incident delirium attributable to major depression was not merely a reflection of common diagnostic features in prospectively examined cardiac surgery patients.
机译：目的：确定可归因于术前情感障碍和D型人格的心脏手术后发生ir妄的预后风险。方法：等待择期冠状动脉血运重建术的患者（N = 158;女性20.9％;伴随瓣膜手术11.4％;年龄M = 64.7，SD = 10.6）进行了结构化的MINI国际神经精神病学访谈，并完成了D型人格的测量。在通过结构性精神病学调查从指数住院治疗出院之前确定术后事件性ir妄。结果：心脏手术前的精神疾病患病率：重度抑郁症为17.1％，恐慌症为7.6％，广泛性焦虑症为10.1％，D型人格为13.3％，而49例（占总数的31％） surgery妄手术后。在调整了性别，年龄，交叉钳位时间，血红蛋白（Hb）和精神药物使用后，严重的抑郁症与del妄显着相关，优势比（OR）= 3.86（95％置信区间（CI）为1.42至10.52，p = 0.001）。临床协变量的调整表明，D型人格与del妄没有显着相关性，OR = 2.85（95％CI 0.97至8.38，p = 0.06）。结论：严重的抑郁症与心脏手术后的incident妄发生密切相关。这些发现表明，由重度抑郁症引起的ir妄事件的风险不仅反映了预期检查的心脏外科手术患者的常见诊断特征。

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