Depression screening after cardiac surgery: A six month longitudinal follow up for cardiac events, hospital readmissions, quality of life and mental health

International Journal of Cardiology
Phillip J TullyRobert A Baker

Abstract

To report the 6-month longitudinal outcomes of routine depression screening in cardiac patients. Routine depression screening consisted of the Patient Health Questionnaire (PHQ) administered 30-days after cardiac surgery at the Flinders Medical Centre, South Australia. Complete data was obtained on 481 patients who were subdivided into three groups; depressed-cardiac control determined by current anti-depressant use or history of depression in medical records (n=90), depression screen-positives (PHQ≥10, n=46) and depression screen-negatives (PHQ≤9, n=345). These groups were re-assessed at 6 month follow-up for major adverse cardiac events (MACE), hospital readmission, quality of life (SF-12), symptomatic depression, and use of antidepressants, anxiolytics and psychotherapy. By six-month follow-up the depression screen-positive group was at a higher risk of MACE (adjusted odds ratio [OR] 2.16; 95% confidence interval [CI] .98-4.74). The depression screen-positive group was also at a higher risk of depressed mood (PHQ scores ≥10: adjusted OR 6.54; 95% CI 3.16-13.53). The depression screen-positive group also reported significantly poorer QOL in five domains (all p<.001 with Bonferroni correction). The depression screen-positive g...Continue Reading

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Citations

Apr 9, 2016·International Journal of Cardiology·Tomoyuki Kawada
Jun 22, 2016·International Journal of Cardiology·Robert M CarneyGregory Ewald
Sep 27, 2018·Journal of Crohn's & Colitis·Jessie J WongK T Park
Jun 3, 2017·The British Journal of Psychiatry : the Journal of Mental Science·Phillip J Tully

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