The combined association of depression and socioeconomic status with length of post-operative hospital stay following coronary artery bypass graft surgery: data from a prospective cohort study

Journal of Psychosomatic Research
Lydia PooleAndrew Steptoe

Abstract

To understand the association between pre-operative depression symptoms, including cognitive and somatic symptom subtypes, and length of post-operative stay in patients undergoing coronary artery bypass graft (CABG) surgery, and the role of socioeconomic status (SES). We measured depression symptoms using the Beck Depression Inventory (BDI) and household income in the month prior to surgery in 310 participants undergoing elective, first-time, CABG. Participants were followed-up post-operatively to assess the length of their hospital stay. We showed that greater pre-operative depression symptoms on the BDI were associated with a longer hospital stay (hazard ratio=0.978, 95% CI 0.957-0.999, p=.043) even after controlling for covariates, with the effect being observed for cognitive symptoms of depression but not somatic symptoms. Lower SES augmented the negative effect of depression on length of stay. Depression symptoms interact with socioeconomic position to affect recovery following cardiac surgery and further work is needed in order to understand the pathways of this association.

References

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Citations

Mar 22, 2016·British Journal of Health Psychology·Tara KiddAndrew Steptoe
Jul 17, 2014·The American Journal of Cardiology·Malin StenmanUlrik Sartipy
Aug 25, 2016·Journal of Behavioral Medicine·Lydia PooleAndrew Steptoe
Apr 1, 2020·Journal of Clinical Medicine·María Correa-RodríguezJosé Luis Gómez-Urquiza
Sep 30, 2017·Journal of Clinical Nursing·Hsiu-Yun LiaoHsing-Mei Chen
Apr 30, 2020·Revista gaúcha de enfermagem·Hélen Francine RodriguesCarina Aparecida Marosti Dessotte
Jul 16, 2020·International Journal of Environmental Research and Public Health·Alessandra GoriniElena Tremoli
Oct 12, 2020·Current Cardiology Reports·Stefan SalzmannFrank Euteneuer
Jan 23, 2021·International Journal of Environmental Research and Public Health·Chimdimma Noelyn OnahKen W Dunn
Jan 27, 2019·The Annals of Thoracic Surgery·Eric J CharlesUNKNOWN Investigators for the Virginia Cardiac Services Quality Initiative
Jun 18, 2019·Journal of Vascular Surgery·Robert B HawkinsUNKNOWN Virginias Vascular Group
Sep 24, 2019·The Journal of Thoracic and Cardiovascular Surgery·J Hunter MehaffeyGorav Ailawadi

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Methods Mentioned

BETA
coronary artery bypass

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