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Cabg and depression

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By William Agyemang Advance adult nurse practitioner, practiced for 5 yrs, with a major hospital in the USA
Sima Lakdizaji, Vahid Zamanzadeh, Mohammad Zia Totonchi, Atoosa Hosseinzadeh
INTRODUCTION: Pain has been pointed out as one of the concerns of cardiac surgery patients. Acute pain management has been a challenge for health professionals and several regiments have been described. We designed this study to evaluate the effectiveness of pain control with patient-controlled analgesia (PCA) versus conventional nurse-controlled analgesia (NCA) during the postoperative period in the intensive care unit (ICU) after coronary artery bypass graft (CABG) surgery. METHODS: In this randomized clinical trial, 80 elective CABG candidates were selected by convenience sampling...
December 2012: Journal of Caring Sciences
Jakub Kazmierski, Andrzej Banys, Joanna Latek, Julius Bourke, Ryszard Jaszewski
BACKGROUND: The knowledge base regarding the pathogenesis of postoperative delirium is limited. The primary aim of this study is to investigate whether increased levels of IL-2 and TNF-α are associated with delirium in patients who underwent coronary-artery bypass graft (CABG) surgery with cardiopulmonary bypass (CPB). The secondary aim is to establish whether any association between raised cytokine levels and delirium is related to surgical and anesthetic procedures or mediated by pre-existing conditions associated with raised cytokine levels, such as major depressive disorder (MDD), cognitive impairment, or aging...
May 2014: International Psychogeriatrics
Joanna Szczepanska-Gieracha, Joanna Morka, Joanna Kowalska, Wojciech Kustrzycki, Joanna Rymaszewska
OBJECTIVES: The aim of this study was to evaluate the efficacy of early 3-week cardiac rehabilitation (CR) in terms of the reduction of negative psychological symptoms, and to determine which factors predispose patients to worse rehabilitation results in this regard. METHODS: The study involved a random group of 50 patients (11 women and 39 men) who had undergone coronary artery bypass grafting, with a mean age of 63.3 (± 7.2) years. The following screening tests were used: Beck Depression Inventory, State-Trait Anxiety Inventory and Acceptance of Illness Scale...
November 2012: European Journal of Cardio-thoracic Surgery
Lydia Poole, Elizabeth Leigh, Tara Kidd, Amy Ronaldson, Marjan Jahangiri, Andrew Steptoe
OBJECTIVE: 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). METHODS: 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...
January 2014: Journal of Psychosomatic Research
Berrie Middel, Noha El Baz, Susanne S Pedersen, Jitse P van Dijk, Klaske Wynia, Sijmen A Reijneveld
BACKGROUND: Although coronary artery bypass graft (CABG) is known to improve health-related quality of life (HRQoL), this improvement does not seem to be realized in all patients who had undergone CABG surgery. OBJECTIVE: The aim of this study was to test the direct and indirect influence of personality trait Type D on no change-deterioration trajectories HRQoL and the mediating influence of increased symptoms of anxiety and depression. METHODS: The hypothesized influence of personality trait Type D on the relationship between increased anxiety and depression and no change-deterioration trajectories in HRQoL was tested with path analysis using structural equation modeling...
November 2014: Journal of Cardiovascular Nursing
Sidney Chocron, Pierre Vandel, Camille Durst, Frédéric Laluc, Djamel Kaili, Michael Chocron, Joseph-Philippe Etievent
BACKGROUND: The efficacy of antidepressant therapy in patients undergoing coronary artery bypass grafting (CABG) is not clearly established. METHODS: This double-blind trial was conducted at University Hospital, Besançon, France. Adult CABG patients were randomized (1:1) to receive escitalopram (10 mg daily) or placebo from 2 to 3 weeks before to 6 months after surgery, including 12 months post-surgery follow-up. The primary composite endpoint was the occurrence of mortality or predefined morbidity events...
May 2013: Annals of Thoracic Surgery
Jakub Kazmierski, Andrzej Banys, Joanna Latek, Julius Bourke, Ryszard Jaszewski
INTRODUCTION: The pathophysiology of delirium after cardiac surgery is largely unknown. The purpose of this study was to investigate whether increased concentration of preoperative and postoperative plasma cortisol predicts the development of delirium after coronary artery bypass graft surgery. A second aim was to assess whether the association between cortisol and delirium is stress related or mediated by other pathologies, such as major depressive disorder (MDD) or cognitive impairment...
2013: Critical Care: the Official Journal of the Critical Care Forum
Sayyed Mohammad Mahdi Hazavei, Leila Sabzmakan, Akbar Hasanzadeh, Katayoun Rabiei, Hamidreza Roohafza
BACKGROUND: Depression is among the most important barriers to proper treatment ofcardiac patients. It causes failure in accepting their conditions, decreases their motivation infollowing the therapeutic recommendations, and thus negatively affects their functionality andquality of life. The present study aimed to investigate the effects of an educational programbased on Predisposing, Reinforcing, Enabling Constructs in Educational Diagnosis andEvaluation (PRECEDE) model on depression level in coronary artery bypass grafting (CABG)surgery patients...
2012: ARYA Atherosclerosis
Margarita Beresnevaitė, Rimantas Benetis, Graeme J Taylor, Kristina Jurėnienė, Šarūnas Kinduris, Vilija Barauskienė
OBJECTIVES: To assess preoperative depression in middle-aged men undergoing coronary artery bypass graft surgery (CABG) and to determine if depression is related to perioperative outcomes. DESIGN: One hundred and nine middle-aged male patients were randomly selected and assessed for depression one day before CABG using the Symptom Checklist-90 Revised (SCL-90R). Perioperative outcomes were: (1) postoperative length of hospital stay, (2) the presence of any early complications (at intensive care unit), and (3) the presence of any late complications (at cardiac surgery unit)...
October 2010: Scandinavian Cardiovascular Journal: SCJ
Tam K Dao, Nagy A Youssef, Raja R Gopaldas, Danny Chu, Faisal Bakaeen, Emily Wear, Deleene Menefee
BACKGROUND: Coronary artery bypass grafting (CABG) is often used to treat patients with significant coronary heart disease (CHD). To date, multiple longitudinal and cross-sectional studies have examined the association between depression and CABG outcomes. Although this relationship is well established, the mechanism underlying this relationship remains unclear. The purpose of this study was twofold. First, we compared three markers of autonomic nervous system (ANS) function in four groups of patients: 1) Patients with coronary heart disease and depression (CHD/Dep), 2) Patients without CHD but with depression (NonCHD/Dep), 3) Patients with CHD but without depression (CHD/NonDep), and 4) Patients without CHD and depression (NonCHD/NonDep)...
2010: Journal of Cardiothoracic Surgery
Louise H McKenzie, Jane Simpson, Marie Stewart
In addition to the physical benefits, another important objective of coronary artery bypass graft (CABG) surgery is improvement of health-related quality of life. The aim of this systematic review is to provide an overview of the literature relating to the pre-operative prediction of post-operative depression and anxiety in individuals who have undergone CABG surgery. Forty-six studies were identified through a literature search of electronic databases conducted using explicit inclusion and exclusion criteria...
January 2010: Psychology, Health & Medicine
H-B Rothenhäusler, A Stepan, R Hetterle, A Trantina-Yates
The success of routine coronary artery bypass graft surgery (CABG) is now no longer judged solely by its effects on traditional end points such as mortality rates but by its influence on biopsychosocial dimensions. The aim of this study was to assess the course of health-related quality of life, cognitive and emotional change during the six months after elective CABG, and to investigate how cognitive impairments, depression and posttraumatic stress symptoms were related to quality of life. In a prospective study, we followed up for 6 months 138 of the original 147 patients who had undergone elective CABG surgery...
June 2010: Fortschritte der Neurologie-Psychiatrie
L H McKenzie, Jane Simpson, Marie Stewart
This study examined the relationships between instrumental activities of daily living (IADL) skills and a range of demographic, medical, neuropsychological and psychological variables in patients following coronary artery bypass graft (CABG) surgery. Participants (N = 111; 92 males, 19 females; 111 white British or Irish ethnicity) completed a battery of demographic and medical questionnaires, and standardised neuropsychological, psychological and functional assessments in a within-subjects, cross-sectional design...
December 2009: Psychology, Health & Medicine
Tam K Dao, Danny Chu, Justin Springer, Raja R Gopaldas, Deleene S Menefee, Thomas Anderson, Emily Hiatt, Quang Nguyen
OBJECTIVE: The goal of this study was to examine the effect of clinical depression, posttraumatic stress disorder, and comorbid depression and posttraumatic stress disorder on in-hospital mortality after a coronary artery bypass grafting surgery. It is hypothesized that depression, posttraumatic stress disorder, and comorbid depression and posttraumatic stress disorder will independently contribute to an increased risk for in-hospital mortality rates after coronary artery bypass grafting surgery...
September 2010: Journal of Thoracic and Cardiovascular Surgery
Barbara M Murphy, Peter C Elliott, Rosemary O Higgins, Michael R Le Grande, Marian U C Worcester, Alan J Goble, James Tatoulis
BACKGROUND: To target interventions, patients at risk for poor outcomes after a cardiac event need to be identified. We investigated trajectories of anxiety and depression after coronary artery bypass graft surgery (CABGS) and identified patients at risk of persistent or worsening anxiety and depression. METHODS: A consecutive sample of 184 patients on the waiting list for CABGS at The Royal Melbourne Hospital completed self-report questionnaires before surgery, and at 2 and 6 months postsurgery...
August 2008: European Journal of Cardiovascular Prevention and Rehabilitation
Rachel H B Mitchell, Emma Robertson, Paula J Harvey, Robert Nolan, Gary Rodin, Sarah Romans, Beth L Abramson, Stephanie J Brister, Joan Ivanov, Donna E Stewart
BACKGROUND: Previous research suggests that after coronary artery bypass graft (CABG) surgery, women fare worse than men. This study investigates sex differences in depression during recovery from CABG surgery. METHODS: We followed 137 patients (72 men, 65 women) undergoing elective isolated first CABG surgery between July 2003 and April 2004. Patients were interviewed < or = 28 days before surgery and between 6 and 12 weeks after surgery. Patients completed a structured diagnostic interview for major depressive disorder (MDD) and the Beck Depression Inventory (BDI)...
November 2005: American Heart Journal
Matthew M Burg, M Cristina Benedetto, Robert Soufer
OBJECTIVES: Depression has been related to mortality in patients with CAD and to medical morbidity after CABG; however, prior studies have not examined the contribution of presurgical depressive symptoms to mortality after CABG. The purpose of this study was to determine the independent contribution of presurgical symptoms of depression to 2-year cardiac mortality after CABG. METHODS: Eighty-nine consecutive veteran nonemergent CABG patients recruited between December 1996 and June 1998 completed the BDI 1 to 7 days before surgery...
July 2003: Psychosomatic Medicine
Matthew M Burg, M Cristina Benedetto, Roberta Rosenberg, Robert Soufer
OBJECTIVE: Depression has been related to poor medical prognosis in patients with coronary artery disease and to diminished quality of life after coronary artery bypass graft surgery (CABG). However, prior studies have not fully examined the impact of depression on medical outcomes after CABG. The purpose of this study was to determine the independent contribution of presurgical depression to short-term medical outcome after CABG. METHODS: Medical, surgical, and psychosocial risk factors were assessed before surgery in 89 male veterans undergoing CABG...
January 2003: Psychosomatic Medicine
M F Scheier, K A Matthews, J F Owens, R Schulz, M W Bridges, G J Magovern, C S Carver
OBJECTIVE: To determine whether optimism predicts lower rates of rehospitalization after coronary artery bypass graft surgery for the 6 months after surgery. METHODS: A prospective, inception cohort design was used. The sample consisted of all consenting patients (N=309) from a consecutive series of patients scheduled for elective coronary artery bypass graft surgery at a large, metropolitan hospital in Pittsburgh, Pa. To be eligible, patients could not be scheduled for any other coincidental surgery (eg, valve replacement) and could not be in the cardiac intensive care unit or experiencing angina at the time of the referral...
April 26, 1999: Archives of Internal Medicine
N Timberlake, L Klinger, P Smith, G Venn, T Treasure, M Harrison, S P Newman
A number of studies have examined the impact of coronary artery bypass graft surgery (CABG) on mood by means of cross-sectional analyses. These studies have provided a "snapshot" view of the numbers of patients showing psychological disturbance. To examine both the incidence and patterns of depression, 121 patients undergoing routine elective CABG were assessed preoperatively and postoperatively at 8 days, 8 weeks, and 12 months on the Beck Depression Inventory (BDI). The incidence findings suggested a small, transient increase in the number of patients with depression shortly after surgery...
August 1997: Journal of Psychosomatic Research
2014-11-20 01:40:43
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