The importance of depression and alcohol use in coronary artery bypass graft surgery patients: risk factors for delirium and poorer quality of life
Identifieur interne : 001572 ( Main/Exploration ); précédent : 001571; suivant : 001573The importance of depression and alcohol use in coronary artery bypass graft surgery patients: risk factors for delirium and poorer quality of life
Auteurs : Joanne M. Humphreys [Australie] ; Linley A. Denson [Australie] ; Robert A. Baker [Australie] ; Phillip J. Tully [France, Australie]Source :
- Journal of Geriatric Cardiology : JGC [ 1671-5411 ] ; 2016.
Abstract
To investigate whether depression, anxiety and stress increase the risk for delirium and poor quality of life (QOL) after coronary artery bypass (CABG) surgery.
A total of 180 CABG patients (mean age of 63.5 ± 10.1 years, 82.2% males) completed baseline and postoperative self-report questionnaires to assess distress and QOL. Incident delirium was diagnosed postoperatively with a structured clinical interview and patients were monitored every day post-operatively for confusion and disturbance in consciousness.
Delirium developed in 63 persons (35% of sample). After adjustment for covariates, delirium was significantly associated with depression [odds ratio (OR): 1.08; 95% confidence interval (CI): 1.03–1.13,
Depression and harmful levels of alcohol use were consistently associated with poorer QOL whereas depression, anxiety and stress were associated with delirium risk. These findings point to further research examining depression and harmful levels of alcohol use in coronary heart disease populations undergoing coronary revascularization.
Url:
DOI: 10.11909/j.issn.1671-5411.2016.01.010
PubMed: 26918013
PubMed Central: 4753012
Affiliations:
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Humphreys</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>School of Psychology, Faculty of Health Sciences, University of Adelaide, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychology, Faculty of Health Sciences, University of Adelaide</wicri:regionArea><wicri:noRegion>University of Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Denson, Linley A" sort="Denson, Linley A" uniqKey="Denson L" first="Linley A" last="Denson">Linley A. Denson</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>School of Psychology, Faculty of Health Sciences, University of Adelaide, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychology, Faculty of Health Sciences, University of Adelaide</wicri:regionArea><wicri:noRegion>University of Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Baker, Robert A" sort="Baker, Robert A" uniqKey="Baker R" first="Robert A" last="Baker">Robert A. Baker</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Cardiac Surgery Research, Department of Surgery, School of Medicine, Flinders University of South Australia, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Cardiac Surgery Research, Department of Surgery, School of Medicine, Flinders University of South Australia</wicri:regionArea><wicri:noRegion>Flinders University of South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Tully, Phillip J" sort="Tully, Phillip J" uniqKey="Tully P" first="Phillip J" last="Tully">Phillip J. Tully</name><affiliation wicri:level="3"><nlm:aff id="aff3"><addr-line>University of Bordeaux, Department of Neuroepidemiology, Bordeaux, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Bordeaux, Department of Neuroepidemiology, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff4"><addr-line>INSERM, Department of Neuroepidemiology, Bordeaux, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>INSERM, Department of Neuroepidemiology, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, University of Adelaide, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, University of Adelaide</wicri:regionArea><wicri:noRegion>University of Adelaide</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Geriatric Cardiology : JGC</title><idno type="ISSN">1671-5411</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To investigate whether depression, anxiety and stress increase the risk for delirium and poor quality of life (QOL) after coronary artery bypass (CABG) surgery.</p></sec><sec><title>Methods</title><p>A total of 180 CABG patients (mean age of 63.5 ± 10.1 years, 82.2% males) completed baseline and postoperative self-report questionnaires to assess distress and QOL. Incident delirium was diagnosed postoperatively with a structured clinical interview and patients were monitored every day post-operatively for confusion and disturbance in consciousness.</p></sec><sec><title>Results</title><p>Delirium developed in 63 persons (35% of sample). After adjustment for covariates, delirium was significantly associated with depression [odds ratio (OR): 1.08; 95% confidence interval (CI): 1.03–1.13, <italic>P</italic> = 0.003], anxiety (OR: 1.07; 95% CI: 1.02–1.13, <italic>P</italic> = 0.01) and stress (OR: 1.05; 95% CI: 1.00–1.09, <italic>P</italic> = 0.03). Preoperative depression scores were associated with poorer QOL including bodily pain (<italic>β</italic> = −0.39, <italic>P</italic> = 0.013), vitality (<italic>β</italic> = −0.32, <italic>P</italic> = 0.020), social functioning (<italic>β</italic> = −0.51, <italic>P</italic> ≤ 0.001), emotional role function (<italic>β</italic> = −0.44, <italic>P</italic> = 0.003) and general health (<italic>β</italic> = −0.33, <italic>P</italic> = 0.038). Among the covariates, harmful levels of alcohol use was consistently associated with poorer QOL.</p></sec><sec><title>Conclusions</title><p>Depression and harmful levels of alcohol use were consistently associated with poorer QOL whereas depression, anxiety and stress were associated with delirium risk. These findings point to further research examining depression and harmful levels of alcohol use in coronary heart disease populations undergoing coronary revascularization.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Deb, S" uniqKey="Deb S">S Deb</name></author><author><name sortKey="Wijeysundera, Hc" uniqKey="Wijeysundera H">HC Wijeysundera</name></author><author><name sortKey="Ko, Dt" uniqKey="Ko D">DT Ko</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choiniere, M" uniqKey="Choiniere M">M Choiniere</name></author><author><name sortKey="Watt Watson, J" uniqKey="Watt Watson J">J Watt-Watson</name></author><author><name sortKey="Victor, Jc" uniqKey="Victor J">JC Victor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhou, Bd" uniqKey="Zhou B">BD Zhou</name></author><author><name sortKey="Zu, Ly" uniqKey="Zu L">LY Zu</name></author><author><name 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uniqKey="Davidson K">KW Davidson</name></author><author><name sortKey="Bigger, Jt" uniqKey="Bigger J">JT Bigger</name></author><author><name sortKey="Burg, Mm" uniqKey="Burg M">MM Burg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tully, Pj" uniqKey="Tully P">PJ Tully</name></author><author><name sortKey="Baumeister, H" uniqKey="Baumeister H">H Baumeister</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dickens, C" uniqKey="Dickens C">C Dickens</name></author><author><name sortKey="Cherrington, A" uniqKey="Cherrington A">A Cherrington</name></author><author><name sortKey="Adeyemi, I" uniqKey="Adeyemi I">I Adeyemi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rutledge, T" uniqKey="Rutledge T">T Rutledge</name></author><author><name sortKey="Redwine, Ls" uniqKey="Redwine L">LS Redwine</name></author><author><name sortKey="Linke, Se" uniqKey="Linke S">SE Linke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ettema, R" uniqKey="Ettema R">R Ettema</name></author><author><name sortKey="Schuurmans, Mj" uniqKey="Schuurmans M">MJ Schuurmans</name></author><author><name sortKey="Schutijser, B" uniqKey="Schutijser B">B Schutijser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ettema, Rg" uniqKey="Ettema R">RG Ettema</name></author><author><name sortKey="Hoogendoorn, Me" uniqKey="Hoogendoorn M">ME Hoogendoorn</name></author><author><name sortKey="Kalkman, Cj" uniqKey="Kalkman C">CJ Kalkman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ashraf, Jm" uniqKey="Ashraf J">JM Ashraf</name></author><author><name sortKey="Schweiger, M" uniqKey="Schweiger M">M Schweiger</name></author><author><name sortKey="Vallurupalli, N" uniqKey="Vallurupalli N">N Vallurupalli</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Aquitaine</li><li>Nouvelle-Aquitaine</li></region><settlement><li>Bordeaux</li></settlement></list><tree><country name="Australie"><noRegion><name sortKey="Humphreys, Joanne M" sort="Humphreys, Joanne M" uniqKey="Humphreys J" first="Joanne M" last="Humphreys">Joanne M. Humphreys</name></noRegion><name sortKey="Baker, Robert A" sort="Baker, Robert A" uniqKey="Baker R" first="Robert A" last="Baker">Robert A. Baker</name><name sortKey="Denson, Linley A" sort="Denson, Linley A" uniqKey="Denson L" first="Linley A" last="Denson">Linley A. Denson</name><name sortKey="Tully, Phillip J" sort="Tully, Phillip J" uniqKey="Tully P" first="Phillip J" last="Tully">Phillip J. Tully</name></country><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Tully, Phillip J" sort="Tully, Phillip J" uniqKey="Tully P" first="Phillip J" last="Tully">Phillip J. Tully</name></region><name sortKey="Tully, Phillip J" sort="Tully, Phillip J" uniqKey="Tully P" first="Phillip J" last="Tully">Phillip J. Tully</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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