Patients with depression are more than twice as likely to die after undergoing surgery

Relation between depression after coronary artery bypass surgery and 12-month outcome: a prospective … -
I Connerney, PA Shapiro, JS McLaughlin, E Bagiella … - The Lancet, 2001 - Elsevier
... cohorts, in patients undergoing catheterisation, or in patients who have had ... We have
assessed the effect of depression on outcomes after coronary artery ...

… Effect of Heart Rate Control on Myocardial Ischemia Among High-Risk Patients After Vascular Surgery -
KE Raby, SJ Brull, F Timimi, S Akhtar, S Rosenbaum … - Anesthesia & Analgesia, 1999 - IARS
... in postoperative ST-segment depression in cardiac morbidity after vascular surgery ...
Silent myocardial ischemia in patients undergoing peripheral vascular ...

Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery -
DT Mangano, EL Layug, A Wallace, I Tateo? - N Engl J Med, 1996 - Mass Med Soc
... atenolol on mortality and cardiovascular morbidity after noncardiac surgery. ... Reducing
cardiovascular risk in patients undergoing noncardiac surgery. ...

Depression as a risk factor for mortality after coronary artery bypass surgery -
JA Blumenthal, HS Lett, MA Babyak, W White, PK … - The Lancet, 2003 - Elsevier
... risk could be reduced by treatment of depression after surgery. ... risk and whether
treating depression can reduce ... of death in depressed patients undergoing CABG. ...

DISPOSITION OF PROPOFOL IN PATIENTS UNDERGOING SURGERY A Comparison in Men and Women -
NH KAY, JW SEAR, J UPPINGTON, ID COCKSHOTT, EJ … - British Journal of Anaesthesia, 1986 - British Jrnl Anaesthesia
... DISPOSITION OF PROPOFOL IN PATIENTS UNDERGOING SURGERY ... Disoprofol blood concentrations
in patients. ... Biphasic respiratory depression after fentanyl-droperidol ...

Depression in male and female patients undergoing cardiac surgery. -
EJ Burker, JA Blumenthal, M Feldman, R Burnett, W … - Br J Clin Psychol, 1995 - ncbi.nlm.nih.gov
... of depression in male and female patients undergoing cardiac surgery, and to examine
what factors are associated with depression before and after surgery. ...

A comparison of remifentanil and alfentanil in patients undergoing major abdominal surgery. -
J Schuttler, S Albrecht, H Breivik, S Osnes, C … - Anaesthesia, 1997 - pt.wkhealth.com
... to approximately 60 min after a 4 ... anaesthesia or postoperative respiratory depression
[13]. ... anaesthetic technique in patients undergoing major, nongynaecological ...

The course of anxiety and depression in patients undergoing coronary artery bypass graft surgery. -
AA Duits, HJ Duivenvoorden, S Boeke, MA Taams, B … - J Psychosom Res, 1998 - ncbi.nlm.nih.gov
... follow-up the course of anxiety and depression in patients undergoing coronary artery ...
At two timepoints before and two after surgery, 217 patients completed ...

Catastrophic outcomes of noncardiac surgery soon after coronary stenting -
GL Kaluza, J Joseph, JR Lee, ME Raizner, AE … - Journal of the American College of Cardiology, 2000 - Am Coll Cardio Found
... 2 to 3 mm ST segment depression in leads ... cardiovascular morbidity in patients with
coronary ... disease undergoing vascular surgery after percutaneous transluminal ...

Psychological support for patients undergoing breast cancer surgery: a randomised study.
JM McArdle, WD George, CS McArdle, DC Smith, AR … - BMJ, 1996 - ncbi.nlm.nih.gov
... INTERVENTIONS-- Patients were randomly allocated to receive routine ... and hospital
anxiety and depression scale. ... and at three, six, and 12 months after surgery. ...

Depression Doubles Risk of Dying After Heart Bypass

Patients with depression are more than twice as likely to die after undergoing surgery to bypass blocked coronary arteries than patients without this mental illness, according to a new study.

While the link between depression and poor outcomes after heart bypass has been suspected, previous studies have not reached solid conclusions either because the number of patients studied was too small or they weren`t followed for long enough, Dr. James A. Blumenthal told. "Our study involved more than 800 patients who were followed for up to 12 years," he explained.

Blumenthal and a team at Duke University Medical Centers in Durham, North Carolina, tracked 817 patients who underwent coronary artery bypass grafting between May 1989 and May 2001. The patients were tested of depression before surgery and six months after.

Subsequently, during follow-up that averaged 5 years, 122 patients died.

Over a third of the patients were found to have depression, the researchers report in this week`s issue of the medical journal The Lancet.

After taking into account factors such as age, sex, diabetes, smoking, and number of grafts, the team found that moderate-to-severe depression before surgery increased the risk of death 2.4-fold. Similarly, depression that persisted from before surgery to 6 months after was linked to a 2.2-fold increased risk of dying.

The results suggest that "physicians need to be more cognizant of the potential importance of depression," Blumenthal noted. "In addition to looking at conventional cardiac risk factors, such as hypertension and smoking, physicians need to pay attention to a person`s mental state."

He believes having a member of the bypass team screen patients for depression would be worthwhile. "Effective treatments for depression are available, but whether these treatments would actually improve survival after coronary bypass is unknown," Blumenthal pointed out. "But certainly improving quality of life would be a goal in and of itself."

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Recent News and Articles on the Keywords: depression after + patients undergoing + surgery Related to the article below (Last Update: 7/1/2008)

Depression Doubles Risk of Dying After Heart Bypass

Patients with depression are more than twice as likely to die after undergoing surgery to bypass blocked coronary arteries than patients without this mental illness, according to a new study.