Risk of depression after coronary artery bypass grafting: a SWEDEHEART population-based cohort study.

Coronary artery bypass grafting Depression Survival

Journal

European heart journal open
ISSN: 2752-4191
Titre abrégé: Eur Heart J Open
Pays: England
ID NLM: 9918282081406676

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 01 12 2021
revised: 10 02 2022
accepted: 01 03 2022
entrez: 3 8 2022
pubmed: 4 8 2022
medline: 4 8 2022
Statut: epublish

Résumé

A diagnosis of depression in patients with coronary heart disease is associated with worse outcomes. This study examined the long-term risk for new onset of depression after coronary artery bypass grafting (CABG) compared to an age- and sex-matched control group from the general population. In total, 125 418 primary isolated CABG patients and 495 371 matched controls were included from 1992 to 2017. The SWEDEHEART registry and three other national registers were used to acquire information about baseline characteristics and depression. The adjusted risk of depression was estimated by using Cox regression models adjusted for patient characteristics, and socioeconomic variables, described by hazard ratios (HR) and 95% confidence intervals (CI). In total, 6202 (4.9%) CABG patients and 17 854 (3.6%) controls developed depression. The cumulative incidence of depression was higher in CABG patients than in the control population [6.1%, 95% CI 6.0-6.3 vs. 4.7% (4.7-4.8), Patients who underwent CABG had a higher risk of new onset of depression compared to sex- and age-matched controls in the general population. The risk of depression was especially pronounced in younger patients during the first 5 years after surgery.

Identifiants

pubmed: 35919122
doi: 10.1093/ehjopen/oeac015
pii: oeac015
pmc: PMC9242047
doi:

Types de publication

Journal Article

Langues

eng

Pagination

oeac015

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.

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Auteurs

Malin Stenman (M)

Perioperative Medicine and Intensive Care Function, Karolinska University Hospital, Anna Steckséns gata 41, 171 64 Stockholm, Sweden.
Department of Molecular Medicine and Surgery, Karolinska Institutet, L1:00, Anna Steckséns gata 41, 171 76, Stockholm, Sweden.

Anders Jeppsson (A)

Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Blå stråket 5B, 413 45 Gothenburg, Sweden.
Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Blå stråket 5, 413 45 Gothenburg, Sweden.

Aldina Pivodic (A)

Department of Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Box 430, 405 30 Gothenburg, Sweden.

Ulrik Sartipy (U)

Department of Molecular Medicine and Surgery, Karolinska Institutet, L1:00, Anna Steckséns gata 41, 171 76, Stockholm, Sweden.
Department of Cardiothoracic Surgery, Karolinska University Hospital, Anna Steckséns gata 41, 171 64 Stockholm, Sweden.

Susanne J Nielsen (SJ)

Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Blå stråket 5B, 413 45 Gothenburg, Sweden.
Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Blå stråket 5, 413 45 Gothenburg, Sweden.

Classifications MeSH