کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5884066 1150151 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Original ArticlesPreoperative Depression Symptom Severity and Its Impact on Adherence to Preoperative Beta-Blocker Therapy
ترجمه فارسی عنوان
علایم شدت علائم افسردگی و تاثیر آن بر پیوستگی به درمان قبل از عمل بتا-بلوک کننده
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

ObjectivesTo test the association among depression symptoms, distressed personality type, and preoperative beta-blocker nonadherence and to estimate the prevalence of untreated major depression in this population.DesignProspective observational study.SettingA veterans hospital.ParticipantsOne hundred twenty patients on outpatient beta-blocker therapy presenting for surgery.InterventionsThe Patient Health Questionnaire (PHQ)-9, the D-Scale-14 (DS14), and Modified Morisky Scale (MMS) questionnaires.Measurements and Main ResultsOf 99 participants who presented for surgery, the incidence of preoperative nonadherence was 14.1% (95% confidence interval 7%-21%), consistent with prior research. Nonadherence was 9.5% among those with no depression, 27.8% among those with mild depression, and 28.6% among those with moderate-to-severe depression (Cochran-Armitage test for trend p = 0.03). Distressed personality type was found in 35% of the cohort (95% confidence interval 26-45%) and was not associated with beta-blocker nonadherence (Fisher's exact test, p = 0.24). Among participants with symptoms of major depressive disorder (n = 25, 25.3%), more than half (n = 14, 56%) had no indication of depression listed at their most recent primary care visit.ConclusionsPatients with symptoms of depression on chronic beta-blocker therapy are susceptible to medication nonadherence on the day of surgery. Most surgical patients with symptoms of major depression lack a diagnosis of depression. Preoperative depression screening may thus (1) identify a population at increased risk of beta-blocker withdrawal, and (2) identify patients who may benefit from anesthesiologist-initiated referral for this treatable condition.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cardiothoracic and Vascular Anesthesia - Volume 28, Issue 6, December 2014, Pages 1467-1473
نویسندگان
, , , , , , , , ,