The role of depression and anxiety symptoms in hospital readmissions after cardiac surgery

Title
The role of depression and anxiety symptoms in hospital readmissions after cardiac surgery
Publication Date
2008-08
Author(s)
Tully, Phillip J
( author )
OrcID: https://orcid.org/0000-0003-2807-1313
Email: ptully2@une.edu.au
UNE Id une-id:ptully2
Baker, Robert A
Turnbull, Deborah
Winefield, Helen
Type of document
Journal Article
Language
en
Entity Type
Publication
Publisher
Springer New York LLC
Place of publication
United States of America
DOI
10.1007/s10865-008-9153-8
UNE publication id
une:1959.11/55514
Abstract

The objective of this study was to determine the association between depression, anxiety and general stress symptoms with hospital readmissions after coronary artery bypass graft surgery. Two hundred and twenty six coronary artery bypass graft patients completed baseline self-report measures of depression, anxiety and stress and 222 patients completed these measures after surgery on the hospital ward. The hospital readmission outcomes at six months were analyzed using multivariable proportional hazard models. When analyzed as continuous variables in multivariable analyses, preoperative anxiety and postoperative depression predicted readmissions independent of medical covariates. In multivariable analyses with dichotomized anxiety, depression and stress, more than two-fold increase in readmission risk was attributable to preoperative anxiety and postoperative depression, independent of covariates. These results lend further support to previous research that has shown the symptoms of depression and anxiety are associated with morbidity following coronary artery bypass graft surgery. The findings highlight the need to develop suitable interventions for anxiety and depression among coronary artery bypass graft surgery patients.

Link
Citation
Journal of Behavioral Medicine, 31(4), p. 281-290
ISSN
1573-3521
0160-7715
Start page
281
End page
290

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