Depression and Geographic Status as Predictors for Coronary Artery Bypass Surgery Outcomes

Bibliographic Data

ID19433136
AuthorsTam K Dao (Michael E. DeBakey VA Medical Center), Danny Chu (0000-0002-2183-6072, Baylor College of Medicine), Justin Springer, Justin R Springer (Michael E. DeBakey VA Medical Center), Emily Hiatt, Emily L Hiatt (University of Houston), Quang Nguyen (0000-0002-1188-3385, Michael E. DeBakey VA Medical Center)
Year2010
Volume26
Issue1
Pages36-43
Publication date2010-01-01
Open AccessYes
TypeARTICLE
VenueThe Journal of Rural Health (JOURNAL)
Journal identifiersISSN: 0890-765X • E-ISSN: 1748-0361
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1748-0361.2009.00263.x
PMID20105266
OpenAlexW1999675389
LanguageEN
Citations received2
References cited30

PURPOSE: To examine the relationships between depression, geographic status, and clinical outcomes following a coronary artery bypass grafting (CABG) surgery. METHODS: Using the 2004 Nationwide Inpatient Sample database, we identified 63,061 discharge records of patients who underwent a primary CABG surgery (urban 57,247 and rural 5,814). We analyzed 7 demographic variables, 19 preoperative medical and psychiatric variables, and 2 outcome variables (ie, in-hospital mortality and length of stay). Logistic regression and multivariable regression analyses were used to assess urban-rural status and depression as independent predictors of in-hospital mortality and length of stay. FINDINGS: Rural patients were more likely to have a comorbid depression diagnosis compared to urban patients (urban = 19.4%, rural = 21.4%, P < .001). After adjusting for confounding factors, having a comorbid depression diagnosis (B= 1.10, P < .001) and residing in a rural area (B= .986, P < .05) were associated with an increased length of in-hospital stay following CABG surgery. Furthermore, having a depression diagnosis (OR = 1.63, 95% CI = 1.45-2.21) and residing in a rural area (OR = 1.43, 95% CI = .896-1.45) were associated with an increased likelihood of in-hospital mortality. CONCLUSIONS: Rural patients were more likely than urban ones to have a depression diagnosis. Depression was a significant independent predictor of both in-hospital mortality and length of stay for patients receiving CABG surgery. Also, rural patients had increased lengths of in-hospital stay as well as in-hospital mortality rates compared to those who resided in urban areas

Artery · Cardiology · Coronary artery bypass surgery · Cardiac and Coronary Surgery Techniques · Cardiac Health and Mental Health · Medicine · Music Therapy and Health · Internal Medicine

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