Depressive Symptoms at Discharge from Rehabilitation Predict Future Cardiovascular-Related Hospitalizations
Data(s) |
10/04/2015
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Resumo |
Objectives: Depression is associated with poor prognosis in patients with cardiovascular disease (CVD). We hypothesized that depressive symptoms at discharge from a cardiac rehabilitation program are associated with an increased risk of future CVD-related hospitalizations. Methods: We examined 486 CVD patients (mean age = 59.8 ± 11.2) who enrolled in a comprehensive 3-month rehabilitation program and completed the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D). At follow-up we evaluated the predictive value of depressive symptoms for CVD-related hospitalizations, controlling for sociodemographic factors, cardiovascular risk factors, and disease severity. Results: During a mean follow-up of 41.5 ± 15.6 months, 63 patients experienced a CVD-related hospitalization. The percentage of depressive patients (HADS-D ≥ 8) decreased from 16.9% at rehabilitation entry to 10.7% at discharge. Depressive symptoms at discharge from rehabilitation were a significant predictor of outcome (HR 1.32, 95% CI 1.09–1.60; p =0.004). Patients with clinically relevant depressive symptoms at discharge had a 2.5-fold increased relative risk of poor cardiac prognosis compared to patients without clinically relevant depressive symptoms independently of other prognostic variables. Conclusion: In patients with CVD, depressive symptoms at discharge from rehabilitation indicated a poor cardiac prognosis. |
Formato |
application/pdf |
Identificador |
http://boris.unibe.ch/68083/1/375231.pdf Meyer, F. A.; Hugentobler, E.; Stauber, S.; Wilhelm, M.; Znoj, H.; von Känel, R. (2015). Depressive Symptoms at Discharge from Rehabilitation Predict Future Cardiovascular-Related Hospitalizations. Cardiology, 131(2), pp. 80-85. Karger 10.1159/000375231 <http://dx.doi.org/10.1159/000375231> doi:10.7892/boris.68083 info:doi:10.1159/000375231 info:pmid:25870996 urn:issn:0008-6312 |
Idioma(s) |
eng |
Publicador |
Karger |
Relação |
http://boris.unibe.ch/68083/ |
Direitos |
info:eu-repo/semantics/openAccess |
Fonte |
Meyer, F. A.; Hugentobler, E.; Stauber, S.; Wilhelm, M.; Znoj, H.; von Känel, R. (2015). Depressive Symptoms at Discharge from Rehabilitation Predict Future Cardiovascular-Related Hospitalizations. Cardiology, 131(2), pp. 80-85. Karger 10.1159/000375231 <http://dx.doi.org/10.1159/000375231> |
Palavras-Chave | #150 Psychology #610 Medicine & health |
Tipo |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion PeerReviewed |