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Review
. 2020 Mar 26;9(4):909.
doi: 10.3390/jcm9040909.

Prevalence of Depression in Coronary Artery Bypass Surgery: A Systematic Review and Meta-Analysis

María Correa-Rodríguez  1   2 , Moath Abu Ejheisheh  1 , Nora Suleiman-Martos  3 , María José Membrive-Jiménez  4 , Almudena Velando-Soriano  5 , Jacqueline Schmidt-RioValle  1 , José Luis Gómez-Urquiza  1
Affiliations
Review

Prevalence of Depression in Coronary Artery Bypass Surgery: A Systematic Review and Meta-Analysis

María Correa-Rodríguez et al. J Clin Med. .

Abstract

Coronary artery bypass graft surgery (CABG) might adversely affect the health status of the patients, producing cognitive deterioration, with depression being the most common symptom. The aim of this study is to analyse the prevalence of depression in patients before and after coronary artery bypass surgery. A systematic review and meta-analysis was carried out, involving a study of the past 10 years of the following databases: CINAHL, LILACS, MEDLINE, PsycINFO, SciELO, Scopus, and Web of Science. The total sample comprised n = 16,501 patients. The total number of items was n = 65, with n = 29 included in the meta-analysis. Based on the different measurement tools used, the prevalence of depression pre-CABG ranges from 19-37%, and post-CABG from 15-33%. There is a considerable presence of depression in this type of patient, but this varies according to the measurement tool used and the quality of the study. Systematically detecting depression prior to cardiac surgery could identify patients at potential risk.

Keywords: coronary artery bypass graft; depression; mental health; meta-analysis; prevalence; surgery; systematic review.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Preferred reporting items for systematic review and meta-analysis (PRISMA) flow-chart of included studies.
Figure 2
Figure 2
Forest plot for pre-CABG depression using Hospital Anxiety and Depression Scale (HADS).
Figure 3
Figure 3
Forest plot for post-CABG depression using HADS.
Figure 4
Figure 4
Forest plot for pre-CABG depression using Beck Depression Inventory (BDI).
Figure 5
Figure 5
Forest plot for post-CABG depression using BDI.
Figure 6
Figure 6
Forest plot for pre-CABG depression using Patient Health Questionnaire (PHQ-9).
Figure 7
Figure 7
Forest plot for post-CABG depression using PHQ-9.
Figure 8
Figure 8
Forest plot for pre-CABG depression using Centre for Epidemiological Studies Depression Scale (CES-D).
Figure 9
Figure 9
Forest plot for post-CABG depression using CES-D.
See this image and copyright information in PMC

References

    1. Le J., Dorstyn D.S., Mpfou E., Prior E., Tully P.J. Health-related quality of life in coronary heart disease: A systematic review and meta-analysis mapped against the International Classification of Functioning, Disability and Health. Qual. Life Res. 2018;27:2491–2503. doi: 10.1007/s11136-018-1885-5. - DOI - PubMed
    1. Alexander J.H., Smith P.K. Coronary-Artery Bypass Grafting. N. Engl. J. Med. 2016;374:1954–1964. doi: 10.1056/NEJMra1406944. - DOI - PubMed
    1. Noyez L., de Jager M.J., Markou A.L.P. Quality of life after cardiac surgery: Underresearched research. Interact. Cardiovasc. Thorac. Surg. 2011;13:511–515. doi: 10.1510/icvts.2011.276311. - DOI - PubMed
    1. Karim M.N., Reid C.M., Huq M., Brilleman S.L., Cochrane A., Tran L., Billah B. Predicting long-term survival after coronary artery bypass graft surgery. Interact. Cardiovasc. Thorac. Surg. 2018;26:257–263. doi: 10.1093/icvts/ivx330. - DOI - PubMed
    1. AbuRuz M.E., Al-Dweik G., Al-Akash H.Y. Checking the moderating effect of perceived control on the relationship between anxiety and postoperative hospital length of stay among coronary artery bypass graft patients. Int. J. Gen. Med. 2019;12:79–85. doi: 10.2147/IJGM.S192333. - DOI - PMC - PubMed