Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/62695
Citations | ||
Scopus | Web of ScienceĀ® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Depression, anxiety disorders and Type D personality as risk factors for delirium after cardiac surgery |
Author: | Tully, P. Baker, R. Winefield, H. Turnbull, D. |
Citation: | Australian and New Zealand Journal of Psychiatry, 2010; 44(11):1005-1011 |
Publisher: | Blackwell Publishing Asia |
Issue Date: | 2010 |
ISSN: | 0004-8674 1440-1614 |
Statement of Responsibility: | Phillip J. Tully , Robert A. Baker , Helen R. Winefield and Deborah A. Turnbull |
Abstract: | Objectives: To determine the prognostic risk of incident delirium after cardiac surgery attributable to preoperative affective disorders and Type D personality. Methods: Patients awaiting elective coronary revascularization surgery (N _ 158; 20.9% female; 11.4% concomitant valve surgery; age M _ 64.7, SD _ 10.6) underwent the structured MINI International Neuropsychiatric Interview and completed a measure of Type D personality. Postoperative incident delirium was established prior to discharge from the index hospitalization with structured psychiatric interview. Results: The prevalence of psychiatric disorders before cardiac surgery was 17.1% for major depression, 7.6% for panic disorder, 10.1% for generalized anxiety disorder, and 13.3% for Type D personality, while there were 49 (31% of total) cases of delirium after surgery. After adjustment for sex, older age, cross-clamp time, haemoglobin (Hb) and psychotropic drug use, major depression was significantly associated with delirium, odds ratio (OR) _ 3.86 (95% confidence interval (CI) 1.42 to 10.52, p _ 0.001). Adjustment for clinical covariates suggested that Type D personality was not significantly associated with delirium, OR _ 2.85 (95%CI 0.97 to 8.38, p _ 0.06). Conclusions: Major depression was significantly associated with incident delirium after cardiac surgery. These findings suggest that the risk of incident delirium attributable to major depression was not merely a reflection of common diagnostic features in prospectively examined cardiac surgery patients. |
Keywords: | coronary artery bypass grafts delirium major depression panic disorder Type D personality |
Rights: | Copyright 2010 The Royal Australian and New Zealand College of Psychiatrists |
DOI: | 10.3109/00048674.2010.495053 |
Published version: | http://informahealthcare.com/doi/abs/10.3109/00048674.2010.495053 |
Appears in Collections: | Aurora harvest 5 Psychology publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.