The impact of depression on activities of daily living skills in individuals who have undergone coronary artery bypass graft surgery

2009 ◽  
Vol 14 (6) ◽  
pp. 641-653 ◽  
Author(s):  
L. H. McKenzie ◽  
Jane Simpson ◽  
Marie Stewart
2020 ◽  
Vol 26 (1) ◽  
pp. 2-13
Author(s):  
Ezzat Paryad ◽  
◽  
Alireza Balaafkandah ◽  
Atefeh Ghanbari ◽  
◽  
...  

Aims Obese or overweight people are more likely to have complications after Coronary Artery Bypass Graft (CABG) surgery. It affects the patientschr('39') postoperative abilities to perform Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). The aim of this study was to determine the factors predicting ADLs and IADLs in overweight and obese patients after CABG. Methods & Materials This analytical study with cross-sectional design was conducted over a period of 4 months on 84 patients one month after CABG, who were selected using a convenience sampling method. Data were collected using a sociodemographic form, Charlson comorbidity index, Katz Index, and Lawton IADL Scale. The collected data were analyzed in SPSS software using descriptive and inferential statistics. Findings The majority of obese and overweight patients (94%), one month after surgery, were independent of their ADLs, while most of them were in need of help in their IADLs (88.1%). Logistic regression model showed that the variables of male gender (P=0.004, OR=10.51, CI 95%=2.15-15.41) and carotid artery involvement (P=0.01, OR=0.12, CI 95%= 0.02-0.64) were the predictors of ADLs and IADLs in these patients. Conclusion Obese and overweight people have impairments in performing IADLs. It is important to pay attention to the predictors including male gender and carotid artery involvement in their return to normal life after CABG.


2002 ◽  
Vol 40 (3) ◽  
pp. 428-436 ◽  
Author(s):  
Takayuki Ono ◽  
Junjiro Kobayashi ◽  
Yoshikado Sasako ◽  
K.o Bando ◽  
Osamu Tagusari ◽  
...  

2002 ◽  
Vol 94 (2) ◽  
pp. 290-295 ◽  
Author(s):  
Timothy O. Stanley ◽  
G. Burkhard Mackensen ◽  
Hilary P. Grocott ◽  
William D. White ◽  
James A. Blumenthal ◽  
...  

2021 ◽  
Vol 75 (1) ◽  
pp. 939-946
Author(s):  
Adam Rafał Poliwczak ◽  
Karolina Jędrzejczak-Pospiech ◽  
Bogumiła Polak ◽  
Jan Błaszczyk ◽  
Robert Irzmański

Abstract Introduction The coexistence of depression and anxiety disorder significantly worsens the results of treatment and increases the risk of recurrent cardiovascular incidents. The aim of the study was to assess the impact of cardiac rehabilitation on anxiety and depression symptoms in patients after interventional cardiology or coronary artery bypass graft (CABG). Material and Methods The study enrolled 40 participants aged 70.75±7.38 years, treated interventionally for ACS or undergoing urgent coronary artery bypass graft (CABG). Patients participated in 3-week stationary early cardiac rehabilitation. At the beginning and end of the study, the Beck Depression Inventory (BDI) and Spielberger’s State-Trait Anxiety Inventory (STAI) were performed. Results 92.5% of subjects had at least one comorbidity, mostly hypertension (67.5%) and heart failure (60.0%). At the beginning the BDI level was 14.55±6.47; depression symptoms were present in 65% of subjects. At the end, BDI decreased significantly to 8.28±5.26; p<0.001. BDI was statistically significantly higher at the beginning and end in women than in men (17.94±7.07 vs. 11.78±4.40; p<0.05 and 10.56±5.90 vs. 6.41±3.88; p<0.01). Persons before rehabilitation were characterized by medium and low levels of STAI-X1 anxiety (31.80±7.24 and STAI-X2: 35.98±8.29). Finally, anxiety decreased statistically significantly to 26.40±6.30 and 29.80±6.57; p<0.001. At the beginning and end, it strongly correlated positively with the severity of depressive symptoms (STAI-X1 R=0.76; p<0.001, STAI-X2 R=0.70; p<0.001 and R=0.76; p<0.001, R=0.70; p<0.001). Conclusions Cardiac rehabilitation contributes significantly to reducing anxiety levels and reducing symptoms of depression. Implementation of these interventions as soon as possible brings the best results, contributing to reducing the risk of coronary events.


2018 ◽  
Vol 39 (6) ◽  
pp. 694-700 ◽  
Author(s):  
Heather E. Hsu ◽  
Alison Tse Kawai ◽  
Rui Wang ◽  
Maximilian S. Jentzsch ◽  
Chanu Rhee ◽  
...  

OBJECTIVEIn 2012, the Centers for Medicare and Medicaid Services expanded a 2008 program that eliminated additional Medicare payment for mediastinitis following coronary artery bypass graft (CABG) to include Medicaid. We aimed to evaluate the impact of this Medicaid program on mediastinitis rates reported by the National Healthcare Safety Network (NHSN) compared with the rates of a condition not targeted by the program, deep-space surgical site infection (SSI) after knee replacement.DESIGNInterrupted time series with comparison group.METHODSWe included surveillance data from nonfederal acute-care hospitals participating in the NHSN and reporting CABG or knee replacement outcomes from January 2009 through June 2017. We examined the Medicaid program’s impact on NHSN-reported infection rates, adjusting for secular trends. The data analysis used generalized estimating equations with robust sandwich variance estimators.RESULTSDuring the study period, 196 study hospitals reported 273,984 CABGs to the NHSN, resulting in 970 mediastinitis cases (0.35%), and 294 hospitals reported 555,395 knee replacements, with 1,751 resultant deep-space SSIs (0.32%). There was no significant change in incidence of either condition during the study. Mediastinitis models showed no effect of the 2012 Medicaid program on either secular trend during the postprogram versus preprogram periods (P=.70) or an immediate program effect (P=.83). Results were similar in sensitivity analyses when adjusting for hospital characteristics, restricting to hospitals with consistent NHSN reporting or incorporating a program implementation roll-in period. Knee replacement models also showed no program effect.CONCLUSIONSThe 2012 Medicaid program to eliminate additional payments for mediastinitis following CABG had no impact on reported mediastinitis rates.Infect Control Hosp Epidemiol 2018;39:694–700


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