Association of Depression with Hospital Length of Stay in Patients with Acute Coronary Syndrome
Tatishvili, S.; Jorbenadze, R.; Kavtaradze, G.
Georgian Medical News 2016(252): 22-26
2016
ISSN/ISBN: 1512-0112 PMID: 27119830 Document Number: 686734
Psychosocial risk factors are known to have a negative impact on coronary disease morbidity and mortality. The aim of our study was to establish contribution of depression on hospital length of stay in patients with acute coronary events. Depression screening was performed in the Chapidze Center, Tbilisi Georgia. Main inclusion criteria in the study were acute coronary events - non-ST elevation myocardial infarction or unstable angina. The total nomber of participants was 84. A binary logistic regression was used in order to assess contribution of depression on prolonged hospital stay. The mean age for both genders was 59.2 (10.2) years. Most patients had coronary risk factors. Higher BDI score was found in elderly patients, females, and in those with systolic dysfunction as well as in whom revascularization was not performed. In binary logistic regression model myocardial infarction and depression were found to be significant contributors of prolonged hospital stay. Depressive symptoms contribute independently to prolongation of hospital stay in patients with non-STEMI.