Risk factor analysis of anxiety/depression after off-pump coronary artery bypass grafting
Xu Baolei
Bi Qi
Chen Mingying
Qiao Qiubo
Luo Di
Abstract：Objective To investigate the risk factors for anxiety/depression after off-pump coronary artery bypass grafting (OPCABG).Methods Totally 813 patients who underwent OPCABG from August 2010 to September 2013 were enrolled.The general data before operation were recorded,the preoperative examinations were performed,the preoperative cerebrovascular function were assessed by carotid ultrasound and 320-slice CT (CT and perfusion CT imaging).Neural function was assessed before and 7 days after operation,and the patients were assigned into anxiety/depression group and non-anxiety/depression group.The risk factors of anxiety/depression after operation were analyzed.Results There were 67 cases in anxiety/depression group and 746 cases in non-anxiety/depression group.The total incidence of neurological complications after operation was 23.4％ (190/813),including anxiety/depression [8.2％ (67/813)],cerebral infarction [1.1％ (9/813)],hypoxic ischaemic encephalopathy [2.3％ (19/813)],delirium [1.5％ (12/813)],and postoperative cognitive dysfunction [12.9％ (105/813)].Anxiety/depression group had a lower degree of education,higher proportion of diabetes and more severe extracranial carotid artery stenosis compared with non-anxiety/depression group [illiterate:7.4％ (55/746) vs 16.4％ (11/67),primary school:19.3％ (144/746) vs 25.4％ (17/67),middle school:52.1％ (389/746) vs 40.3％ (27/67),university or above:21.2％ (158/746) vs 17.9％ (12/67);diabetes:31.2％ (233/746) vs 44.8％ (30/67);severe stenosis:9.7％ (72/746) vs 19.4％ (13/67),mild to moderate stenosis:90.3％ (674/746) vs 80.6％ (54/67)] (P ＜ 0.05).Logistic regression analysis showed that the education was an independent risk factor for anxiety/depression (odds ratio =1.85,95％ confidence interval =1.26-2.12).Conclusion Education is an independent risk factor of anxiety/depression after OPCABG.
Keywords：Coronary artery bypass,off-pumpAnxiety depressionComplicationRisk factors
Publication Date：2015-07-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 975-978 )