Depression as a Predictor of Length of Stay in Patients Admitted to the Cardiovascular Intensive Care Unit at a University Medical Center

Abstract

Depression is a predictor of length of stay (LOS) and adverse outcomes in patients with cardiac disease. Our objective was to assess the impact of depression on LOS in a Hispanic population admitted to a cardiovascular intensive care unit (CVICU). This was a prospective study of 151 consecutive patients admitted to the CVICU. Patients were administered the Center for Epidemiologic Studies Depression (CES-D) scale survey within 24 hours of admission. Patients were followed until discharge to determine LOS and adverse outcomes. Depression was more prevalent in Hispanic patients than in nonHispanic patients based on the CES-D scores (41% vs 14%). Using multivariate analysis, the presence of depression was a significant predictor of increased LOS (P = .001). Depression has a significant impact on LOS in a Hispanic population. Appropriate treatment of depression may decrease LOS and has the potential to be cost effective in the current health care environment.

Glucose Levels and Depression in Hispanic Patients Admitted to the Cardiovascular Intensive Care Unit

“…Between June 2011 and October 2012, 151 consecutive patients with cardiac disease were enrolled, including any patient !18 years of age requiring admission to the Cardiovascular Intensive Care Unit. 23 These patients were consented using the appropriate institutional research board approved forms. Patients were given the CES-D scale in English or Spanish within 24 hours of admission to determine their depression level.…”

Auswirkungen psychologischer und multimodaler Interventionen auf psychisches Befinden und Serumkonzentrationen von Zytokinen bei Patientinnen und Patienten mit operativer Myokardrevaskularisation: Ergebnisse der I-COPE-Studie

“…Ebenso wie für die Länge des gesamten Krankenhausaufenthaltes gibt es auch psychologische Prädiktoren für einen verlängerten Aufenthalt auf der Intensivstation. Dazu zählen Depressionen(Rude et al 2014), geringe Zufriedenheit und weniger empfundene Freude(Cserép et al 2014). Eine Metaanalyse von Nikayin et al (2016) zeigt, dass eine ängstliche Symptomatik nicht mit einem längeren Aufenthalt auf der Intensivstation zu korrelieren scheint.…”