Frequency of depression in patients undergoing coronary artery bypass grafting surgery (CABGS),before the surgery,at discharge and at six months follow up

Introduction: depression is much frequent in patients undergoing cabgs. however,severity was reduced post operatively. counseling and psychosocial interventions can play an important role in recovery and functionality of patients. objective: to compare the frequency of depression in patients undergoing coronary artery bypass grafting surgery (cabgs) before the surgery,at discharge and at six months follow up. design: prospective,observational study conducted from dec 2008 to dec 2009. setting: national institute of cardiovascular diseases (nicvd) karachi. methods: one hundred and thirty four (134) patients of 18+ years old who were consecutively listed for first time cabgs were included in the study after fulfilling the inclusion and exclusion criteria and addressing the ethical issues. icd-10 criteria to diagnose and hamilton rating scale for depression (ham-d) were applied to assess the frequency and severity of depressive disorder respectively. results were analyzed using spss version 17.0. results: one hundred and thirty four (134) patients undergoing cabgs fulfilled the criteria for depressive disorder. one hundred and thirteen (84.3%) were male and 21 (15.7%) were female with age range 33 to 75 years (mean 53.7 ±sd 8.57). preoperatively 132 (98.5%) patients and postoperatively 108 (80.6%) patients were depressed. at 6 months follow up which was available in 73 patients,only 12 (16.4%) were found depressed. both genders were almost equally affected. surprisingly age,ethnicity,education and co-morbids did not show a significant role. conclusion: depression is commonly reported before and after cardiac surgery procedures and it significantly influences the quality of life of the patients undergoing cabgs. the consequences can increase morbidity and mortality. © 2016,liaquat university of medical and health sciences. all rights reserved.