Tatishvili S, Jorbenadze R, Kavtaradze G
Tbilisi State Medical University, Department of Internal Medicine №3; G. Chapidze Center, Tbilisi, Georgia.
Georgian Med News. 2016 Mar(252):22-6.
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.
已知社会心理风险因素会对冠心病的发病率和死亡率产生负面影响。我们研究的目的是确定抑郁症对急性冠脉事件患者住院时间的影响。在格鲁吉亚第比利斯的查皮泽中心进行了抑郁症筛查。该研究的主要纳入标准为急性冠脉事件——非ST段抬高型心肌梗死或不稳定型心绞痛。参与者总数为84人。采用二元逻辑回归来评估抑郁症对延长住院时间的影响。男女的平均年龄为59.2（10.2）岁。大多数患者有冠心病风险因素。老年患者、女性、存在收缩功能障碍的患者以及未进行血运重建的患者的贝克抑郁量表（BDI）得分更高。在二元逻辑回归模型中，心肌梗死和抑郁症被发现是延长住院时间的重要因素。抑郁症状独立导致非ST段抬高型心肌梗死患者住院时间延长。
