Cargando…

Depression and postoperative complications: an overview

BACKGROUND: The interaction of depression and anesthesia and surgery may result in significant increases in morbidity and mortality of patients. Major depressive disorder is a frequent complication of surgery, which may lead to further morbidity and mortality. LITERATURE SEARCH: Several electronic d...

Descripción completa

Detalles Bibliográficos
Autores principales: Ghoneim, Mohamed M., O’Hara, Michael W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4736276/
https://www.ncbi.nlm.nih.gov/pubmed/26830195
http://dx.doi.org/10.1186/s12893-016-0120-y
_version_ 1782413248353533952
author Ghoneim, Mohamed M.
O’Hara, Michael W.
author_facet Ghoneim, Mohamed M.
O’Hara, Michael W.
author_sort Ghoneim, Mohamed M.
collection PubMed
description BACKGROUND: The interaction of depression and anesthesia and surgery may result in significant increases in morbidity and mortality of patients. Major depressive disorder is a frequent complication of surgery, which may lead to further morbidity and mortality. LITERATURE SEARCH: Several electronic data bases, including PubMed, were searched pairing “depression” with surgery, postoperative complications, postoperative cognitive impairment, cognition disorder, intensive care unit, mild cognitive impairment and Alzheimer’s disease. REVIEW OF THE LITERATURE: The suppression of the immune system in depressive disorders may expose the patients to increased rates of postoperative infections and increased mortality from cancer. Depression is commonly associated with cognitive impairment, which may be exacerbated postoperatively. There is evidence that acute postoperative pain causes depression and depression lowers the threshold for pain. Depression is also a strong predictor and correlate of chronic post-surgical pain. Many studies have identified depression as an independent risk factor for development of postoperative delirium, which may be a cause for a long and incomplete recovery after surgery. Depression is also frequent in intensive care unit patients and is associated with a lower health-related quality of life and increased mortality. Depression and anxiety have been widely reported soon after coronary artery bypass surgery and remain evident one year after surgery. They may increase the likelihood for new coronary artery events, further hospitalizations and increased mortality. Morbidly obese patients who undergo bariatric surgery have an increased risk of depression. Postoperative depression may also be associated with less weight loss at one year and longer. The extent of preoperative depression in patients scheduled for lumbar discectomy is a predictor of functional outcome and patient’s dissatisfaction, especially after revision surgery. General postoperative mortality is increased. CONCLUSIONS: Depression is a frequent cause of morbidity in surgery patients suffering from a wide range of conditions. Depression may be identified through the use of Patient Health Questionnaire-9 or similar instruments. Counseling interventions may be useful in ameliorating depression, but should be subject to clinical trials.
format Online
Article
Text
id pubmed-4736276
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-47362762016-02-03 Depression and postoperative complications: an overview Ghoneim, Mohamed M. O’Hara, Michael W. BMC Surg Review BACKGROUND: The interaction of depression and anesthesia and surgery may result in significant increases in morbidity and mortality of patients. Major depressive disorder is a frequent complication of surgery, which may lead to further morbidity and mortality. LITERATURE SEARCH: Several electronic data bases, including PubMed, were searched pairing “depression” with surgery, postoperative complications, postoperative cognitive impairment, cognition disorder, intensive care unit, mild cognitive impairment and Alzheimer’s disease. REVIEW OF THE LITERATURE: The suppression of the immune system in depressive disorders may expose the patients to increased rates of postoperative infections and increased mortality from cancer. Depression is commonly associated with cognitive impairment, which may be exacerbated postoperatively. There is evidence that acute postoperative pain causes depression and depression lowers the threshold for pain. Depression is also a strong predictor and correlate of chronic post-surgical pain. Many studies have identified depression as an independent risk factor for development of postoperative delirium, which may be a cause for a long and incomplete recovery after surgery. Depression is also frequent in intensive care unit patients and is associated with a lower health-related quality of life and increased mortality. Depression and anxiety have been widely reported soon after coronary artery bypass surgery and remain evident one year after surgery. They may increase the likelihood for new coronary artery events, further hospitalizations and increased mortality. Morbidly obese patients who undergo bariatric surgery have an increased risk of depression. Postoperative depression may also be associated with less weight loss at one year and longer. The extent of preoperative depression in patients scheduled for lumbar discectomy is a predictor of functional outcome and patient’s dissatisfaction, especially after revision surgery. General postoperative mortality is increased. CONCLUSIONS: Depression is a frequent cause of morbidity in surgery patients suffering from a wide range of conditions. Depression may be identified through the use of Patient Health Questionnaire-9 or similar instruments. Counseling interventions may be useful in ameliorating depression, but should be subject to clinical trials. BioMed Central 2016-02-02 /pmc/articles/PMC4736276/ /pubmed/26830195 http://dx.doi.org/10.1186/s12893-016-0120-y Text en © Ghoneim and O’Hara. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Ghoneim, Mohamed M.
O’Hara, Michael W.
Depression and postoperative complications: an overview
title Depression and postoperative complications: an overview
title_full Depression and postoperative complications: an overview
title_fullStr Depression and postoperative complications: an overview
title_full_unstemmed Depression and postoperative complications: an overview
title_short Depression and postoperative complications: an overview
title_sort depression and postoperative complications: an overview
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4736276/
https://www.ncbi.nlm.nih.gov/pubmed/26830195
http://dx.doi.org/10.1186/s12893-016-0120-y
work_keys_str_mv AT ghoneimmohamedm depressionandpostoperativecomplicationsanoverview
AT oharamichaelw depressionandpostoperativecomplicationsanoverview