지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.101 No.5
- 발행연도
- 2021.11
- 수록면
- 291 - 298 (8page)
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초록· 키워드
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Purpose: Abdominal aortic aneurysm (AAA) is a critical disease. Most studies of AAA consider reoperation rate, complications, or mortality, but do not consider a patient’s mental state. However, there is a possibility of interaction between AAA and depression in disease development and prognosis. We investigated the incidence and risk ratio of depression in patients with AAA using nationwide data.
Methods: We selected subjects from National Health Insurance System database who were diagnosed with AAA between 2009 and 2015 and survived at least 1 year after diagnosis or AAA surgery (n = 10,373). We determined the control group using propensity score matching by age and sex. The control group had about 3 times the number of subjects as the AAA cohort (n = 31,119).
Results: The incidence of depression was 1.4 times higher in the AAA group than the control group. We further analyzed the incidence of depression in the AAA group according to treatment modalities (nonsurgical vs. surgical or nonsurgical vs. open surgical aneurysm repair vs. endovascular aneurysm repair) but found no significant difference among them. The incidence of depression was significantly higher in patients aged ＜65 years than in patients aged ≥65 years (hazard ratio, 1.539 vs. 1.270; P ＜ 0.001).
Conclusion: The incidence of depression was higher in the AAA group, with an especially high risk for depression in patients aged ＜65 years. The psychiatric status of patients with AAA should be carefully monitored for clinicians to intervene when appropriate.
Methods: We selected subjects from National Health Insurance System database who were diagnosed with AAA between 2009 and 2015 and survived at least 1 year after diagnosis or AAA surgery (n = 10,373). We determined the control group using propensity score matching by age and sex. The control group had about 3 times the number of subjects as the AAA cohort (n = 31,119).
Results: The incidence of depression was 1.4 times higher in the AAA group than the control group. We further analyzed the incidence of depression in the AAA group according to treatment modalities (nonsurgical vs. surgical or nonsurgical vs. open surgical aneurysm repair vs. endovascular aneurysm repair) but found no significant difference among them. The incidence of depression was significantly higher in patients aged ＜65 years than in patients aged ≥65 years (hazard ratio, 1.539 vs. 1.270; P ＜ 0.001).
Conclusion: The incidence of depression was higher in the AAA group, with an especially high risk for depression in patients aged ＜65 years. The psychiatric status of patients with AAA should be carefully monitored for clinicians to intervene when appropriate.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (26)
참고문헌 신청
Raič M. / 2017 / Depression and heart diseases:leading health problems / Psychiatr Danub 29(Suppl 4):770~777
Zhang Y / 2018 / Depression and cardiovascular disease in elderly: current understanding / J Clin Neurosci 47:1~5
Lichtman JH / 2014 / Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: systematic review and recommendations: a scientific statement from the American Heart Association / Circulation 129:1350~1369
Peters A / 2015 / Stress habituation, body shape and cardiovascular mortality / Neurosci Biobehav Rev 56:139~150
Thombs BD / 2006 / Prevalence of depression in survivors of acute myocardial infarction / J Gen Intern Med 21:30~38
Zhang Y / 2018 / Depression and cardiovascular disease in elderly: current understanding / J Clin Neurosci 47:1~5
Lichtman JH / 2014 / Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: systematic review and recommendations: a scientific statement from the American Heart Association / Circulation 129:1350~1369
Peters A / 2015 / Stress habituation, body shape and cardiovascular mortality / Neurosci Biobehav Rev 56:139~150
Thombs BD / 2006 / Prevalence of depression in survivors of acute myocardial infarction / J Gen Intern Med 21:30~38
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UCI(KEPA) : I410-ECN-0101-2021-514-002136017