PREVALENCE OF DEPRESSION IN ELDERLY PATIENTS FOLLOWING ACUTE CORONARY SYNDROME AT DISCHARGE FROM THONG NHAT HOSPITAL
Nội dung chính của bài viết
Tóm tắt
Objectives: To estimate the frequency of depression among older adults with acute coronary syndrome (ACS) and identify relevant factors that are associated with depression at the time of discharge. Methods: A cross-sectional descriptive study was conducted on 117 elderly patients with ACS who were discharged from Thong Nhat Hospital between March 2024 and June 2024. Depression was assessed using the 30-item Geriatric Depression Scale (GDS-30), with a total score of ≥ 10 indicating the presence of depression. Results: The prevalence of depression at discharge among elderly ACS patients was 15.4% (95%CI: 8.7% - 22.0%). In the multivariate regression analysis, female gender, illiteracy, high-risk CCI, experiencing two or more stressful life events, and low perceived social support were significantly associated with a higher prevalence of depression. Conclusion: The prevalence of depressive symptoms at the time of discharge among elderly patients recovering from ACS was 15.4%. Early detection of depression is crucial, particularly in patients who are female, have illiteracy, present with multimorbidity, particularly type 2 diabetes mellitus, experience stressful life events, and have low perceived social support.
Chi tiết bài viết
Từ khóa
Depression, Elderly, Acute coronary syndrome (ACS), Discharge, Geriatric Depression Scale (GDS-30)
Tài liệu tham khảo
2. Khan Z, Musa K, Abumedian M, Ibekwe M. Prevalence of depression in patients with post-acute coronary syndrome and the role of cardiac rehabilitation in reducing the risk of depression: A systematic review. Cureus. Dec 2021; 13(12):e20851. DOI: 10.7759/cureus.20851.
3. Byrne RA, Rossello X, Coughlan JJ, et al. 2023 ESC guidelines for the management of acute coronary syndromes: Developed by the task force on the management of acute coronary syndromes of the European Society of Cardiology (ESC). European Heart Journal. 2023; 44(38):3720-3826. DOI: 10.1093/eurheartj/ehad191.
4. Nguyen Van Thong, Nguyen Trung Kien. Vietnamese version of the Geriatric Depression Scale (30 Items): Translation, cross-cultural adaptation, and validation. Geriatrics. 2021; 6(4). DOI: 10.3390/geriatrics6040116.
5. Dong Z, Yang Q, Chen H. Estimating the prevalence of depression in people with acute coronary syndromes: A systematic review and meta-analysis. Medicine (Baltimore). Apr 26 2024; 103(17):e37906. DOI: 10.1097/MD.0000000000037906.
6. Hayajneh AA, Rababa M, Al‐Nusour EA, Alsatari ES. Predictors of depression amongst older adults with acute coronary syndrome seeking emergency care. International Journal of Clinical Practice. 2021; 75(7):e14203.
7. Nguyễn Văn Tân, Trịnh Thanh Sơn, Bàng Ái Viên. Trầm cảm nội viện ở bệnh nhân nhồi máu cơ tim cấp cao tuổi. Ho Chi Minh City Journal of Medicine. 2021; 25.
8. Maier A, Riedel-Heller SG, Pabst A, Luppa M. Risk factors and protective factors of depression in older people 65+. A systematic review. PLoS One. 2021; 16(5):e0251326. DOI: 10.1371/journal. pone.0251326.
9. Nguyễn Minh Tú, Nguyễn Thị Mai, Trần Thị Hoa. Nghiên cứu tỷ lệ trầm cảm và một số yếu tố liên quan ở người cao tuổi tại một số xã, phường tỉnh Thừa Thiên Huế. 2021.
10. Đỗ Văn Diệu, Đoàn Vương Diễm Khánh, Trần Như Minh Hằng. Tỷ lệ trầm cảm và các yếu tố liên quan ở người cao tuổi phường Trương Quang Trọng, thành phố Quảng Ngãi. Tạp chí Y Dược học. 8(6):82-88.