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Volume 06
Current Research: Cardiology
Cardiac Nursing & Global Healthcare 2019
November 04-05, 2019
November 04-05, 2019 | Tokyo, Japan
6
th
INTERNATIONAL CONFERENCE ON GLOBAL HEALTHCARE
WORLD CONGRESS ON CARDIAC NURSING AND CARDIOLOGY
&
Curr Res Cardiol, Volume 06
Depression in myocardial infarction: Prevalence and clinical outcomes
Mingchi Luo
The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, China
Statement of the Problem
: Depression is common in the aftermath of Myocardial Infarction (MI) and may not only lead to
impaired long-term quality of life, but also cause increased mortality among patients with MI. The reported prevalence of
depression among patients with MI varied considerably across studies, for which a pooled prevalence was obtained in the only
1 meta-analysis conducted in March 2004. Subsequently, numerous relevant studies have been published, indicating the need
for an update on the pooled prevalence. Therefore, this study was aimed at updating the pooled prevalence of depression among
patients with MI.
Methodology & Theoretical Orientation
: A comprehensive literature search in 3 electronic databases, PubMed, Embase, and
PsycINFO, was performed in April 2018. The heterogeneity across studies was examined by the Cochran’s Q test and quantified
by the I2 statistic. If significant heterogeneity was observed, meta-regression analyses and subgroup analyses were performed to
identify the source of heterogeneity. Publication bias was assessed by a funnel plot and verified by the Egger’s and Begg’s tests.
Findings
: Nineteen eligible studies conducted in 10 countries were included, which consisted of 12,315 patients with MI, among
whom 3818 were identified with depression. High heterogeneity was observed across the eligible studies (I2=98.4%), with the
reported prevalence of depression ranging from9.17%to 65.88%. The pooled prevalence of depression among patients with MI
was 28.70% (95%CI: 22.39–35.46%) by a random effects model. Subgroup analyses showed that the pooled prevalence differed
significantly by region, tool used to identify depression, study quality, sex, race, anterior MI, and diabetes status (P<.05).
Conclusion & Significance
: Given the high pooled prevalence of depression found in this study and the association between
depression and adverse health outcomes among patients with MI, more psychological resources including early assessment and
effective treatment of depression should be allocated to patients with MI.
Biography
Luo has her expertise in Gastroenterology and healthcare management in improving the health and wellbeing. AS a director of large
hospital He always works hard for improving the quality of medical service. He also pays attention to medical safety. To ensure medical
safety, he acts as pioneer in launching the inspection of medical safety of the ward in hospital. In clinical work, he pays attention to
patients psychological problems. He believes that psychotherapy is the main form of treatment, and its purpose is to let patients
gradually understand the nature of the disease, change their wrong ideas, and reduce the impact of psychological factors.
e
:
luomingchi2008@163l.com