Effect of Daytime Mode of Percutaneous Coronary Intervention on Postoperative Depression
Objectives This study aims to compare the occurrence of depression in patients undergoing percutaneous coronary intervention(PCI)in day mode and in patients treated with conventional surgery,and to analyze whether the day mode can reduce the occurrence of postoperative depression.Methods 130 patients with day PCI admitted to a tertiary hospital from September 1,2023 to October 30,2023 were selected as the day group.During the same period,238 patients who underwent elective PCI during routine hospitalization procedures were included in the routine group.Patients undergoing routine PCI were matched with patients using the propensity score matching method to balance gender,age,and total coronary artery stenosis Gensini score between the two groups.In the end,130 individuals from each group remained for further analysis.The 24-item Hamilton Depression Rating Scale(HAMD)was used to assess postoperative depression.A HAMD score of ≥21 was considered postoperative depression.Results Compared with the conventional group,the day mode did not significantly reduce the incidence of postoperative depression(P>0.05).There was no statistical difference in postoperative HAMD scores between the day group and the conventional group(14.0±7.9 vs.13.6±7.6,P>0.05).Gender and age were found to be independent factors affecting the occurrence of depression,while day surgery was not a significant factor.Conclusions The current study results show that the ambulatory PCI model does not significantly reduce the incidence of postoperative depression compared with the conventional PCI model.Therefore,strengthening psychological intervention for patients is the focus of future attention.
Percutaneous coronary interventionDay case surgeryDepression