Abstract
Objective To investigate the risk factors of perioperative depression symptom (PDS) in patients undergoing supratentorial tumor resection. Methods This was a single-center prospective cohort study. Demographic and clinical data were collected from patients undergoing supratentorial tumor resection in Beijing Tiantan Hospital, Capital Medical University from July 2017 to August 2018. The patients were assessed by the Patient Health Questionnaire-9 (PHQ-9) one day before operation and then divided into two groups based on PHQ-9 results: a moderate or severe PDS group (≥10 scores) and a none/mild PDS group (0-9 scores). The risk factors of PDS were analyzed and the Logistic regression model was established to determine the relationship between these risk factors and PDS. Results There were 812 patients enrolled into the current study, including 179 patients with moderate to severe PDS and 633 patients without or with mild PDS. There were significant differences between the two groups in age, gender, average monthly income, academic qualification, previous malignant tumor history, extremity movement impairment, chronic pain history and the Charlson score (P<0.05). The Logistic regression model revealed that extremity movement impairment and the Charlson score were the risk factors of perioperative moderate or severe depression symptoms. Conclusions The incidence of PDS is 22% in patients undergoing supratentorial tumor resection. Extremity movement impairment and the high Charlson score are the independent risk factors of PDS. Key words: Perioperative period; Neurosurgery; Depression; Risk factor; Patient Health Questionnaire-9
Published Version
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