During a time when surgeons are under constant scrutiny to have shorter postoperative recovery times as well as better outcomes, depression is often a costly and common comorbidity. The point prevalence for depression in the medically ill is 10–36% for general medical inpatients. Depression is an omnipresent factor in patient recovery. Depression negatively impacts the ability of patients to care adequately for their wounds and can interfere with optimal behavior choices by promoting activities such as poor nutrition, smoking, and illicit substance use, which can lead to complications in recovery . Furthermore, depression plays a role in how patients perceive their recovery. According to a study looking at three HMO populations by Pearson et al. more than half of people in the top 15% of medical resource utilization were suffering from undiagnosed depression . Via these factors, and perhaps also as a result of depression-related pathophysiological changes, depressed and anxious patients have a 5–6 times higher risk for 30-day and in-hospital mortality after surgery when compared with patients with no psychiatric comorbidities .
|Original language||English (US)|
|Title of host publication||Medical Management of the Surgical Patient|
|Subtitle of host publication||A Textbook of Perioperative Medicine, Fifth Edition|
|Publisher||Cambridge University Press|
|Number of pages||13|
|State||Published - Jan 1 2010|
ASJC Scopus subject areas