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Commentary on: Ski CF, Page K, Thompson DR, et al. Clinical outcomes associated with screening and referral for depression in an acute cardiac ward. J Clin Nurs 2012;21:2228–34.
Implications for practice and research
This study found that nurses on cardiovascular care units were able to administer depression screening tools and document referral activities for positive screens.
It is not known whether depression screening improved depression outcomes.
Evidence of benefits in excess of harms, established by well-conducted randomised controlled trials (RCTs) of depression screening interventions, is needed before depression screening is implemented in cardiovascular care settings.
Major depressive disorder (MDD) may be present in up to 20% of heart disease patients and has been associated with poorer cardiac prognosis, reduced quality of life, less favourable self-care behaviours and higher healthcare costs.1 A 2008 American Heart Association (AHA) …
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