Anxiety and Depression as Predictors of Cardiovascular Outcomes After Cardiac Surgery

2013 ◽  
Vol 111 (7) ◽  
pp. 1079 ◽  
Author(s):  
Phillip J. Tully ◽  
Andrea Székely
Keyword(s):  
Cardiac Surgery ◽  
Cardiovascular Outcomes ◽  
Anxiety And Depression

scholarly journals Anxiety and Depression Symptomatology Related to Inspiratory Muscle Strength and Functional Capacity in Preoperative Cardiac Surgery Patients: A Preliminary Cross-sectional Study

2020 ◽  
Vol 42 (6) ◽  
pp. 549-554
Author(s):  
Kornanong Yuenyongchaiwat ◽  
Sasipa Buranapuntalug ◽  
Karan Pongpanit ◽  
Chitima Kulchanarat ◽  
Opas Satdhabudha
Keyword(s):  
Cardiac Surgery ◽  
Muscle Strength ◽  
Cardiorespiratory Fitness ◽  
Psychological Health ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychological Conditions ◽  
Inspiratory Muscle Strength

Background: Poor psychological health and cardiorespiratory fitness prior to open heart surgery (OHS) might be predictors of postoperative pulmonary complications that lead to morbidity and mortality. Assessment of physical and psychological conditions should be considered for patients receiving OHS, to possibly prevent these complications. This study investigates how inspiratory muscle strength (IMS) and functional capacity (FC) relate to the psychological health of preoperative cardiac surgery patients. Method: A cross-sectional study was designed before OHS; the 6-minute walk test and IMS were performed on patients who were admitted for OHS. All participants were requested to complete Hospital Anxiety and Depression Scale. Pearson correlation and hierarchal regression analysis were performed to determine the relationships between IMS and FC and psychological conditions (anxiety and depression). Results: Overall, 36 males and 28 females aged 56.89±10.23 years were recruited. Significant relationships were observed between IMS and anxiety and depression symptoms (r = –0.33 and r = –0.27, respectively). Anxiety was negatively related to FC ( r = –0.25). These relationships remained significant after adjustment for age, sex, and body mass index (BMI) (∆ R2 = 0.11 and ∆ R2 = 0.09). In addition, anxiety was also related to FC after controlling for age, sex, and BMI (∆ R2 = 0.09). Conclusion: Among patients undergoing OHS, those with a higher level of depression or anxiety had a lower cardiorespiratory fitness than those with a low level of depression or anxiety.

scholarly journals Relationship of Kidney Injury Biomarkers with Long-Term Cardiovascular Outcomes after Cardiac Surgery

2017 ◽  
Vol 28 (12) ◽  
pp. 3699-3707 ◽  
Author(s):  
Chirag R. Parikh ◽  
Jeremy Puthumana ◽  
Michael G. Shlipak ◽  
Jay L. Koyner ◽  
Heather Thiessen-Philbrook ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Kidney Injury ◽  
Cardiovascular Outcomes ◽  
Relationship Of

scholarly journals Risk factors for anxiety and depression in the preoperative period of cardiac surgery

2019 ◽  
Vol 18 (2) ◽  
pp. 426-469
Author(s):  
Eduardo Tavares Gomes ◽  
Paulo Cesar da Costa Galvão ◽  
Karolayne Vieira Dos Santos ◽  
Simone Maria Muniz da Silva Bezerra
Keyword(s):  
Risk Factors ◽  
Cardiac Surgery ◽  
Significant Risk ◽  
Depression Scale ◽  
University Hospital ◽  
Northeastern Brazil ◽  
Anxiety And Depression ◽  
Preoperative Period ◽  
Odds Ratios ◽  
Factores De Riesgo

Objetivo: Evaluar los factores de riesgo de ansiedad y depresión en el período preoperatorio de la cirugía cardíaca.Método: Se trata de un estudio seccional, realizado entre enero y junio de 2017, en un hospital universitario de referencia en cardiología en el nordeste de Brasil. Se evaluaron 174 pacientes utilizando un cuestionario propio y la Escala Hospitalaria de Ansiedad y Depresión (HADS) y calculadas las Odds Ratios para evaluar el riesgo.Resultados: En la evaluación de la ansiedad, fueron factores de riesgo significativos: sexo femenino, años de estudio, ausencia de acompañante, experiencia previa de cirugía cardiaca y la cancelación de la cirugía durante el internamiento. En cuanto a la depresión, se revelaron factores de riesgo: sexo femenino y tiempo de internamiento mayor de 15 días.Conclusión: El enfermero tiene instrumentos disponibles para reconocer la ansiedad y la depresión, incluyendo los diagnósticos de enfermería y las escalas validadas, así como tiene un papel preponderante en la actuación en estos casos. Debe ser un desafío institucional dinamizar el servicio para evitar prolongaciones de la internación y cancelaciones de cirugía por cuestiones estructurales. Objective: To evaluate the risk factors of anxiety and depression in the preoperative period of cardiac surgery.Method: This is a sectional study, conducted between January and June 2017, in a university hospital of reference in cardiology in northeastern Brazil. A total of 174 patients were evaluated using their own questionnaire and the Hospital Anxiety and Depression Scale (HADS) and Odds Ratios were calculated to assess the risk.Results: In the assessment of anxiety, significant risk factors were: female gender, years of study, absence of companion, previous experience of cardiac surgery and cancellation of surgery during hospitalization. As for depression, risk factors were revealed: female sex and hospitalization time greater than 15 days.Conclusion: The nurse has instruments available to recognize anxiety and depression, including nursing diagnoses and validated scales, as well as having a preponderant role in these cases. It should be an institutional challenge to streamline the service in order to avoid prolongation of hospitalization and cancellations of surgery for structural reasons. Objetivo: avaliar os fatores de risco de ansiedade e depressão no período pré-operatório de cirurgia cardíaca. Método: Trata-se de um estudo seccional, realizado entre janeiro e junho de 2017, em um hospital universitário de referência em cardiologia no nordeste do Brasil. Foram avaliados 174 pacientes utilizando-se um questionário próprio e a Escala Hospitalar de Ansiedade e Depressão (HADS) e calculadas as Odds Ratios para avaliar o risco. Resultados: Na avaliação da ansiedade, foram fatores de risco significativos: sexo feminino, anos de estudo, ausência de acompanhante, experiência prévia de cirurgia cardíaca e o cancelamento da cirurgia durante o internamento. Quanto à depressão, revelaram-se fatores de risco: sexo feminino e tempo de internamento maior de 15 dias. Conclusão: O enfermeiro tem instrumentos disponíveis para reconhecer a ansiedade e a depressão, incluindo os diagnósticos de enfermagem e as escalas validadas, assim como tem papel preponderante na atuação nestes casos. Deve ser um desafio institucional dinamizar o serviço de forma a evitar prolongamentos do internamento e cancelamentos de cirurgia por questões estruturais.

Returning home after intensive care: A comparison of symptoms of anxiety and depression in ICU and elective cardiac surgery patients and their relatives

2004 ◽  
Vol 31 (1) ◽  
pp. 86-91 ◽  
Author(s):  
Ellen Young ◽  
Jane Eddleston ◽  
Sarah Ingleby ◽  
Janice Streets ◽  
Lucy McJanet ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Intensive Care ◽  
Anxiety And Depression ◽  
Elective Cardiac Surgery ◽  
Returning Home
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