Screening for depression and anxiety among patients with acute coronary syndrome in acute care settings: a scoping review

Abstract Purpose Cost-avoidance studies are common in pharmacy practice literature. This scoping review summarizes, critiques, and identifies current limitations of the methods that have been used to determine cost avoidance associated with pharmacists’ interventions in acute care settings. Methods An Embase and MEDLINE search was conducted to identify studies that estimated cost avoidance from pharmacist interventions in acute care settings. We included studies with human participants and articles published in English from July 2010 to January 2021, with the intent of summarizing the evidence most relevant to contemporary practice. Results The database search retrieved 129 articles, of which 39 were included. Among these publications, less than half (18 of 39) mentioned whether the researchers assigned a probability for the occurrence of a harmful consequence in the absence of an intervention; thus, a 100% probability of a harmful consequence was assumed. Eleven of the 39 articles identified the specific harm that would occur in the absence of intervention. No clear methods of estimating cost avoidance could be identified for 7 studies. Among all 39 included articles, only 1 attributed both a probability to the potential harm and identified the cost specific to that harm. Conclusion Cost-avoidance studies of pharmacists’ interventions in acute care settings over the last decade have common flaws and provide estimates that are likely to be inflated. There is a need for guidance on consistent methodology for such investigations for reporting of results and to confirm the validity of their economic implications.

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Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence

BMJ Open ◽

10.1136/bmjopen-2020-039647 ◽

2021 ◽

Vol 11 (2) ◽

pp. e039647

Author(s):

Mairead Moloney ◽

Therese Hennessy ◽

Owen Doody

Keyword(s):

Intellectual Disability ◽

Acute Care ◽

Scoping Review ◽

Service Provision ◽

Care Setting ◽

Acute Care Setting ◽

Inclusion Criteria ◽

Health Service Provision ◽

Acute Care Settings ◽

Fair Access

ObjectivesPeople with intellectual disability are vulnerable in terms of health service provision due to increased comorbidity, higher dependency and cognitive impairment. This review explored the literature to ascertain what reasonable adjustments are evident in acute care to support people with intellectual disability, ensuring they have fair access and utilisation of health services.DesignScoping review.SettingAcute care settings.MethodsFive databases were systematically searched to identify studies that reported on the implementation of reasonable adjustments. Authors worked in pairs to screen studies for inclusion, data were extracted and charted and findings were synthesised according to content and themes.ResultsOf the 7770 records identified, six studies were included in the review. The volume of evidence was influenced by specific inclusion criteria, and only papers that reported on the actual implementation of a reasonable adjustment within an acute care setting were included. Many papers reported on the concept of reasonable adjustment; however, few identified its applications in practice.ConclusionsThe scoping review highlights a lack of research on the practice and implementation of reasonable adjustments within acute care settings. There is a need for increased support, education and the provision of intellectual disability specialists across acute care settings.

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Clinically significant ventricular arrhythmias and progression of depression and anxiety following an acute coronary syndrome

Journal of Psychosomatic Research ◽

10.1016/j.jpsychores.2018.10.008 ◽

2019 ◽

Vol 117 ◽

pp. 54-62

Author(s):

Hoang V. Tran ◽

Joel M. Gore ◽

Chad E. Darling ◽

Arlene S. Ash ◽

Catarina I. Kiefe ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Ventricular Arrhythmias ◽

Depression And Anxiety ◽

Coronary Syndrome ◽

Clinically Significant

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Recommendations and practices for the screening of depression and anxiety in acute coronary syndrome

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/jbisrir-2017-003487 ◽

2018 ◽

Vol 16 (7) ◽

pp. 1503-1510 ◽

Cited By ~ 2

Author(s):

Julie Franzon ◽

Matthew T. Haren ◽

Constance Kourbelis ◽

Tania Marin ◽

Peter Newman ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Depression And Anxiety ◽

Coronary Syndrome

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Communicating acute coronary syndrome risk to women in primary care: A scoping review of the literature

Patient Education and Counseling ◽

10.1016/j.pec.2019.07.013 ◽

2019 ◽

Vol 102 (12) ◽

pp. 2156-2161 ◽

Cited By ~ 2

Author(s):

Elizabeth P. Knight ◽

Maribeth Slebodnik ◽

Clare Pinder ◽

Holli A. DeVon

Keyword(s):

Primary Care ◽

Acute Coronary Syndrome ◽

Scoping Review ◽

Review Of The Literature ◽

Coronary Syndrome

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Emotional triggering and low socio-economic status as determinants of depression following acute coronary syndrome

Psychological Medicine ◽

10.1017/s0033291710002588 ◽

2011 ◽

Vol 41 (9) ◽

pp. 1857-1866 ◽

Cited By ~ 21

Author(s):

A. Steptoe ◽

G. J. Molloy ◽

N. Messerly-Bürgy ◽

A. Wikman ◽

G. Randall ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Emotional Stress ◽

Low Income ◽

Rating Scale ◽

Economic Status ◽

Depression And Anxiety ◽

Coronary Syndrome ◽

Socio Economic Status ◽

Acute Emotional Stress ◽

Increased Risk

BackgroundThe determinants of depression following acute coronary syndrome (ACS) are poorly understood. Triggering of ACS by emotional stress and low socio-economic status (SES) are predictors of adverse outcomes. We therefore investigated whether emotional triggering and low SES predict depression and anxiety following ACS.MethodThis prospective observational clinical cohort study involved 298 patients with clinically verified ACS. Emotional stress was assessed for the 2 h before symptom onset and compared with the equivalent period 24 h earlier using case-crossover methods. SES was defined by household income and education. Depression was measured with the Beck Depression Inventory and the Hamilton Rating Scale for Depression and anxiety with the Hospital Anxiety and Depression Scale 3 weeks after ACS and again at 6 and 12 months. Age, gender, ethnicity, marital status, the Global Registry of Acute Coronary Events risk score, duration of hospital stay and history of depression were included as covariates.ResultsEmotional stress during the 2-h hazard period was associated with increased risk of ACS (odds ratio 1.88, 95% confidence interval 1.01–3.61). Both low income and emotional triggering predicted depression and anxiety at 3 weeks and 6/12 months independently of covariates. The two factors interacted, with the greatest depression and anxiety in lower income patients who experienced acute emotional stress. Education was not related to depression.ConclusionsPatients who experience acute emotional stress during their ACS and are lower SES as defined by current affluence and access to resources are particularly vulnerable to subsequent depression and anxiety.

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Lack of Acute Care Resources to Diagnose and Treat Acute Coronary Syndrome in Lower-Income Settings

Global Heart ◽

10.1016/j.gheart.2017.10.005 ◽

2018 ◽

Vol 13 (1) ◽

pp. 35 ◽

Cited By ~ 1

Author(s):

Johann G. Beukes ◽

Clint Hendrikse ◽

Stevan R. Bruijns

Keyword(s):

Acute Coronary Syndrome ◽

Acute Care ◽

Lower Income ◽

Coronary Syndrome

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Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review

Critical Care ◽

10.1186/s13054-021-03763-7 ◽

2021 ◽

Vol 25 (1) ◽

Author(s):

Stephana J. Moss ◽

Karla D. Krewulak ◽

Henry T. Stelfox ◽

Sofia B. Ahmed ◽

Melanie C. Anglin ◽

...

Keyword(s):

Acute Care ◽

Scoping Review ◽

Healthcare Professionals ◽

Case Series ◽

Well Being ◽

Primary Data ◽

Cochrane Central Register ◽

Negative Consequences ◽

Primary Research ◽

Acute Care Settings

Abstract Background Restricted visitation policies in acute care settings because of the COVID-19 pandemic have negative consequences. The objective of this scoping review is to identify impacts of restricted visitation policies in acute care settings, and describe perspectives and mitigation approaches among patients, families, and healthcare professionals. Methods We searched Medline, Embase, PsycINFO, Healthstar, CINAHL, Cochrane Central Register of Controlled Trials on January 01/2021, unrestricted, for published primary research records reporting any study design. We included secondary (e.g., reviews) and non-research records (e.g., commentaries), and performed manual searches in web-based resources. We excluded records that did not report primary data. Two reviewers independently abstracted data in duplicate. Results Of 7810 citations, we included 155 records. Sixty-six records (43%) were primary research; 29 (44%) case reports or case series, and 26 (39%) cohort studies; 21 (14%) were literature reviews and 8 (5%) were expert recommendations; 54 (35%) were commentary, editorial, or opinion pieces. Restricted visitation policies impacted coping and daily function (n = 31, 20%) and mental health outcomes (n = 29, 19%) of patients, families, and healthcare professionals. Participants described a need for coping and support (n = 107, 69%), connection and communication (n = 107, 69%), and awareness of state of well-being (n = 101, 65%). Eighty-seven approaches to mitigate impact of restricted visitation were identified, targeting families (n = 61, 70%), patients (n = 51, 59%), and healthcare professionals (n = 40, 46%). Conclusions Patients, families, and healthcare professionals were impacted by restricted visitation polices in acute care settings during COVID-19. The consequences of this approach on patients and families are understudied and warrant evaluation of approaches to mitigate their impact. Future pandemic policy development should include the perspectives of patients, families, and healthcare professionals. Trial registration: The review was registered on PROSPERO (CRD42020221662) and a protocol peer-reviewed prior to data extraction.

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