scholarly journals Preoperative anxiety as predictor of perioperative clinical events following carotid surgery: a prospective observational study

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Manuela Aspalter ◽  
Florian K. Enzmann ◽  
Thomas J. Hölzenbein ◽  
Wolfgang Hitzl ◽  
Florian Primavesi ◽  
...  
Keyword(s):  
Observational Study ◽  
Vascular Surgery ◽  
Prospective Observational Study ◽  
Depression Scale ◽  
Composite Endpoint ◽  
Preoperative Anxiety ◽  
Anxiety And Depression ◽  
Published Data ◽  
Carotid Surgery ◽  
Asymptomatic Patients

Abstract Background Psychological factors like anxiety and depression are recognised to play a causal role in the development of cardiovascular disease and they may also influence outcome after vascular surgery procedures. The aim of this study was to investigate the association of anxiety and depression with postoperative outcome following elective carotid surgery. Methods Single centre prospective observational study of patients treated for asymptomatic carotid artery stenosis at an academic vascular surgery centre. Preoperative anxiety and depression were evaluated using self-reporting questionnaires: Spielberger State-Trait Anxiety Inventory (STAI-S/-T) and Hospital Anxiety and Depression Scale (HADS-A/-D). Postoperative morbidity and mortality were assessed with the primary composite endpoint of stroke, myocardial infarction (MI) and death. Standard reporting guidelines for carotid disease were applied. Results From June 2012 to November 2015, 393 carotid endarterectomies (CEA) were performed at our institution. Out of those, 98 asymptomatic patients were available for analysis (78% male; median age, 71.1 years). Median scores of self-reporting questionnaires did not differ from published data of the general population (STAI-T, trait component, median, 36; IQR, 31-42.75; STAI-S, state component, median, 38; IQR, 32-43; HADS-A median, 6; IQR, 3-8; HADS-D median, 4; IQR, 2-7). Cardiovascular risk factors were similar in anxious and non-anxious patients. The composite endpoint of stroke, MI and death occurred significantly more often in patients presenting with a preoperative HADS-A score higher than 6 (10.5%, 95% CI, 3-25; p =.020). Conclusions The present study indicates that preoperative anxiety is associated with the occurrence of intra- and postoperative neurological events in patients undergoing CEA. Patients who had a preoperative HADS-A score of 6 or less had a very low probability of experiencing these complications.

scholarly journals Preoperative anxiety as predictor of clinical events following carotid surgery: a prospective observational study

2021 ◽  
Author(s):  
Manuela Aspalter ◽  
Florian K. Enzmann ◽  
Thomas J. Hölzenbein ◽  
Wolfgang Hitzl ◽  
Florian Primavesi ◽  
...  
Keyword(s):  
Observational Study ◽  
Vascular Surgery ◽  
Prospective Observational Study ◽  
Depression Scale ◽  
Postoperative Outcome ◽  
Composite Endpoint ◽  
Preoperative Anxiety ◽  
Anxiety And Depression ◽  
Published Data ◽  
Asymptomatic Patients

Abstract BackgroundPsychological factors like anxiety and depression are recognized to play a causal role in the development of cardiovascular disease and they may also influence outcome after vascular surgery procedures. The aim of this study was to investigate the association of anxiety and depression with postoperative outcome following elective carotid surgery.MethodsSingle centre prospective observational study of patients treated for asymptomatic carotid artery stenosis at an academic vascular surgery centre. Preoperative anxiety and depression were evaluated using self-reporting questionnaires: Spielberger State-Trait Anxiety Inventory (STAI-S/-T) and Hospital Anxiety and Depression Scale (HADS-A/-D). Postoperative morbidity and mortality were assessed with the primary composite endpoint of stroke, myocardial infarction (MI) and death. Standard reporting guidelines for carotid disease were applied.ResultsFrom 06/2012 to 11/2015, 393 patients underwent carotid endarterectomy CEA at our institution. Out of those 109 carotid reconstructions in 98 asymptomatic patients were available for analysis (76% male; median age: 71 years). Median scores of self-reporting questionnaires did not differ from published data of the general population (STAI-T, trait component, median: 36; IQR: 31-42.25; STAI-S, state component, median: 38; IQR: 32–43; HADS-A median: 6; IQR: 3–8; HADS-D median: 4; IQR: 2–7). Cardiovascular risk factors were similar in anxious and non-anxious patients. The composite endpoint of stroke, MI and death occurred significantly more often in patients presenting with a preoperative HADS-A score higher than 6 (95% CI: 7.4–12.1; p = .018). Additionally, the secondary endpoint of cranial nerve injuries was seen significantly more frequently in patients who presented with a higher preoperative STAI-T (p = .021) and STAI-S score (p = .049).ConclusionsThe present study indicates that preoperative anxiety is associated with the occurrence of intra- and postoperative neurological events in patients undergoing CEA. Patients who had a preoperative HADS-A score of 6 or less had a very low probability of experiencing these complications.

scholarly journals Altered Preoperative Nutritional Status in Colorectal Cancer: A Not So Infrequent Issue

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Javier Páramo-Zunzunegui ◽  
Araceli Ramos-Carrasco ◽  
Marcos Alonso-García ◽  
Rosa Cuberes-Montserrat ◽  
Gil Rodríguez-Caravaca ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Weight Loss ◽  
Observational Study ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Prospective Observational Study ◽  
Colorectal Neoplasia ◽  
Nutritional Risk ◽  
A Value ◽  
Asymptomatic Patients

Introduction. Malnutrition and weight loss in cancer patients is a common problem that affects the prognosis of the disease. In the case of CRC, malnutrition rates range between 30 and 60%. Objectives. Description of the preoperative nutritional status of patients diagnosed with colorectal neoplasia who will undergo surgery. Materials and Methods. A prospective observational study is performed. Results. Of 234 patients studied, we observed that 139 (59%) had some degree of nutritional risk. Of all of them, 44.9% (N = 47) had 1-2 points according to MUST and 25% (N = 27) had more than 2 points. No differences were found when studying nutritional risk according to the location of the neoplasm. It was observed that 2.15% of the patients were underweight, 51% overweight, and 23% obese. 19.4% of patients lost less than 5 kg in the 3–6 months prior to diagnosis, 20.7% lost between 5 and 10 kg, and 2.1% lost more than 10 kg. In asymptomatic patients, the weight loss was lower than in symptomatic patients, loss <5 kg, 8.2% vs. 22.8%, and loss 5–10 kg, 16.2% vs. 29.3%, with a value of p = 0.016 . 5% (N = 7) of the patients had hypoalbuminemia record. 16.5% (N = 23) had some degree of prealbumin deficiency and 20.9% (N = 29) of hypoproteinemia. Symptomatic patients had more frequent analytical alterations, 1-2 altered parameters in 48.8% (N = 20) of asymptomatic vs. 61.2% (N = 22) in the symptomatic, p = 0.049 .

scholarly journals Psychiatric comorbidity in diabetes type 1: a cross-sectional observational study

2014 ◽  
Vol 60 (1) ◽  
pp. 59-62 ◽  
Author(s):  
Ana Claudia C. de Ornelas Maia ◽  
Arthur de Azevedo Braga ◽  
Flávia Paes ◽  
Sérgio Machado ◽  
Antonio Egidio Nardi ◽  
...  
Keyword(s):  
Observational Study ◽  
Psychiatric Disorders ◽  
Depression Scale ◽  
Signs And Symptoms ◽  
Health Clinic ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Diabetic Patients ◽  
Cross Sectional

Objective This study aims to investigate the prevalence of psychiatric disorders, i.e., the presence of signs and symptoms of anxiety and depression in type 1 diabetic patients, as well as to investigate the prevalence of psychiatric disorders in insulin dependent patients. Methods A cross-sectional observational study of 110 diabetic outpatients (mean = 58.3, SD = 14.5; 50 male and 60 female) was conducted in a public health clinic with patients diagnosed with diabetes mellitus who were under the medical supervision of an endocrinologist. The patients were evaluated through the Mini International Neuropsychiatric Interview and the Hospital Anxiety and Depression Scale(HADS). Results With respect to anxiety symptoms, we found a prevalence of 60% (n = 66) among patients, while in depression symptoms we found a prevalence of 53.6% (n = 59) concerning the 110 patients evaluated. More specifically, we found 28.2% (n = 31) of patients without depression or anxiety, 13.6% (n = 15) of patients with depression, 16.4% (n = 18) of patients with anxiety and 41.8% (n = 46) of patients with depression combined with anxiety. The most remarkable data were generalized anxiety disorder (22.7%), dysthymia (18.2%), panic disorder (8.2%) and social phobia (5.5%). Conclusion The need for accurate assessments about the presence of symptoms related to psychopathology in patients with type 1 diabetes is evident.

scholarly journals The Impact of the COVID-19 Pandemic on the Lifestyles and Levels of Anxiety and Depression of Patients with Schizophrenia: A Retrospective Observational Study

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 128
Author(s):  
Gemma Biviá-Roig ◽  
Pau Soldevila-Matías ◽  
Gonzalo Haro ◽  
Victor González-Ayuso ◽  
Francisco Arnau ◽  
...  
Keyword(s):  
Observational Study ◽  
Mediterranean Diet ◽  
Online Survey ◽  
Short Form ◽  
Depression Scale ◽  
Tobacco Consumption ◽  
Retrospective Observational Study ◽  
Vulnerable Groups ◽  
Anxiety And Depression ◽  
The Impact

The movement restrictions put in place as a result of the COVID-19 pandemic required modification of the population’s usual routines, including those of the most vulnerable groups such as patients with schizophrenia. This was a retrospective observational study. We used an online survey to collect information on patient adherence to the Mediterranean diet (Mediterranean Diet Adherence Screener questionnaire), physical exercise (International Physical Activity Questionnaire Short Form), and tobacco consumption and levels of anxiety and depression (Hospital Anxiety and Depression Scale) before and during the movement restrictions. A total of 102 people with schizophrenia participated in this study. During the COVID-19 pandemic lockdown the participants significantly increased the number of minutes spent sitting per day (z = −6.73; p < 0.001), decreased the time they spent walking (z = −6.32; p < 0.001), and increased their tobacco consumption (X2 = 156.90; p < 0.001). These results were also accompanied by a significant increase in their reported levels of anxiety (z = −7.45; p < 0.001) and depression (z = −7.03, p < 0.001). No significant differences in patient diets during the pandemic compared to before the movement restrictions were reported. These results suggest the need to implement specific programs to improve lifestyle and reduce anxiety and depression during possible future pandemic situations.

Validation of the Arabic Version of the Brief Symptom Inventory to Measure Anxiety in Patients With Acute Myocardial Infarction

2020 ◽  
Vol 28 (1) ◽  
pp. 115-125
Author(s):  
Ghadeer Al-Dweik ◽  
Mohannad Eid AbuRuz
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Prospective Observational Study ◽  
Depression Scale ◽  
Brief Symptom Inventory ◽  
Anxiety And Depression ◽  
Arabic Version ◽  
Symptom Inventory ◽  
Reliable Instrument ◽  
Adequate Internal Consistency

Background and PurposeAnxiety after acute myocardial infarction is well-known phenomenon. This study aimed to examine the psychometric properties of the Arabic version of the Brief Symptom Inventory to measure anxiety in this population.MethodsThis was a prospective observational study among 460 patients. Patients answered the Brief Symptom Inventory and the Hospital Anxiety and Depression Scale to measure anxiety. Complications and other clinical variables abstracted from medical records.ResultsCronbach's α was .86, indicating adequate internal consistency. The item-total correlations and all interitem correlations were all acceptable. Anxiety was independent predictor for complication after acute myocardial infarction and higher in females supporting the construct validity.ConclusionArabic version of the Brief Symptom Inventory is a valid and reliable instrument to measure anxiety after acute myocardial infarction.

scholarly journals Baseline cerebral oximetry values in cardiac and vascular surgery patients: a prospective observational study

2010 ◽  
Vol 5 (1) ◽  
Author(s):  
Nikolaos G Baikoussis ◽  
Menelaos Karanikolas ◽  
Stavros Siminelakis ◽  
Miltiadis Matsagas ◽  
Georgios Papadopoulos
Keyword(s):  
Observational Study ◽  
Vascular Surgery ◽  
Prospective Observational Study ◽  
Cerebral Oximetry

scholarly journals Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery

2020 ◽  
Vol 10 (1) ◽  
pp. 53
Author(s):  
Sofia Gravani ◽  
Maria Matiatou ◽  
Pantelis T. Nikolaidis ◽  
Evangelos Menenakos ◽  
Constantinos G. Zografos ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Postoperative Pain ◽  
Short Form ◽  
Depression Scale ◽  
Preoperative Anxiety ◽  
Anxiety And Depression ◽  
Mcgill Pain Questionnaire ◽  
Preoperative Pain ◽  
Prolonged Hospitalization ◽  
Prolonged Immobilization

Uncontrolled postoperative pain and prolonged immobilization after bariatric surgery have been associated with increased postoperative complications and prolonged hospitalization. The aim of our study was to evaluate the postoperative pain that follows bariatric surgery and identify any psychological factors that may affect the early postoperative perception of pain. The study included 100 patients with obesity (women, n = 61; age 37.4 ± 9.9 years, mean ± standard deviation; Body Mass Index (BMI) 47.6 ± 6.5 kg/m2) who underwent bariatric surgery. Preoperative anxiety and depression were evaluated by the Hospital Anxiety and Depression Scale (HADS), and the quantitative and qualitative dimension of early postoperative pain were evaluated by the McGill Pain Questionnaire Short Form (MPQ-SF). Furthermore, the postoperative analgesia protocol was recorded for each patient. Pain declined gradually during the first 24 h postoperative. Although preoperative anxiety had no correlation with the overall pain of postoperative Day 0, patients with a higher level of preoperative anxiety had significantly more intense and more unpleasant pain at 1 h post operation. In addition, depression influences both the intensity and unpleasantness of pain at different time points (1 h, 4 h and 24 h postoperative). Preoperative pain correlated with educational level, but not with age, BMI, gender, marital status, smoking and surgery type. In conclusion, preoperative anxiety and depression influence the early postoperative pain after bariatric surgery, and their preoperative identification is of major importance to enhance the implementation of fast-track postoperative protocols to prevent complications and prolonged hospitalization.

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