Anxiety following cardiac surgery – an important aspect of health status assessment

Nowicka-Sauer, Katarzyna; Beta, Sebastian; Nowak, Robert; Jarmoszewicz, Krzysztof; Molisz, Andrzej; Batkiewicz, Sebastian; Płotkowska-Baranowska, Agata; Siebert, Janusz

doi:10.5114/fmpcr/62791

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…Our findings are in accordance with a meta-analysis that revealed anxiety to be a significant risk factor for suicidality [15]. Studies involving cardiac surgery patients have observed that clinical anxiety may occur in 30-55% of patients [27]. Younes et al [28] and Krannich et al [29] indicated that although symptoms of anxiety and/or depression tend to improve over time, some patients after heart surgery may suffer from prolonged emotional disorders.…”

Section: Discussionsupporting

confidence: 91%

“…HADS as it is specifically designed to use among somatically ill patients. Screening for mental disorders in patients with cardiovascular diseases is recommended considering their high prevalence and association with morbidity and mortality [1, 7, 17, 19, 26–28, 34, 35]. Positive screenings should be followed up by an interview with a mental health professional.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and Predictors of Suicidal Ideation in Patients Following Cardiac Surgery

Jarmoszewicz¹,

Topolski

Hajduk

et al. 2022

World j. surg.

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Background Patient-reported outcomes (PROs) which demand special attention and immediate help are referred to as PROs alert. Suicidal ideation (SI) is one of the PROs alerts which are insufficiently investigated. The aim was to assess the prevalence and risk factors for SI in patients following cardiac surgery. Methods A total of 190 patients (mean age: 66.09, SD = 10.19; 57 women) were assessed at three months following cardiac surgery. SI was identified using the Patient Health Qustionnaire-9 (PHQ-9) question. The Hospital Anxiety and Depression Scale-Modified was used to assess anxiety, depression, and irritability. Additionally, self-perceived health improvement and level of hope were assessed using the Likert scale. Dyspnea and chest pain were assessed using a visual analogue scale. Results SI was observed in 14.7% of participants. Patients experiencing SI had significantly higher levels of depression, anxiety, irritability, dyspnea and chest pain. They perceived the surgery to be less effective and had lower levels of hope. No significant relationships were found regarding age, sex, employment status, myocardial infarction, heart failure, operation mode, type of procedure, extracorporal circulation, hospital stay and postsurgical complications. Logistic regression revealed female sex (B = 2.363), higher anxiety level (B = 0.451) and older age (B = 0.062) to be risk factors for SI. The total variance explained by the model was 46%. Conclusions Assessing suicidality and negative emotions with special emphasis on anxiety simultaneously with somatic complaints is vital to address PROs alerts and improve care for patients following cardiac surgery. In-depth evaluation and psychological care are recommended in case of positive screening.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Prevalence and Predictors of Suicidal Ideation in Patients Following Cardiac Surgery

Jarmoszewicz¹,

Topolski

Hajduk

et al. 2022

World j. surg.

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“…Moreover, depression and anxiety that accompany chronic diseases can lead to an increased number of diagnostic tests and consultations, which may lead to as much as doubling treatment costs [38].…”

Section: Mental Health and Level Of Needsmentioning

confidence: 99%

Unmet needs in emergency department patients as an important aspect of the increasing number of hospitalizations

Szwamel¹,

Kurpas²

2017

fmpcr

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Background. Unmet needs in the medical care of high-need patients may increase costs due to the use of emergency departments (eDs) instead of primary care. Objectives. to establish the possible correlation between the unmet needs of patients and the number of hospitalizations, and the probability of influence of the former aspect on the latter, and to analyze the level of satisfied needs of ED patients in relation to sociodemographic data. Material and methods. An original questionnaire and a modified version of the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) were used to assess the level of satisfaction of the social, medical, psychological and environmental needs of 150 ED patients. Results. Most respondents were women (54%; 81/150) of a median age of 44.5 (range: 18-87). Nearly a half of the patients (48%; 72/150) were treated due to chronic diseases. A high Camberwell index (above 0.825) was negatively correlated with the total number of hospitalizations in a three-year period (r = -0.37; p < 0.001). The chance of hospitalization in people with a low Camberwell index (below 0.825) was 3 times higher than in those with higher values (OR 0.36; 95% CI 0.17-0.72). The highest level of satisfied needs was obtained by people aged 38-47, with higher education, married, living in a relationship, declaring a very good material status.Conclusions. An ED visit prevention program should include the target primary care patient groups with the highest chance of hospitalization, in particular: people aged over 67, with chronic diseases, with primary education only, widows/widowers, declaring a poor material status and living alone.

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Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery – A cross-sectional study

Ramesh

Nayak

Pai

et al. 2017

International Journal of Africa Nursing Sciences

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Anxiety following cardiac surgery – an important aspect of health status assessment

Cited by 4 publications

References 17 publications

Prevalence and Predictors of Suicidal Ideation in Patients Following Cardiac Surgery

Prevalence and Predictors of Suicidal Ideation in Patients Following Cardiac Surgery

Unmet needs in emergency department patients as an important aspect of the increasing number of hospitalizations

Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery – A cross-sectional study

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