Atrial fibrillation independently linked with depression in community-dwelling older population. Results from the nationwide PolSenior project

Rewiuk, Krzysztof; Wizner, Barbara; Klich-Rączka, Alicja; Wiȩcek, Andrzej; Mossakowska, Małgorzata; Chudek, Jerzy; Szybalska, Aleksandra; Broczek, Katarzyna; Zdrojewski, Tomasz; Grodzicki, Tomasz

doi:10.1016/j.exger.2018.09.006

Cited by 14 publications

(13 citation statements)

References 26 publications

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“…19 In community-dwelling population of 4979 individuals, (mean age 78.1 ±8.3 years, 52% males), AF was associated with higher depression prevalence, independently from demographic factors, disabilities and comorbidities (including history of stroke). 20 In the same study, self-reported AF history was associated with 42% increase of suspected depression. 20 Antidepressant treatment is associated with a threefold higher risk of AF during the first month.…”

Section: Discussionmentioning

confidence: 83%

“…20 In the same study, self-reported AF history was associated with 42% increase of suspected depression. 20 Antidepressant treatment is associated with a threefold higher risk of AF during the first month. 21 Psychological distress in the form of depression and/or anxiety may be the environment for the initiation and perpetuation of AF and may also contribute to greater symptom severity and recurrence of this arrhythmia.…”

Section: Discussionmentioning

confidence: 83%

“…29 (23)(24)(25)(26)(27)(28)(29)(30)(31)(32) Need to be informed from the medical and nursing staff 20 (14-27) Need for communication with other patient groups, and ensurance for communication with family (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) 10 (6-14)…”

mentioning

confidence: 99%

“…Need for individualization of care and patient participation in patient care (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) 9 (6-12) Need to meet the emotional needs (eg, anxiety, fear, loneliness) and physical needs (such as relaxation, sleep, better conditions of treatment) 9 (7)(8)(9)(10)(11)(12) Need to trust the medical and nursing staff (2-8) 6 (5-7)…”

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confidence: 99%

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Atrial fibrillation: the impact of anxiety and depression on patients' needs

Polikandrioti¹

2021

Psychiatriki

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Atrial fibrillation (AF) is a common sustained cardiac arrhythmia, which is expected to expand enormously due to population ageing. The aim of the present study was to explore the significance of AF patients' needs and the associated factors as well as the impact of anxiety and depression on these needs. The sample of the study included 215 AF hospitalized patients. Data were collected by the completion of a questionnaire which, in addition to patients' characteristics, it also included the Hospital Anxiety and Depression Scale (HADS) and the questionnaire "Needs of hospitalized patients with coronary artery disease", that is evaluating the significance of the following 6 categories of needs: a) for support and guidance, b) for information from medical and nursing staff, c) for communication with other patients and family, d) for individualization of care and participation, e) to trust the medical and nursing staff and f) to meet emotional and physical needs. The statistical significance level was p<0.05. Of the 215 participants, 68.4% were men and 67.5% were > 60 years old. Moreover, 47.5% of the participants experienced anxiety and 29.5% depression. The need for support, to be informed and to trust the medical and nursing staff considered to be of high significance by the patients (median 29,20 and 6, respectively). Anxiety and depression were significantly associated with all patients' needs (p<0.05) apart from the need to meet the emotional and physical needs and the need to trust the medical and nursing staff, which were not associated with anxiety levels. In terms of patients' needs, those who reported to be little or not at all informed about their disease considered of a higher significance the need for support and guidance (p=0.030), the need to be informed and to trus the medical and nursing staff (p=0.001 and p=0.012, respectively) and the need for communication with other patients and family (p=0.007). The need for individualization of care and participation in it, was considered more significant by patients aged >70 years and those having no children (p=0.039 and p=0.029, respectively) while the need for communication with other patients and family was considered more significant by women (p=0.028). The present findings emphasize the importance of providing care tailored to meet the needs of AF patients who experience anxiety and depression.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 83%

mentioning

confidence: 99%

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confidence: 99%

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Atrial fibrillation: the impact of anxiety and depression on patients' needs

Polikandrioti¹

2021

Psychiatriki

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“…In patients aged < 65 years, due to few complicating diseases and high requirements for QoL, most young people may be hospitalized for improving AF-caused symptoms or seeking catheter ablation for maintaining sinus rhythm. The combined effects of the triggering or exacerbation of other diseases caused by pathophysiological alterations [19][20][21], old age, and the adverse events in the application of drugs during the treatment of AF [22][23][24], put older and multi-morbid patients at a greater risk of adverse outcomes across multiple organ systems than AF or cardiac events. Some of the con icting ndings in these studies about the main cause for hospitalization in AF patients may be attributable to different clinical setting and patient population in each study.…”

Section: Discussionmentioning

confidence: 99%

Incidence and Predictors of Hospitalization in Patients with Atrial Fibrillation: Results from the Chinese Atrial Fibrillation Registry Study

Dong

et al. 2020

Preprint

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Background: Patients with atrial fibrillation (AF) underwent a high risk of hospitalization, which, however, has not been paid much attention in clinic. Therefore, we aimed to assess the incidence, causes and predictors of hospitalization in AF patients.Methods: From August 2011 to December 2017, 20,172 AF patients from the Chinese Atrial Fibrillation Registry (China-AF) Study were enrolled in this study. We described the incidence, causes of hospitalization according to age and gender categories. The Cox proportional hazards model was employed to identify predictors of first all-cause and first cause-specific hospitalization. Results: After a mean follow-up of 37.3 ± 20.4 months, 7,512 (37.2%) AF patients experienced one or more hospitalizations. The overall incidence of all-cause hospitalization was 24.0 per 100 patient-years. Patients aged < 65 years were predominantly hospitalized for AF (42.1% of the total frequency of hospitalizations); while patients aged 65-74 and ≥ 75 years were mainly hospitalized for non-cardiovascular diseases (43.6% and 49.3%, respectively). Multivariate Cox model analysis verified the higher risk of hospitalization in patients complicated with heart failure (HF)[hazard ratio (HR) 1.15, 95% confidence interval (CI) 1.08-1.24], established coronary artery disease (CAD) (HR 1.26, 95%CI 1.19-1.34), ischemic stroke/transient ischemic attack (TIA) (HR 1.26, 95%CI 1.18-1.33), diabetes (HR 1.16, 95%CI 1.10-1.22), chronic obstructive pulmonary disease (COPD) (HR 1.41, 95%CI 1.13-1.76), gastrointestinal disorder (HR 1.39, 95%CI 1.23-1.58), and renal dysfunction (HR 1.31, 95%CI 1.16-1.48). Conclusions: More than one-third of AF patients included in this study were hospitalized at least once during almost 3 years of follow-up. The main cause for hospitalization among elderly patients (≥65 years) is non-cardiovascular diseases rather than AF. Multidisciplinary management of comorbidities should be advocated as strategies to reduce hospitalization in AF patients.Clinical Trial Registration: URL: http://www.chictr.org.cn/showproj.aspx?proj=5831. Unique identifier: ChiCTR-OCH-13003729.

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Kardiovaskuläre Erkrankungen

Kapfhammer¹

2022

Depression, Angst, Traumatischer Stress Und Internistische Erkrankungen

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Atrial fibrillation independently linked with depression in community-dwelling older population. Results from the nationwide PolSenior project

Cited by 14 publications

References 26 publications

Atrial fibrillation: the impact of anxiety and depression on patients' needs

Atrial fibrillation: the impact of anxiety and depression on patients' needs

Incidence and Predictors of Hospitalization in Patients with Atrial Fibrillation: Results from the Chinese Atrial Fibrillation Registry Study

Kardiovaskuläre Erkrankungen

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