Predictors of depression amongst older adults with acute coronary syndrome seeking emergency care

Hayajneh, Audai A.; Rababa, Mohammad; Al-Nusour, Esraa A; Alsatari, Eman S.

doi:10.1111/ijcp.14203

Cited by 6 publications

(5 citation statements)

References 52 publications

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“…Research by Eastwood et al (2021) shows that education through mass media related to ACS warning signs (including recognition of symptoms and actions to be taken) can improve ACS emergency response, thereby reducing the rate of cardiac arrest outside the hospital. This study provides evidence that increasing knowledge is important to increase the effectiveness of prehospital management, thereby saving many lives [18], [22].…”

Section: Knowledge Regarding Response To Symptomsmentioning

confidence: 77%

Importance of Acute Coronary Syndrome Knowledge to Improve Early Detection and Reduce Prehospital Delay in Patient with Acute Coronary Syndrome: A Systematic Review

Anggraini,

Said,

Umar

et al. 2023

Open Access Maced J Med Sci

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BACKGROUND: Acute coronary syndrome (ACS) is still a global cause of mortality and morbidity. Early detection of ACS is crucial management in preventing the high mortality rate. Several research results show that the perception of the severity of the symptoms is also one of the factors that prompt them to immediately seek help at the hospital. The higher the knowledge of the patient at risk of recognizing the signs and symptoms of ACS, the faster the time required for early detection will trigger a shorter time to seek help. AIM: This study will focus on the effect of knowledge about ACS on early detection and pre-hospital delay. METHODS: A systematic literature search was conducted in the following databases: PubMed, ProQuest, and Science Direct. Keywords used for the search included “knowledge,” “education,” “early detection,” “prehospital delay,” and “acute coronary syndrome” to identify studies published between 2018 and 2022. 709 citations of journal articles written between 2018 and 2020 have been reviewed and 20 studies were meet all of the inclusion criteria. RESULTS: The result shows that knowledge about ACS symptom and the risk factor is important to improve early detection with decreased misinterpretation and misdiagnosis, this condition will lead reduce prehospital delay because increase the need for treatment-seeking as soon as possible. CONCLUSION: Knowledge about ACS symptom and the risk factor is important to improve early detection with decreased misinterpretation and misdiagnosis, this condition will lead reduce prehospital delay because increase the need for treatment-seeking as soon as possible.

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Section: Knowledge Regarding Response To Symptomsmentioning

confidence: 77%

Importance of Acute Coronary Syndrome Knowledge to Improve Early Detection and Reduce Prehospital Delay in Patient with Acute Coronary Syndrome: A Systematic Review

Anggraini,

Said,

Umar

et al. 2023

Open Access Maced J Med Sci

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“…During admission, 28.3% of the subjects had depression compared to 65.7% in an observation by Audai et al on older adults with ACS who were seeking emergency care (25) . There was a need to reassess the score in 96 (44.4%) of the subjects due to delirium and cognitive impairment during admission.…”

Section: Assessment Of Depressionmentioning

confidence: 83%

Depression among older adults who developed Acute coronary syndrome (ACS) during hospitalization for non cardiac illness: A Prospective observational study.

Vijayakumar

David

Vijayakumar

2022

Preprint

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Background: Atypical presentations of ACS delay its recognition and treatment in the older adults. During hospitalization, depression and functional decline which is unique to older adults, leads to poor clinical outcome. Steps taken for its prevention is unlikely to become a priority for the Cardiologist. Present study was conducted to identify Depression among older adults who developed ACS during hospitalization for non cardiac illness and their outcome. Methods: 310 older adults with ACS were included from 26 June 2020 to 13 October 2020. Subjects were divided into those admitted primarily due to an ACS (Group I, n=94) and those developing ACS following admission for non cardiac illness (Group II, n=216). Co morbidities, medications, investigations, management, clinical outcome, Geriatric Depression Scale was compared between the two groups at the time of admission, after 30 days and after 6 months. Results: Majority of them were admitted due to acute kidney injury (27.1%) in Group II and had a non-ST elevation ACS (90.2%). Optimum management was given to a lesser extent due to the clinical condition of these patients. Depression during hospitalization, during follow up and poor clinical, functional and cognitive outcome was more in Group II. Conclusion: Optimum medical management was not given to considerable number of patients due to atypical presentations, clinical condition, along with functional and cognitive decline which resulted from depression. Clinicians must be vigilant for the development of depression when an older adult is admitted to the hospital, as early detection and optimum management provides better clinical outcome.

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“…Of these records, 28 studies met our inclusion/exclusion criteria and were included in the final meta-analysis. [20–47] The most common reason for exclusion of a study following full-text review was ACS diagnostic criteria were not provided. A total of 4699 patients were ACS depression patients.…”

Section: Resultsmentioning

confidence: 99%

Estimating the prevalence of depression in people with acute coronary syndromes: A systematic review and meta-analysis

Dong,

Yang,

Chen

2024

Medicine

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Background: The epidemic of acute coronary syndromes (ACS) poses a great challenge to depression. However, the prevalence of depression among ACS patients has not been fully determined. This meta-analysis aimed to provide an estimation of the global prevalence of depression among ACS patients (ACS depression). Methods: Online databases including PubMed, Cochrane Library, Web of Science, and Scopus were searched for all relevant studies that reported the prevalence of ACS depression through March 2023. Pooled prevalence of ACS depression with 95% confidence interval (CI) was estimated by the random-effect model. All statistical analyses were performed using comprehensive meta-analysis software. This review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (identifier CRD42023409338). Results: A total of 28 studies (17 cohort studies, 9 cross-sectional studies, and 2 case–control studies) were included. The overall pooled prevalence of depression in ACS, derived from 28 studies, was 28.5% (95% CI: 0.28–0.29, P = .000, I 2 = 99%). 21 included studies showed a prevalence of 20.3% (95% CI: 0.20–0.21, P = .000, I 2 = 96%) in men, and the prevalence in women was 13.6% (95% CI: 0.13–0.14, P = .000, I 2 = 95%). Subgroup analysis showed the lowest prevalence in Europe (20.7%, 95% CI: 0.20–0.22, P = .000, I 2 = 98%); On different diagnostic criteria, the diagnostic and statistical manual of mental disorders (DSM-IV) (36.8%, 95% CI: 0.35–0.38, P = .000, I 2 = 96%) has the highest prevalence. In terms of end year of data collection, the prevalence of ACS depression was lower for studies that ended data collection after 2012 (25.7%, 95% CI: 0.25–0.27, P = .000, I 2 = 99%) than in studies before 2012 (30%, 95% CI: 0.29–0.31, P = .000, I 2 = 98%). Conclusion subsections: This systematic review and meta-analysis suggest high global prevalence of depression among ACS patients, underlining the necessity of more preventive interventions among ACS patients especially in Asian and North American regions.

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Predictors of depression amongst older adults with acute coronary syndrome seeking emergency care

Cited by 6 publications

References 52 publications

Importance of Acute Coronary Syndrome Knowledge to Improve Early Detection and Reduce Prehospital Delay in Patient with Acute Coronary Syndrome: A Systematic Review

Importance of Acute Coronary Syndrome Knowledge to Improve Early Detection and Reduce Prehospital Delay in Patient with Acute Coronary Syndrome: A Systematic Review

Depression among older adults who developed Acute coronary syndrome (ACS) during hospitalization for non cardiac illness: A Prospective observational study.

Estimating the prevalence of depression in people with acute coronary syndromes: A systematic review and meta-analysis

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