Recommendations and practices for the screening of depression and anxiety in acute coronary syndrome: a scoping review protocol

Franzon, Julie; Haren, Matthew T.; Kourbelis, Constance; Marin, Tania; Newman, Peter; Jones, Martin; Muir‐Cochrane, Eimear; Clark, Robyn

doi:10.11124/jbisrir-2017-003487

Cited by 2 publications

(2 citation statements)

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“…5 All of the above factors may contribute to the pathogenesis of affective disorders in these patients, such as depression and anxiety. 6 Previous studies have confirmed that depression independently predicts poor clinical outcomes in patients with CAD. 7 However, the influence of anxiety on prognosis of CAD patients, particularly for those with ACS, is poorly understood.…”

Section: Introductionmentioning

confidence: 94%

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Anxiety and clinical outcomes of patients with acute coronary syndrome: a meta-analysis

Feng

Song

et al. 2020

BMJ Open

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ObjectivesAnxiety has been suggested to be associated with poor outcomes in patients with acute coronary syndrome (ACS). However, results of previous follow-up studies were inconsistent. The aim of this meta-analysis was to evaluate the association between anxiety and clinical outcomes in patients with ACS, and to investigate the potential role of depression underlying the above association.DesignA meta-analysis of prospective follow-up studies.SettingHospitals.ParticipantsPatients with ACS.InterventionsWe included related prospective follow-up studies up through 20 July 2019 that were identified by searching PubMed and Embase databases. A random-effect model was used for the meta-analysis. Anxiety was evaluated by validated instruments at baseline.Primary and secondary outcome measuresWe determined the association between anxiety and risks of mortality and adverse cardiovascular events (MACEs) in patients with ACS.ResultsOur analysis included 17 studies involving 39 038 patients wqith ACS. Anxiety was independently associated with increased mortality risk (adjusted risk ratio (RR) 1.21, 95% CI 1.07 to 1.37, p=0.002) and MACEs (adjusted RR 1.47, 95% CI 1.24 to 1.74, p<0.001) in patients with ACS. Subgroup analyses showed that depression may at least partly confound the association between anxiety and poor outcomes in patients with ACS. Adjustment of depression significantly attenuated the association between anxiety and MACEs (adjusted RR 1.25, 95% CI 1.04 to 1.52, p=0.02). Moreover, anxiety was not significantly associated with mortality risk after adjusting for depression (adjusted RR 0.88, 95% CI 0.66 to 1.17, p=0.37).ConclusionsAnxiety is associated with increased risk of mortality and MACEs in patients with ACS. However, at least part of the association may be confounded by concurrent depressive symptoms in these patients.

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Section: Introductionmentioning

confidence: 94%

“… 5 All of the above factors may contribute to the pathogenesis of affective disorders in these patients, such as depression and anxiety. 6 …”

Section: Introductionmentioning

confidence: 99%

Anxiety and clinical outcomes of patients with acute coronary syndrome: a meta-analysis

Feng

Song

et al. 2020

BMJ Open

View full text Add to dashboard Cite

show abstract

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

Marin

Walsh

May

et al. 2020

JBI Evidence Synthesis

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Recommendations and practices for the screening of depression and anxiety in acute coronary syndrome: a scoping review protocol

Abstract: The objective of this scoping review is to identify and map current recommendations and practices for the screening of depression and anxiety in acute coronary syndrome patients in the acute care setting.Specifically, the review questions are.

Cited by 2 publications

References 18 publications

Anxiety and clinical outcomes of patients with acute coronary syndrome: a meta-analysis

Anxiety and clinical outcomes of patients with acute coronary syndrome: a meta-analysis

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

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