Post-traumatic symptoms in patients with acute coronary syndrome: Maybe an outcome predictor after the ED visit!

Autor: Rekik N; Emergency department, University Hospital Habib Bourguiba, Sfax, Faculty of Medicine, Sfax university, Tunisia., Bouzid S; Emergency department, University Hospital Habib Bourguiba, Sfax, Faculty of Medicine, Sfax university, Tunisia., Abdelhedi A; Emergency department, University Hospital Habib Bourguiba, Sfax, Faculty of Medicine, Sfax university, Tunisia., Bouzid K; Emergency department, University Hospital Habib Bourguiba, Sfax, Faculty of Medicine, Sfax university, Tunisia., Benamor M; Emergency department, University Hospital Habib Bourguiba, Sfax, Faculty of Medicine, Sfax university, Tunisia., Benamira F; Emergency department, University Hospital Habib Bourguiba, Sfax, Faculty of Medicine, Sfax university, Tunisia., Karray R; Emergency department, University Hospital Habib Bourguiba, Sfax, Faculty of Medicine, Sfax university, Tunisia., Jerbi M; Emergency department, University Hospital Habib Bourguiba, Sfax, Faculty of Medicine, Sfax university, Tunisia., Nasri A; Emergency department, University Hospital Habib Bourguiba, Sfax, Faculty of Medicine, Sfax university, Tunisia., Chakroun-Walha O; Emergency department, University Hospital Habib Bourguiba, Sfax, Faculty of Medicine, Sfax university, Tunisia. Electronic address: chakroun_olfa@medecinesfax.org.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2022 Nov; Vol. 61, pp. 117-119. Date of Electronic Publication: 2022 Aug 29.
DOI: 10.1016/j.ajem.2022.08.051
Abstrakt: Objectives: We aimed to assess the patients' experience of threat during management of an acute coronary syndrome (ACS) in the Emergency Department (ED) and to analyze the impact of this acute stress on day-30 outcomes.
Study Design: This is a prospective study.
Methods: We included patients with ACS in the ED. After discharge, the perceived stress (Perceived Stress Scale (PSS); Visual Analogic Scale (VAS) in stress evaluation; Patient Health Questionnaire (PHQ); and Posttraumatic Stress Disorder Checklist Scale (PCLS) were used.
Results: 35 patients have developed PTSD on day-30 (31.8%). The independent predictors of developing PTSD at day-30 were high PSS score on admission (OR = 1.4; CI = 1.1-1.8; p = 0.004) and/or elevated PHQ-9 score at day-30 (OR = 1.5; CI = 1.2-1.9; p < 0.001). The recurrence of the chest pain was more frequent in the PTSD group of patients. Patients with PTSD symptoms were more likely to report a non-therapeutic adherence to their cardiovascular medication.
Conclusion: Stress management in EDs should become a systematic step in the management of patients with ACS. This study emphasizes the importance of multidisciplinary follow-up and early screening of patients at risk of PTSD to improve their outcomes after discharge.
Competing Interests: Declaration of Competing Interest None declared. I am enclosing herewith a manuscript entitled “Post-traumatic symptoms in patients with acute coronary syndrome: maybe an outcome predictor after the ED visit!” for publication in THE AMERICAN JOURNAL OF EMERGENCY MEDICINE. The corresponding author is Olfa CHAKROUN-WALHA and contribution of the authors as mentioned below with their responsibility in the research: The authors declare that they have no conflict of interest. The authors thank Mr. Chokri KHALAF for his help in editing the English of the manuscript.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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