Use of the Hospital Anxiety and Depression Scale (HADS) in a Cardiac Emergency Room – Chest Pain Unit
Autor: | Karla Biancha, Ticiana Pacheco, Antonio Egidio Nardi, Gastão L. Soares-Filho, André Volschan, Rafael C. Freire, Alexandre Martins Valença |
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Rok vydání: | 2009 |
Předmět: |
Adult
Male Chest Pain Pediatrics medicine.medical_specialty Acute coronary syndrome Clinical Sciences Coronary Artery Disease Anxiety Chest pain Hospital Anxiety and Depression Scale Coronary artery disease Quality of life Surveys and Questionnaires Prevalence medicine Humans Emergency Room In patient Depression (differential diagnoses) Aged Aged 80 and over Psychiatric Status Rating Scales lcsh:R5-920 Depression business.industry General Medicine medicine.disease Surgery Female medicine.symptom Emergency Service Hospital lcsh:Medicine (General) business |
Zdroj: | Clinics; v. 64 n. 3 (2009); 209-214 Clinics; Vol. 64 Núm. 3 (2009); 209-214 Clinics; Vol. 64 No. 3 (2009); 209-214 Clinics Universidade de São Paulo (USP) instacron:USP Clinics, Vol 64, Iss 3, Pp 209-214 (2009) Clinics (Sao Paulo, Brazil) |
ISSN: | 1807-5932 1980-5322 |
Popis: | OBJECTIVE: To determine the prevalence of anxiety and depression in patients complaining of chest pain who seek a chest pain unit attendance. INTRODUCTION: Patients arriving at a Chest Pain Unit may present psychiatric disorders not identified, isolated or co-morbid to the main illness, which may interfere in the patient prognosis. METHODOLOGY: Patients were assessed by the "Hospital Anxiety and Depression Scale" as a screening instrument wile following a systematized protocol to rule out the diagnosis of acute coronary syndrome and other potentially fatal diseases. Patients with 8 or more points in the scale were considered "probable case" of anxiety or depression. RESULTS: According to the protocol, 59 (45.4%) of 130 patients studied presented Chest Pain of Determined Cause, and 71 (54.6%) presented Chest Pain of Indefinite Cause. In the former group, in which 43 (33.1%) had acute coronary syndrome, 33.9% were probable anxiety cases and 30.5% depression cases. In the second group, formed by patients without acute coronary syndrome or any clinical conditions involving greater morbidity and mortality risk, 53.5% were probable anxiety cases and 25.4% depression. CONCLUSION: The high anxiety and depression prevalence observed may indicate the need for early and specialized approach to these disorders. When coronary arterial disease is present, this may decrease complications and shorten hospital stay. When psychiatric disorder appears isolated, is possible to reduce unnecessary repeated visits to emergency room and increase patient's quality of life. |
Databáze: | OpenAIRE |
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