The association between mood, anxiety and adjustment disorders and hospitalization following lung transplantation
| Autor: | Talya Brettler, Phillip C. Camp, Lisa Soleymani Lehmann, Stacey Salomon, Andrew M. Courtwright, David J. Wolfe, Hilary J. Goldberg, Miguel Divo |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics medicine.medical_treatment Adjustment disorders Comorbidity 03 medical and health sciences Adjustment Disorders 0302 clinical medicine medicine Lung transplantation Humans 030212 general & internal medicine Aged Retrospective Studies business.industry Mood Disorders Middle Aged medicine.disease Anxiety Disorders Transplantation Hospitalization Psychiatry and Mental health surgical procedures operative Mood 030228 respiratory system Mood disorders Physical therapy Anxiety Female medicine.symptom business Lung allocation score Lung Transplantation |
| Zdroj: | General hospital psychiatry. 41 |
| ISSN: | 1873-7714 |
| Popis: | Objectives Psychiatric comorbidities such as mood, anxiety and adjustment disorders are common among individuals seeking lung transplantation. The objective of this study is to describe the association between these disorders and length of initial hospitalization and number of hospitalizations in the first year following transplantation. Methods This was a retrospective cohort study of all lung transplantation patients between January 1, 2008 and July 1, 2014 at a large academic center. We evaluated whether pretransplantation mood, anxiety or adjustment disorders were associated with length and number of hospitalizations after transplant, adjusting for age, sex, native disease, forced expiratory volume in 1 s prior to transplantation, wait list time and lung allocation score. Results There were 185 patients who underwent transplantation during the 7.5-year study period of whom 125 (67.6%) had a mood, anxiety or adjustment disorder. Patients with an adjustment disorder had decreased length of initial hospitalization [ B coefficient=−5.76; 95% confidence interval (CI)=−11.40 to −0.13; P =.04]. Patients with anxiety disorders had an increased number of hospitalizations in the first year following transplantation (rate ratio=1.41; 95% CI=1.06–1.88; P =.02). There was no association between mood disorders and length or number of hospitalizations. Mood, adjustment and anxiety disorders were not associated with time to initial rehospitalization. Conclusions Among the three most common pretransplantation psychiatric disorders, only anxiety disorders are associated with increased hospitalization in the first year following lung transplant. Interventions designed to better control pretransplantation and posttransplantation anxiety may be associated with less frequent hospitalization. |
| Databáze: | OpenAIRE |
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