[Preoperative mood disorders in patients undergoing cardiac surgery: risk factors and postoperative morbidity in the intensive care unit]
| Autor: | Miguel A. Navarro-García, Blanca Marín-Fernández, Maria R. Sorbet-Amóstegui, Patricia Prieto-Guembe, Maria I. Irigoyen-Aristorena, Ainhara Martorell-Gurucharri, Amparo Martínez-Oroz, Arantzazu Elizondo-Sotro, Silvia Induráin-Fernández, Esther Ordoñez-Ortigosa, Vanessa de Carlos-Alegre, Yolanda García-Aizpún |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Care Anxiety Hospital Anxiety and Depression Scale Preoperative care law.invention Postoperative Complications Sex Factors law Risk Factors Internal medicine Preoperative Care medicine Humans Longitudinal Studies Prospective Studies Risk factor Cardiac Surgical Procedures Depression (differential diagnoses) Aged Pain Measurement Aged 80 and over Depressive Disorder Pain Postoperative business.industry Mood Disorders Age Factors General Medicine Odds ratio Length of Stay Middle Aged Intensive care unit Cardiac surgery Intensive Care Units Spain Anesthesia Female medicine.symptom business |
| Zdroj: | Revista espanola de cardiologia. 64(11) |
| ISSN: | 1579-2242 |
| Popis: | A B S T R A C T Introduction and objectives: To estimate the preoperative levels of anxiety and depression in patients awaiting heart surgery and to identify the risk factors associated with the development of these mood disorders. To evaluate the relationship between preoperative anxiety and depression and postoperative morbidity. Methods: Prospective longitudinal study in a sample of 100 patients undergoing heart surgery. We carried out a preoperative structured interview in which the patient completed the Hospital Anxiety and Depression Scale, and sociodemographic (age, sex, marital status, and income) and surgical variables (surgical risk, type of surgery, length of preoperative hospital stay, and surgical history) were also recorded. Pain, analgesic use, and postoperative morbidity were evaluated in the intensive care unit. Results: Thirty-two percent of the patients developed preoperative anxiety and 19%, depression. Age < 65 years (odds ratio = 3.05; 95% confidence interval, 1.27-7.3) was the only significant risk factor for developing preoperative anxiety. A length of preoperative hospital stay 3 days was the main risk factor for preoperative depression (odds ratio = 4.59; 95% confidence interval, 1.6-13.17). Preoperative anxiety significantly increased the postoperative pain and analgesic consumption. Neither anxiety nor depression significantly modified the rest of the postoperative variables associated with morbidity in the intensive care unit. Conclusions: Anxiety and depression are mood disorders that are detected in patients awaiting heart surgery, with age |
| Databáze: | OpenAIRE |
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