Assessment of Preoperative Anxiety in Cardiac Surgery Patients Lacking a History of Anxiety: Contributing Factors and Postoperative Morbidity

Hérnández-Palazón, J; Fuentes-García, Diego; Falcón-Araña, Luis; Roca-Calvo, María José; Burguillos-López, Sebastián; Doménech-Asensi, Paloma; Jara-Rubio, Rubén

doi:10.1053/j.jvca.2017.04.044

Cited by 75 publications

(66 citation statements)

References 43 publications

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“…This wide range among different series could be explained by the use of different methods of diagnosis, several scales for symptom evaluation, and by the variation in selection criteria and patient characteristics among studies. As regards factors predicting anxiety and depressive symptoms, in this research, there was no impact of gender on HADS, which agree with the results of Hernandez-Palazon et al [19]. In contrast, Koivula et al [21] observed a higher preoperative anxiety level in women prepared for cardiac surgery.…”

Section: Discussionsupporting

confidence: 90%

“…These debates in the findings of Petersen et al [5] may be attributed to their inclusion of older age population (mean age 62 years), which may reflect the effect of age-related changes and the duration of preoperative admission with different timing in obtaining their preoperative value (up to 1 week before surgery). Hernandez-Palazon et al [19] emphasized that lengthy preoperative hospital stay demonstrated a greater anxiety score among patients undergoing CABG.…”

Section: Discussionmentioning

confidence: 99%

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Psychiatric disturbances in patients undergoing open-heart surgery

Younes

Amer

Fawzy

et al. 2019

Middle East Curr Psychiatry

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Background: Emotional and behavioral problems have been noted in a considerable number of patients after open-heart surgery. However, great discrepancy exists in the literature regarding the frequency and the course of psychiatric symptoms, cognitive performance, and quality of life among those patients. This prospective study was designed to assess the pre-and postoperative psychiatric profile, as well as the quality of life of patients undergoing open-heart surgery. Methods: One hundred patients who were prepared for cardiac surgery and met our selection criteria were recruited in this study. Each patient was subjected to the Hospital Anxiety and Depression Scale, the Mini-Mental State Examination with selective subtests of Wechsler Adult intelligence scale, and the Short Form 36 questionnaire to assess psychiatric symptoms, cognitive performance, and quality of life respectively. Assessment was done for each of the evaluated items before surgery as well as at 1 week and 6 months postoperatively. Results: The anxiety and depressive symptoms were significantly lower at 6 months postoperatively than preoperatively. The cognitive performance declined after 1 week, then improved significantly at the 6-month follow-up. The quality of life scale was significantly lower preoperatively than after surgery. Conclusions: Anxiety and depressive symptoms, which occurred in substantial percentage of patients undergoing open-heart surgery, were gradually improved with time. Cognitive functions showed early deterioration with significant improvement at 6 months. Psychiatric problems had an adverse impact on patients' quality of life which raised the importance of psychiatric consultation before and after cardiac surgeries to shorten recovery time.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Psychiatric disturbances in patients undergoing open-heart surgery

Younes

Amer

Fawzy

et al. 2019

Middle East Curr Psychiatry

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“…The definition of preoperative anxiety is "an unpleasant state of uneasiness or tension that is secondary to a patient being concerned about a disease, hospitalization, anaesthesia and surgery, or the unknown" [1]. Among patients admitted to hospital for surgery, 20-28% reported high preoperative anxiety and 60% reported minimal anxiety in two studies investigating this issue [2,3]. Patients' anxiety before surgery is a risk for postoperative recovery problems and its consequences are of paramount importance in delaying wound healing [4].…”

Section: Introductionmentioning

confidence: 99%

Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial

Rousseaux

Faymonville

Nyssen

et al. 2020

Trials

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Background: Different non-pharmacological techniques, including hypnosis and virtual reality (VR) are currently used as complementary tools in the treatment of anxiety, acute and chronic pain. A new technique called virtual reality hypnosis (VRH), which encompasses a combination of both tools, is regularly used although its benefits and underlying mechanisms remain unknown to date. With the goal to improve our understanding of VRH combination effects, it is necessary to conduct randomised and controlled research trials in order to understand their clinical interest and potential benefits.Methods: Patients (n = 100) undergoing cardiac surgery at the Liège University Hospital will be randomly assigned to one of four conditions (control, hypnosis, VR or VRH). Each patient will receive two sessions of one of the techniques: one the day before the surgery and one the day after. Physiological assessments will be made on the monitor and patients will rate their levels of anxiety, fatigue, pain, absorption and dissociation. Discussion: This study will help to expand knowledge on the application of virtual reality, hypnosis and VRH in the specific context of cardiac and intensive care procedures, and the influence of these non-pharmacological techniques on patient's anxiety, fatigue, pain and phenomenological experience.

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“…In the literature, there is no consensus about the relationship between anxiety and length of hospital stay. (29,30) However, it has been shown that the average length of hospital stay for this group of patients has been decreasing over the last 20 years. (31) This fact is a challenge for proposing strategies aimed at reducing anxiety levels in these patients.…”

Section: Discussionmentioning

confidence: 99%

Ansiedade e desfechos clínicos em pacientes coronariopatas submetidos ao cateterismo não programado

2018

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Resumo Objetivos Descrever o nível de ansiedade traço e estado em pacientes com síndrome coronariana aguda submetidos a cateterismo não programado; verificar a influência da ansiedade traço na ansiedade estado antes e após o cateterismo e verificar se a ansiedade (traço e estado) é preditiva da ocorrência de arritmias não fatais, da gravidade dos pacientes medida pela classificação Killip e pelo índice de comorbidade de Charlson, e do tempo de permanência hospitalar. Métodos Estudo observacional, correlacional e longitudinal, no qual foram avaliados participantes com síndrome coronariana aguda aguardando cateterismo cardíaco não programado. No encontro inicial (Ti) foram coletados dados sociodemográficos e clínicos, aplicados inventários de ansiedade traço e estado (IDATE) e de depressão de Beck. No encontro final (Tf), aplicou-se o IDATE-estado. Os participantes foram acompanhados até alta hospitalar ou óbito quanto a ocorrência de arritmias não fatais e tempo de permanência hospitalar. Resultados Foram incluídos 100 participantes (62,2±11,4 anos; 61% do sexo masculino). O escore do IDATE-traço foi 42,2±10,4 e influenciou o escore do IDATE-estado em Ti e Tf (p<0,005). O IDATE-estado diminuiu significativamente de Ti para Tf (40,2±10,4 vs 37,2±11,2, respectivamente, p=0,002). Não se observou associação do IDATE-traço ou do IDATE-estado com os índices de gravidade, tempo de permanência hospitalar ou ocorrência de arritmias. Entretanto, o escore de depressão aumentou 9,5% a chance de ocorrência de arritmias (OR=1,009; IC95%=0,913-1,115). Conclusão O nível de ansiedade reduziu de forma significativa após a realização do cateterismo, e não foi um preditor de desfechos clínicos em curto prazo.

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Assessment of Preoperative Anxiety in Cardiac Surgery Patients Lacking a History of Anxiety: Contributing Factors and Postoperative Morbidity

Cited by 75 publications

References 43 publications

Psychiatric disturbances in patients undergoing open-heart surgery

Psychiatric disturbances in patients undergoing open-heart surgery

Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial

Ansiedade e desfechos clínicos em pacientes coronariopatas submetidos ao cateterismo não programado

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