Association of preoperative anxiety and depression symptoms with postoperative complications of cardiac surgeries

Abstract

Objective to investigate the associations of preoperative anxiety and depression symptoms with postoperative complications and with sociodemographic and clinical characteristics of patients submitted to the first coronary artery bypass graft.Method observational, analytical and longitudinal study. A consecutive non-probabilistic sample consisted of patients submitted to coronary artery bypass graft. To evaluate the symptoms, the Hospital Anxiety and Depression Scale was used. tracheal intubation for more than 48 hours, hemodynamic instability, sensorineural deficit, agitation, hyperglycemia, infection, nausea, vomiting, pain and death were classified as complications. The Mann-Whitney and Spearman Correlation tests were used, with a significance level of 0.05.Results a total of 75 patients participated. The group that presented hemodynamic instability in the postoperative period had a greater median for the anxiety symptoms (p = 0.012), as well as the women (p = 0.028). The median of the depression symptoms was higher in the group presenting nausea (p = 0.002), agitation (p <0.001), tracheal intubation for more than 48 hours (p = 0.018) and sensorineural deficit (p = 0.016).Conclusion there was association of the symptoms of preoperative anxiety with hemodynamic instability in the postoperative period and with the female gender, as well as association of depression symptoms with the following complications: nausea, agitation, time of intubation in the postoperative period and sensorineural deficit.

Effect of preoperative anxiety, depression, and insomnia on acute postoperative pain after non-cardiac surgery

“…Previously, there was evidence of increased risk of postoperative nausea in surgical patients with depression symptoms [29]. In contrast with the previous study, we didn't nd differences in the incidence of PONV between the two groups.…”

Inflammatory indicator levels in patients undergoing aortic valve replacement via median sternotomy with preoperative anxiety and postoperative complications: a prospective cohort study

“…Although cardiac surgery usually improves patients’ prognoses, many of these patients experience preoperative anxiety. 1 Indeed, cardiac surgery via a sternotomy is a particularly invasive procedure associated with a high risk of perioperative complications that are sometimes life-threatening. Patients scheduled to undergo such a procedure must make difficult decisions when choosing surgical options that carry risks of severe postoperative complications and mortality.…”

Anxiety and Depression Symptomatology Related to Inspiratory Muscle Strength and Functional Capacity in Preoperative Cardiac Surgery Patients: A Preliminary Cross-sectional Study

“…18,[26][27][28][29][30][31][32][33][34] Poole et al 34 found depression and anxiety symptoms in patients who had undergone OHS; in addition, patients who had higher anxiety also had more negative physical symptoms (e.g., numbness, swelling) after the operation. Similarly, Rodrigues et al 30 found that patients with greater anxiety and depression symptoms before OHS had a higher frequency of complications (e.g., hemodynamic instability, prolonged intubation) after OHS during their stay in the intensive care unit. Anxiety and depression might affect the severity of a patient's symptoms, leading to a poorer quality of life for the patients.…”