Clinical, Surgical, and Sociopsychological Factors and Depression After Cardiothoracic Surgery

Caspi-Avissar, Noa; Grosman‐Rimon, Liza; Gohari, Jacob; Arazi, Mattan; Granot, Dina; Ghanim, Diab; Carasso, Shemy; Shalabi, Amjad; Sudarsky, Doron; Eilat-Adar, Sigal; Kinany, Wadi; Amir, Offer; Kachel, Erez

doi:10.1016/j.athoracsur.2020.05.130

Cited by 13 publications

(11 citation statements)

References 40 publications

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“…This prospective study quantified the level of pain, anxiety and depression, and QOL after ministernotomy aortic surgery. VAS pain, HADS and QOL scores recorded at baseline were comparable to those published in other studies 9–13 . On average, VAS pain scores were 6.5 out of 10 on POD 1 and decreased to 2.7 out of 10 at discharge.…”

Section: Discussionsupporting

confidence: 83%

“…Compared to baseline, depression levels were largely the same at 1 month, but significantly less by an average [ SE ] reduction of 1.8 [0.7] points at 3 months. Caspi‐Avissar, et al evaluated depression levels pre‐ and postoperatively in 100 patients undergoing cardiac surgery and noted that average depression scores returned to preoperative levels (14.9 ± 1.07) at approximately 6 weeks (14.0 ± 1.06) 13 . This study as well as ours confirm that depression remains at baseline levels until the first month postoperatively, but begins to decline rapidly over the ensuing months.…”

Section: Discussionsupporting

confidence: 78%

“…Anxiety and depression are prevalent both preoperatively and postoperatively 13 . Depression is an important risk factor for mortality in the perioperative cardiac surgical patient.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of pain, anxiety and depression, and quality of life after minimally invasive aortic surgery

et al. 2021

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Background Minimally invasive cardiac surgery may reduce surgical trauma, diminish postoperative pain and improve quality of life (QOL). The aim of this study is to assess pain, hospital anxiety and depression scale (HADS), and QOL in patients undergoing minimally invasive aortic surgery. Methods This is a prospective, single‐center cohort study of 24 consecutive patients undergoing upper ministernotomy aortic valve, aortic root, and concomitant aortic valve and ascending aorta replacement. Visual analog scale (VAS) pain scores and HADS and Short‐Form‐36 (SF‐36) questionnaires were evaluated at preoperative baseline, during hospitalization, and at 1 and 3 months postoperatively. Results At discharge, the average VAS pain score was significantly lower than postoperative Day 1 (2.7 ± 0.4 vs. 6.5 ± 0.4; p ≤ .001). By 1 month, the pain scores were not significantly different from baseline (1.7 ± 0.4 vs. 1.0 ± 0.4; p = 1.000), and by 3 months, pain scores returned to baseline (1.0 ± 0.4; p = 1.000). HADS scores show that compared with preoperative baseline, average anxiety scores decreased by 1 month (3.1 ± 0.7 vs. 4.3 ± 0.6; p = 1.000) and decreased significantly by 3 months (1.8 ± 0.7 vs. 4.3 ± 0.6; p = .012). Additionally, depression scores were unchanged at 1 month (3.0 ± 0.4 vs. 3.1. ± 0.4; p = 1.000) and decreased by 3 months (1.3 ± 0.5 vs. 3.0 ± 0.4; p = .060). SF‐36 scores revealed no changes in scores in 7 of 8 domains at 1 month and a significant increase in “physical functioning,” “energy,” and “general health” domains compared to preoperative baseline at 3 months. Conclusions Following minimally invasive aortic surgery, VAS pain scores, HADS and scores in 7 of 8 SF‐36 domains returned to preoperative baseline or improved compared to preoperative baseline at 1 month. At 3 months, scores in 3 of 8 SF‐36 domains significantly improved compared to preoperative baseline. Larger studies are necessary for further investigation.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 78%

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Assessment of pain, anxiety and depression, and quality of life after minimally invasive aortic surgery

et al. 2021

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“…Study findings in Iran and Germany conducted among surgical patients and patients in the preoperative anesthesia assessment clinic respectively go in line with ours [ 25 , 33 ]. The same results were found in China [ 36 ] and Israel [ 37 ]. Hospital stay affects the mind and mood, the environment is stressful with a variety of patients having different disease, feeling unwell of the probability of being infected with another hospital acquired disease.…”

Section: Discussionsupporting

confidence: 85%

Magnitude and factors associated with preoperative depression among elective surgical patients at University of Gondar comprehensive specialized hospital, North West Ethiopia: A cross-sectional study

Kebede

Denu

Aytolign

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Depression post-cardiac surgery is highly prevalent [1], and is associated with significant mortality [2,3]. Moreover, an increase in depressive symptoms after cardiac surgery is also associated with the occurrence of new cardiac complications [4].…”

Section: Introductionmentioning

confidence: 99%

Clinical factors and pre-surgical depression scores predict pain intensity in cardiac surgery patients

et al. 2022

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Background Severe pain is prevalent in cardiac surgery patients and can increase cardiac complications, morbidity and mortality. The objectives of the study were to assess perioperative pain intensity and to assess predictors of pain post-cardiac surgery, including clinical characteristics and depression. Methods A total of 98 cardiac surgery patients were included in the study. Pain intensity was assessed using a Numerical Rating System. Pain was measured one day pre-operatively and recorded daily from Post-operative Day 2 to Day 7. Clinical data were recorded and depression scores were assessed using the Center for Epidemiological Study of Depression (CES-D). Results Pain intensity increased significantly during hospitalization from pre-operative levels, surging at 2 days post-operatively. Predictors of high pain intensity were high pre-operative CES-D scores, female gender, cardiac function, smoking and high body mass index (BMI). Significantly higher pre-operative CES-D scores were found in patients with severe pain compared to patients with no pain to moderate pain (18.23 ± 1.80 vs 12.84 ± 1.22, p = 0.01 pre-operatively). Patients with severe pain (NRS 7–10) had significantly higher levels of white blood cells (WBC) compared to patients with no pain-moderate pain (NRS 0–6), (p = 0.01). However, CES-D scores were only weakly correlated maximum WBC levels perioperatively. Conclusion Pain intensity significantly increased following surgery, and was associated with depressive symptoms, female sex, cardiac function, BMI, and smoking. These factors may serve as a basis for identification and intervention to help prevent the transition from acute pain to chronic pain.

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Clinical, Surgical, and Sociopsychological Factors and Depression After Cardiothoracic Surgery

Cited by 13 publications

References 40 publications

Assessment of pain, anxiety and depression, and quality of life after minimally invasive aortic surgery

Assessment of pain, anxiety and depression, and quality of life after minimally invasive aortic surgery

Magnitude and factors associated with preoperative depression among elective surgical patients at University of Gondar comprehensive specialized hospital, North West Ethiopia: A cross-sectional study

Clinical factors and pre-surgical depression scores predict pain intensity in cardiac surgery patients

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