Einige somatische und psychologische Prädiktoren für psychopathologische Auffälligkeiten nach Herzoperationen

Abstract

Some new predictors of postoperative psychosis in open-heart surgery have been identified in a multifactorial study of somatic and psychological factors: Somatic predictors are lower body weight, higher blood levels of urea nitrogen and creatinine, preoperative use of tranquilizers, especially in patients with double valve replacement or congenital heart disease and preoperative cerebral embolism in mitral valve disease. Bypass-time has not proved to be a valid predictor. Psychological predictors are distress provoked by severity and duration of illness, repeated delay of surgery as well as the manner of psychological coping with the illness.

Open-Heart Surgery: Somatic Predictors of Postoperative Psychopathology

“…For all observations and information, three degrees of psychic changes were defined according to the degree of loss of reality: slight, moderate and severe. With the aid of factor analysis of the AMP findings, the psychic symptoms could be divided into 3 categories: "emotional disturbances", "psycho-organic symptoms" and "paranoid-hallucinatory symptoms" (2, 3,6,9). Duration of the symptoms correlated strongly with their degree.…”