Optimizing preoperative expectations leads to a shorter length of hospital stay in CABG patients: Further results of the randomized controlled PSY-HEART trial

Auer, Charlotte J.; Laferton, Johannes A. C.; Shedden-Mora, Meike C.; Salzmann, Stefan; Moosdorf, Rainer; Rief, Winfried

doi:10.1016/j.jpsychores.2017.04.008

Cited by 26 publications

(25 citation statements)

References 53 publications

(54 reference statements)

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“…The intervention focusing on expectations significantly improved patients’ personal control expectations before cardiac surgery, reduced stress-associated biomarkers (i.e., adrenaline) after surgery, and resulted in lower inflammation after surgery (i.e., interleukin-8) and 6 months after surgery (i.e., interleukin-6) compared with the SMC [ 62 •, 64 ]. Furthermore, both preoperative psychological interventions reduced the days spent in the hospital compared with the SMC indicating a positive cost to benefit ratio for brief psychological interventions prior to cardiac surgery [ 65 ]. It is likely that the positive effects of the EXPECT intervention are not only due to increased positive expectations but also due to increased positive expectations in interaction with the supportive interaction style.…”

Section: Interventions For Psychological Preparation Before Cardiac Smentioning

confidence: 99%

Psychological Preparation for Cardiac Surgery

et al. 2020

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Purpose of Review To review the current state of preoperative psychological preparation to improve outcomes after cardiac surgery. Recent Findings Preoperative psychosocial factors are associated with short- and long-term outcomes after cardiac surgery. There are several approaches to optimize patients’ preoperative psychological status with promising effects on postoperative outcomes (e.g., less complications, improved quality of life). Preoperative psychological preparation often aims to improve patients’ knowledge or social support and to modify and optimize expectations and illness beliefs. Summary Preoperative psychological preparation is gaining importance for cardiac surgery. However, patients’ psychological status still does not get as much attention as it deserves. Preoperative psychological preparation seems to have positive effects on postoperative outcomes. Since overall evidence is still weak, further studies are warranted to understand which intervention works best for whom and why.

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Section: Interventions For Psychological Preparation Before Cardiac Smentioning

confidence: 99%

Psychological Preparation for Cardiac Surgery

et al. 2020

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“…Patients and relatives anticipate the evidence-based risk assessment and length of stay (LOS) prediction in high-tech surgery [1,2]. LOS prognosis can also be utilized in clinical resource management.…”

Section: Introductionmentioning

confidence: 99%

Length of Stay Prediction in Neurosurgery with Russian GPT-3 Language Model Compared to Human Expectations

Szostek

Kotik

Shevchenko

et al. 2022

Studies in Health Technology and Informatics

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Patients, relatives, doctors, and healthcare providers anticipate the evidence-based length of stay (LOS) prediction in neurosurgery. This study aimed to assess the quality of LOS prediction with the GPT3 language model upon the narrative medical records in neurosurgery comparing to doctors’ and patients’ expectations. We found no significant difference (p = 0.109) between doctors’, patients’, and model’s predictions with neurosurgeons tending to be more accurate in prognosis. The modern neural network language models demonstrate feasibility in LOS prediction.

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“…Moreover, some studies have shown that the drug that patients thought they received (active or placebo) was more strongly related to outcome than the actual drug received [21,22]. As increasingly acknowledged and starting to be applied in clinical populations [23][24][25][26][27][28], expectancies may thus strengthen or even partly determine the effects of these treatments.…”

Section: Introductionmentioning

confidence: 99%

Expectancies as predictors of symptom improvement after antimicrobial therapy for persistent symptoms attributed to Lyme disease

et al. 2021

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Introduction/Objective Expectancies about symptom improvement or deterioration are reliable predictors of symptom progression and treatment outcomes (symptom resolution or symptomatic improvement) in many (non-)pharmacological studies and treatments. This study examined predictors of symptom improvement after antimicrobial therapy for persistent symptoms attributed to Lyme disease, hypothesizing particularly pre-treatment expectancies regarding symptom improvement to be predictive. Methods A predictive study was performed on pre-treatment and post-treatment individual characteristics, including expectancies, and physical and mental health–related quality of life (HRQoL) from the PLEASE-trial comparing randomized 12-weeks of doxycycline, clarithromycin-hydroxychloroquine, or placebo following 2 weeks of intravenous ceftriaxone. At end-of-treatment (14 weeks after trial start) and follow-up (52 weeks), complete data of 231 and 170 (of initial 280) patients with persistent symptoms temporally related to a history of erythema migrans or otherwise confirmed symptomatic Lyme disease, or accompanied by B. burgdorferi IgG or IgM antibodies, were examined through hierarchical regression analyses. Results In addition to pre-treatment HRQoL, pre-treatment expectancies regarding symptom improvement were consistently associated with stronger physical and mental HRQoL improvements at both end-of-treatment and follow-up (95% CI range: .09;.54, p < .01 to .27;.92, p < .001). Post-treatment expectancies regarding having received antibiotics vs. placebo was associated with more HRQoL improvement at end-of-treatment, but not at follow-up (95% CI-range 1.00;4.75, p = .003 to −7.34; −2.22, p < .001). Conclusions The present study shows that, next to pre-treatment functioning, patients’ pre-treatment and post-treatment expectancies regarding improvement of persistent symptoms attributed to Lyme disease relate to a more beneficial symptom course. Expectancies of patients may be relevant to explain and potentially improve patient outcomes (e.g., by optimized communication about treatment success). Trial registration ClinicalTrials.gov, NCT01207739 (Registration date: 23–09-2010) Key Points• As there is currently no sufficient symptom resolution or symptomatic improvement for many patients with persistent symptoms attributed to Lyme disease, it is relevant to know which factors determine symptom progression and predict heterogeneity in treatment response.• Next to pre-treatment functioning, expectancies regarding symptom improvement and having received antimicrobial study medication are associated with a more beneficial symptom course after both shorter-term and longer-term antimicrobial treatment.• Expectancies are relevant to consider in treatment studies and may be useful in clinical settings to improve symptom course and treatment outcome (e.g., by optimized communication about treatment success).

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Optimizing preoperative expectations leads to a shorter length of hospital stay in CABG patients: Further results of the randomized controlled PSY-HEART trial

Cited by 26 publications

References 53 publications

Psychological Preparation for Cardiac Surgery

Psychological Preparation for Cardiac Surgery

Length of Stay Prediction in Neurosurgery with Russian GPT-3 Language Model Compared to Human Expectations

Expectancies as predictors of symptom improvement after antimicrobial therapy for persistent symptoms attributed to Lyme disease

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