Psychosocial factors and major adverse cardiac and cerebrovascular events after cardiac surgery

Zsuzsanna Cserép, Piroska Balog, Judit Székely, András Treszl, M. Kopp, Julian F. Thayer, Andrea Székely

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Our aim was to prospectively examine the association of psychosocial factors with adverse outcome after cardiac surgery. One hundred and eighty cardiac surgery patients were enrolled and contacted annually by mail. Depression wBeck depression inventory (BDI)x, anxiety wstate anxiety subscale in Spielberger State-Trait Anxiety Inventory (STAI-S) and trait anxiety subscale in Spielberger State-Trait Anxiety Inventory (STAI-T)x were investigated annually, social support, negative affectivity, social inhibition (SI), illness intrusiveness, self-rated health and sleeping disorders were investigated by standardized tests at the second and fifth year. The end-point was the major adverse cardiac and cerebrovascular event (MACCE) including death. Twenty-eight (15.5%) patients died by the end of the fifth year. At the end of the second and fifth years, 146 (81.1%) and 118 (65.5%) patients fulfilled the tests, respectively. At the end of the second year after adjustment for medical and perioperative factors worse self-rated health wadjusted hazard ratio (AHR): 0.67, Ps0.006x, sleeping disorders (AHR: 1.14, Ps0.001), higher illness intrusiveness (AHR: 1.03, Ps0.018), higher BDI (AHR: 1.12, Ps0.001), STAI-S (AHR: 1.09, Ps0.001) and higher STAI-T scores (AHR: 1.08, Ps0.002) showed higher risk for MACCE. Significant individual elevation in scores of sleeping disorders, illness intrusiveness and SI were observed over the three-year period in the MACCE group. Assessment of psychosocial factors could help in identifying patients at high-risk for MACCE after cardiac surgery.

Original languageEnglish
Pages (from-to)567-572
Number of pages6
JournalInteractive Cardiovascular and Thoracic Surgery
Volume11
Issue number5
DOIs
Publication statusPublished - Nov 2010

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Thoracic Surgery
Anxiety
Psychology
Equipment and Supplies
Depression
Health
Postal Service
Social Support
Inhibition (Psychology)

Keywords

  • Anxiety
  • Depression
  • Outcomes
  • Reoperation
  • Stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Psychosocial factors and major adverse cardiac and cerebrovascular events after cardiac surgery. / Cserép, Zsuzsanna; Balog, Piroska; Székely, Judit; Treszl, András; Kopp, M.; Thayer, Julian F.; Székely, Andrea.

In: Interactive Cardiovascular and Thoracic Surgery, Vol. 11, No. 5, 11.2010, p. 567-572.

Research output: Contribution to journalArticle

Cserép, Zsuzsanna ; Balog, Piroska ; Székely, Judit ; Treszl, András ; Kopp, M. ; Thayer, Julian F. ; Székely, Andrea. / Psychosocial factors and major adverse cardiac and cerebrovascular events after cardiac surgery. In: Interactive Cardiovascular and Thoracic Surgery. 2010 ; Vol. 11, No. 5. pp. 567-572.
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