Relationship between emotional states before cardiac valve surgeries with postoperative complications.

OBJECTIVE: To investigate associations between preoperative anxiety and depression symptoms and postoperative complications and the sociodemographic and clinical characteristics of patients undergoing valve repair surgery. METHOD: Observational, exploratory and prospective study. The consecutive non-probabilistic sample consisted of patients undergoing their first valve repair surgery. Data were collected from September 2013 to September 2015, in a university hospital in the interior of São Paulo, Brazil. Symptoms were assessed using the Hospital Anxiety and Depression Scale and analyzed using Mann-Whitney and Spearman correlation; alpha was established at 5%. RESULTS: Among the 70 participants, depressive symptoms were more frequent among women (p=0.042) and among patients experiencing postoperative agitation (p=0.039) Conclusion: In this study, depressive symptoms were associated with being a woman and postoperative agitation; the same was not true in regard to anxiety symptoms.

Relationship between emotional states before cardiac valve surgeries with postoperative complications / Relaciones entre el estado emocional antes de la cirugía cardíaca valvar con complicaciones en el post-operatorio / Relações entre o estado emocional antes da cirurgia cardíaca valvar com complicações no pós-operatório

ABSTRACT Objective: To investigate associations between preoperative anxiety and depression symptoms and postoperative complications and the sociodemographic and clinical characteristics of patients undergoing valve repair surgery. Method: Observational, exploratory and prospective study. The consecutive non-probabilistic sample consisted of patients undergoing their first valve repair surgery. Data were collected from September 2013 to September 2015, in a university hospital in the interior of São Paulo, Brazil. Symptoms were assessed using the Hospital Anxiety and Depression Scale and analyzed using Mann-Whitney and Spearman correlation; alpha was established at 5%. Results: Among the 70 participants, depressive symptoms were more frequent among women (p=0.042) and among patients experiencing postoperative agitation (p=0.039) Conclusion: In this study, depressive symptoms were associated with being a woman and postoperative agitation; the same was not true in regard to anxiety symptoms.

RESUMEN Objetivo: Investigar la asociación de los síntomas de ansiedad y depresión preoperatorios con complicaciones en postoperatorio y con características sociodemográficas y clínicas de pacientes sometidos a la corrección quirúrgica de valvopatías. Método: Estudio observacional, exploratorio y prospectivo. Muestra consecutiva y no probabilística fue constituida por pacientes sometidos a la primera cirugía de corrección de valvopatías. Los datos fueron recolectados de septiembre/2013 a septiembre/2015, en un hospital universitario del interior del São Paulo. Los síntomas fueron evaluados por el Hospital Anxiety and Depression Scale. Los datos fueron analizados por las pruebas de Mann-Whitney y Correlación de Spearman, alpha=5%. Resultados: Entre los 70 pacientes, fue encontrado mayor presencia de síntomas depresivos entre las mujeres (p=0,042) y en el grupo con agitación (p=0,039) en el postoperatorio. Conclusión: En el grupo estudiado, los síntomas depresivos se asociaron al sexo femenino y la agitación en el postoperatorio, lo que no ocurrió con los síntomas de ansiedad.

RESUMO Objetivo: Investigar a associação dos sintomas de ansiedade e depressão pré-operatórios com complicações no pós-operatório e com características sociodemográficas e clínicas de pacientes submetidos à correção cirúrgica de valvopatias. Método: Estudo observacional, exploratório e prospectivo. Uma amostra consecutiva e não probabilística foi constituída por pacientes submetidos à primeira cirurgia de correção de valvopatias. Os dados foram coletados de setembro/2013 a setembro/2015, em um hospital universitário do interior paulista. Os sintomas foram avaliados pela Hospital Anxiety and Depression Scale. Os dados foram analisados pelos testes de Mann-Whitney e Correlação de Spearman, alpha de 5%. Resultados: Entre os 70 pacientes, encontrou-se maior presença de sintomas depressivos entre as mulheres (p=0,042) e no grupo com agitação (p=0,039) no pós-operatório. Conclusão: No grupo estudado, sintomas depressivos foram associados ao sexo feminino e a agitação no pós-operatório, o que não ocorreu com os sintomas de ansiedade.

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

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.

Association of preoperative anxiety and depression symptoms with postoperative complications of cardiac surgeries / Associações dos sintomas de ansiedade e depressão pré-operatórios com complicações pós-operatórias de cirurgias cardíacas / Asociaciones de los síntomas de ansiedad y depresión preoperatorios con complicaciones postoperatorias de cirugías cardiacas

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.

Objetivo investigar as associações dos sintomas de ansiedade e depressão pré-operatórios com complicações pós-operatórias e com as características sociodemográficas e clínicas de pacientes submetidos à primeira cirurgia de revascularização do miocárdio. Método estudo observacional e analítico, longitudinal. Uma amostra consecutiva e não probabilística foi constituída por pacientes submetidos à cirurgia de revascularização do miocárdio. Para avaliação dos sintomas, utilizou-se o Hospital Anxiety and Depression Scale. Elencaram-se como complicações a entubação traqueal acima de 48 horas, instabilidade hemodinâmica, deficit neurossensorial, agitação, hiperglicemia, infecção, náusea, vômito, dor e óbito. Utilizaram-se os testes de Mann-Whitney e de Correlação de Spearman, com nível de significância de 0,05. Resultados participaram 75 pacientes. O grupo que apresentou instabilidade hemodinâmica no pós-operatório obteve mediana maior para os sintomas de ansiedade (p=0,012), assim como as mulheres (p=0,028). A mediana dos sintomas de depressão foi maior no grupo que apresentou náusea (p=0,002), agitação (p<0,001), entubação traqueal por mais de 48 horas (p=0,018) e deficit neurossensorial (p=0,016). Conclusão encontrou-se associação dos sintomas de ansiedade pré-operatórios com a instabilidade hemodinâmica no pós-operatório e com o sexo feminino, bem como associação dos sintomas de depressão com as complicações: náusea, agitação, tempo de permanência de entubação no pós-operatório e deficit neurossensorial.

Objetivo investigar las asociaciones de los síntomas de ansiedad y depresión preoperatorios con complicaciones postoperatorias y con las características sociodemográficas y clínicas de pacientes sometidos a la primera cirugía de revascularización del miocardio. Método estudio observacional y analítico, longitudinal. Una muestra consecutiva y no probabilística fue constituida por pacientes sometidos a la cirugía de revascularización del miocardio. Para la evaluación de los síntomas, se utilizó el Hospital Anxiety and Depression Scale. Se definen como complicaciones la entubación traqueal por encima de 48 horas, inestabilidad hemodinámica, déficit neurosensorial, agitación, hiperglucemia, infección, náusea, vómito, dolor y muerte. Se utilizaron las pruebas de Mann-Whitney y de Correlación de Spearman, con un nivel de significancia de 0,05. Resultados participaron 75 pacientes. El grupo que presentó inestabilidad hemodinámica en el postoperatorio obtuvo una mediana mayor para los síntomas de ansiedad (p=0,012), así como las mujeres (p=0,028). La mediana de los síntomas de depresión fue mayor en el grupo que presentó náusea (p=0,002), agitación (p<0,001), entubación traqueal por más de 48 horas (p=0,018) y déficit neurosensorial (p=0,016). Conclusión se encontró asociación de los síntomas de ansiedad preoperatorios con la inestabilidad hemodinámica en el postoperatorio y con el sexo femenino, así como asociación de los síntomas de depresión con las complicaciones: náusea, agitación, tiempo de permanencia de entubación en el postoperatorio y el déficit neurosensorial.