Consequences of the prolonged waiting time for patient candidates for heart surgery.
Arq Bras Cardiol
; 78(5): 452-65, 2002 May.
Article
em En, Pt
| MEDLINE
| ID: mdl-12045844
ABSTRACT
OBJECTIVE:
To assess mortality and the psychological repercussions of the prolonged waiting time for candidates for heart surgery.METHODS:
From July 1999 to May 2000, using a standardized questionnaire, we carried out standardized interviews and semi-structured psychological interviews with 484 patients with coronary heart disease, 121 patients with valvular heart diseases, and 100 patients with congenital heart diseases.RESULTS:
The coefficients of mortality (deaths per 100 patients/year) were as follows patients with coronary heart disease, 5.6; patients with valvular heart diseases, 12.8; and patients with congenital heart diseases, 3.1 (p<0.0001). The survival curve was lower in patients with valvular heart diseases than in patients with coronary heart disease and congenital heart diseases (p<0.001). The accumulated probability of not undergoing surgery was higher in patients with valvular heart diseases than in the other patients (p<0.001), and, among the patients with valvular heart diseases, this probability was higher in females than in males (p<0.01). Several patients experienced intense anxiety and attributed their adaptive problems in the scope of love, professional, and social lives, to not undergoing surgery.CONCLUSION:
Mortality was high, and even higher among the patients with valvular heart diseases, with negative psychological and social repercussions.
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Base de dados:
MEDLINE
Assunto principal:
Listas de Espera
/
Cardiopatias
Tipo de estudo:
Qualitative_research
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
America do sul
/
Brasil
Idioma:
En
/
Pt
Ano de publicação:
2002
Tipo de documento:
Article