ArticleJournal of cardiothoracic surgery2012
The impact of preoperative anxiety and education level on long-term mortality after cardiac surgery.
Article in Journal of cardiothoracic surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effect of music on preoperative anxiety and postoperative pain in patients undergoing gynecological surgery: A meta-analysis.PloS one · 2025Pooled it
- Anxiety and associated factors among medical and surgical patients in Ethiopia: A systematic review and meta-analysis.PloS one · 2024Pooled it
- Perioperative depression or anxiety and postoperative mortality in cardiac surgery: a systematic review and meta-analysis.Heart and vessels · 2017Pooled it
- The anxiolytic effects of preoperative administration of pregabalin in comparison to diazepam and placebo.Scientific reports · 2023Trial
- Safety and efficacy of Ninjin'yoeito along with iron supplementation therapy for preoperative anemia, fatigue, and anxiety in patients with gynecological disease: an open-label, single-center, randomized phase-II trial.BMC women's health · 2022Trial
- Effects of an Informational Video About Anesthesia on Pre- and Post-Elective Cesarean Section Anxiety and Recovery: A Randomized Controlled Trial.Medical science monitor : international medical journal of experimental and clinical research · 2020Trial
- Observational
- Effectiveness of Virtual Reality Interventions on Perioperative Anxiety, Depression, Blood Pressure, and Heart Rate: Systematic Review and Meta-Analysis of Randomized Controlled Trials.JMIR serious games · 2026Review
- Prehabilitation clinic in cardiac surgery: multidisciplinary protocol for the improvement of postoperative outcomes.Journal of cardiothoracic surgery · 2026Observational
- Patients' Experience With Enhanced Recovery After Cardiac Surgery.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Unveiling Patients' Concerns Before Plastic Surgery: A Cross-Sectional Study.Aesthetic plastic surgery · 2026Article
- What Is Clinical Empathy in Anesthesiology? Perspectives From Practicing Anesthesiologists.A&A practice · 2025Article
- Advancing perioperative care: introducing patient-centered comfort management.Gland surgery · 2025Review
- From operating room to recovery: Evidence and gaps in cardiac surgical nursing integrative psychological support.World journal of psychiatry · 2025Review
- Factors Associated with Preoperative Anxiety in Patients Undergoing Ambulatory Hand Surgery: A Cross-Sectional Observational Study.Journal of clinical medicine · 2024Article
- Start Strong, Finish Strong: A Review of Prehabilitation in Cardiac Surgery.Life (Basel, Switzerland) · 2024Review
- Article
- The heart-mind relationship in women cardiovascular primary prevention: the role of depression, anxiety, distress and Type-D personality in the 10-years cardiovascular risk evaluation.Frontiers in cardiovascular medicine · 2024Article
- Increased sympathetic nervous system impairs prognosis in lung cancer patients: a scoping review of clinical studies.Lung cancer management · 2023Article
- Integrated care for older multimorbid heart failure patients: protocol for the ESCAPE randomized trial and cohort study.ESC heart failure · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPsychosocial factors have shown independent predictive value in the development of cardiovascular diseases. Although there is strong evidence to support the role of psychosocial factors in cardiovascular mortality, there is a scarcity of knowledge about how these factors are related. Therefore, we investigated the relationship between depression, anxiety, education, social isolation and mortality 7.5 years after cardiac surgery.
methodsAfter informed consent, 180 patients undergoing cardiac surgery between July 2000 and May 2001 were prospectively enrolled and followed for ten years. During the follow-up period, the patients were contacted annually by mail. Anxiety (Spielberger State-Trait Anxiety Inventory, STAI-S/STAI-T), depression (Beck Depression Inventory, BDI) and the number and reason for rehospitalizations were assessed each year. Those patients who did not respond were contacted by telephone, and national registries were searched for deaths.
resultsDuring a median follow-up of 7.6 years (25th to 75th percentile, 7.4 to 8.1 years), the mortality rate was 23.6% (95% confidence interval [CI] 17.3-29.9; 42 deaths). In a Cox regression model, the risk factors associated with an increased risk of mortality were a higher EUROSCORE (points; Adjusted Hazard Ratio (AHR):1.30, 95%CI:1.07-1.58)), a higher preoperative STAI-T score (points; AHR:1.06, 95%CI 1.02-1.09), lower education level (school years; AHR:0.86, 95%CI:0.74-0.98), and the occurrence of major adverse cardiac and cerebral events during follow up (AHR:7.24, 95%CI:2.65-19.7). In the postdischarge model, the same risk factors remained.
conclusionsOur results suggest that the assessment of psychosocial factors, particularly anxiety and education may help identify patients at an increased risk for long-term mortality after cardiac surgery.
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