Post-op mortality up for elderly with pre-heart op anxiety

January 11, 2013
Post-op mortality up for elderly with pre-heart op anxiety
Few elderly patients about to undergo cardiac surgery experience high levels of anxiety, but for those who do, there is a five-fold higher risk of postoperative major morbidity or mortality, according to research published in the Jan. 1 issue of The American Journal of Cardiology.

(HealthDay)—Few elderly patients about to undergo cardiac surgery experience high levels of anxiety, but for those who do, there is a five-fold higher risk of postoperative major morbidity or mortality, according to research published in the Jan. 1 issue of The American Journal of Cardiology.

To examine the correlation between patient-reported anxiety and post-cardiac surgery mortality and major morbidity, Judson B. Williams, M.D., M.H.S., of the Duke University Medical Center in Durham, N.C., and colleagues conducted a prospective, multicenter cohort study—Frailty Assessment Before Cardiac Surgery—involving 148 elderly patients (mean age, 75.8 years) who were undergoing and/or valve repair or replacement.

The researchers found that 7 percent of patients reported high levels of preoperative anxiety, with no difference based on type of surgery or Society of Thoracic Surgeons predicted risk. Preoperative anxiety independently predicted postoperative mortality or major morbidity, after adjustment for potential confounding variables (odds ratio, 5.1).

"Significant levels of patient-reported preoperative anxiety independently predicted a greater risk of in-hospital mortality or major morbidity in elderly patients undergoing cardiac surgery," the authors write. "Importantly, because high are potentially modifiable, identifying these patients could provide an opportunity to increase psychological comfort and improve the clinical outcomes in this high-risk group."

Explore further: Study examines link between beta-blocker use and risks of death and heart attack after surgery

More information: Abstract
Full Text

Related Stories

Severe anemia linked to poorer heart surgery outcomes

October 3, 2012

(HealthDay)—Adults undergoing cardiac surgery who have moderate-to-severe preoperative anemia have significantly increased morbidity and mortality compared with non-severely anemic patients, according to research published ...

Recommended for you

Amyloid-related heart failure now detectable with imaging test

August 24, 2016

A type of heart failure caused by a build-up of amyloid can be accurately diagnosed and prognosticated with an imaging technique, eliminating the need for a biopsy, according to a multicenter study led by researchers at Columbia ...

Biomarkers may help better predict who will have a stroke

August 24, 2016

People with high levels of four biomarkers in the blood may be more likely to develop a stroke than people with low levels of the biomarkers, according to a study published in the August 24, 2016, online issue of Neurology, ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.