Key result
Preoperative psychological state predicted outcomes in 54 open heart surgery patients, with highest mortality in the 'Depressed' group and greatest improvement in the 'Adjusted' group.
Why the study?
Do preoperative psychological characteristics predict postoperative mortality, morbidity, and functional improvement in patients undergoing open heart surgery?
Cohort (n=54)
Do preoperative psychological characteristics predict postoperative mortality, morbidity, and functional improvement in patients undergoing open heart surgery?
Preoperative psychological state, particularly depression and anxiety, may predict postoperative mortality and morbidity following open heart surgery.
Preoperative depression may identify higher-mortality patients after open heart surgery; leaves open whether screening improves outcomes in larger trials.
In an effort to select criteria predictive of patient response to open heart surgery, 54 patients were interviewed preoperatively and followed postoperatively. They were separated into four groups on the basis of previous adjustment, anxiety regarding the operation, and orientation to the future. Postoperatively, the highest mortality occurred in group IV ("Depressed"). Morbidity was greatest in groups II ("Symbiotic") and III ("Anxious"), while most improvement, based on actual functioning in a role capacity, was noted in group I ("Adjusted"). Factors related to the care of these patients at the time of surgery are discussed.
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Chase Patterson Kimball (1969) conducted a cohort in Open heart surgery (n=54). Preoperative psychological state vs. Other psychological groups was evaluated on Mortality, morbidity, and improvement. Preoperative psychological state predicted outcomes in 54 open heart surgery patients, with highest mortality in the 'Depressed' group and greatest improvement in the 'Adjusted' group.
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