What is the clinical evidence from this study?

Study design: Review. Population: Mental health disorders requiring cardiac surgery. Intervention: Mental health disorders (exposure) vs. General population. Primary outcome: Access to cardiac surgery and postoperative outcomes.

What does this research mean for the field?

Patients with mental health disorders face significant inequities across the cardiac surgery pathway, experiencing lower rates of invasive procedures, higher reliance on emergency pathways, and worse postoperative outcomes including increased mortality. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The review explores the impact of mental health disorders on access to cardiac surgery and related outcomes.

May 31, 2026Medical SciencesOpen Access

Inequalities in Access to and Outcomes of Cardiac Surgery Among Patients with Mental Health Disorders

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Key result

Mental health disorders linked to cardiac surgery inequities including higher mortality and longer hospital stays.

Why the study?

Mental health disorders may drive inequities in cardiovascular care, but evidence on access to cardiac surgery and postoperative outcomes across psychiatric subgroups needed synthesis.

Do patients with mental health disorders experience inequalities in access to and outcomes of cardiac surgery compared to the general population?

Population

Patients with mental health disorders undergoing or indicated for cardiac surgery

Design

Narrative review

Authors

VLVasileios LeivaditisWestpfalz Klinikum SMSofoklis MitsosNational and Kapodistrian University of Athens FMFrancesk MulitaKAT General Hospital of Attica

Discussion

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Implication

Mental illness drives CV care inequities; extends calls for integrated screening and equity-focused trials in comorbid populations.

Key Points

The review explores the impact of mental health disorders on access to cardiac surgery and related outcomes.
Narrative review employing a structured approach.
Systematic search of PubMed and ScienceDirect for studies published from 2020 to 2025.
Thematic synthesis focusing on access, management, outcomes, and underlying mechanisms.
Patients with mental health disorders more often undergo cardiac surgery through emergency routes.
These individuals experience longer hospital stays and higher readmission rates compared to others.
Severe mental illness is linked to lower rates of invasive procedures and increased long-term mortality after acute coronary syndromes.

Structured PICO

Do patients with mental health disorders experience inequalities in access to and outcomes of cardiac surgery compared to the general population?

Population

Patients with mental health disorders (including severe mental illness, mood disorders, anxiety-related conditions, and mixed psychiatric cohorts) requiring cardiac surgery or invasive coronary procedures

Intervention

Cardiac surgery and invasive coronary procedures

Comparator

General population without mental health disorders

Outcome

Inequalities in access to cardiac surgery and postoperative outcomes (including mortality, morbidity, hospital stay length, and readmission rates)

Patients with mental health disorders face significant inequities in access to and outcomes of cardiac surgery, necessitating integrated multidisciplinary care models to reduce disparities.

Cite This Study

Leivaditis et al. (2026) conducted a review in Mental health disorders requiring cardiac surgery. Mental health disorders (exposure) vs. General population was evaluated on Access to cardiac surgery and postoperative outcomes. Patients with mental health disorders experience significant inequities in cardiac surgery, including higher rates of emergency procedures, longer hospital stays, and increased mortality.

synapsesocial.com/papers/6a1bd12d5783ba022b6fcd06 https://doi.org/10.3390/medsci14020277

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Inequalities in Access to and Outcomes of Cardiac Surgery Among Patients with Mental Health Disorders

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Inequalities in Access to and Outcomes of Cardiac Surgery Among Patients with Mental Health Disorders

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

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