Key result
Lower perioperative BP and higher HR predict post-traumatic stress symptoms following knee replacement.
Why the study?
Do in-hospital assessments of heart rate and blood pressure predict symptoms of post-traumatic stress in patients undergoing total knee replacement surgery?
Cohort (n=110)
Do in-hospital assessments of heart rate and blood pressure predict symptoms of post-traumatic stress in patients undergoing total knee replacement surgery?
Routinely collected cardiovascular data such as blood pressure and heart rate around the time of surgery may help identify patients at risk for post-traumatic stress symptoms.
Answers are grounded in this paper and cite their sources.
May flag post-traumatic stress risk via routine perioperative vitals after knee replacement; leaves open need for prospective validation before screening use.
The present study examined whether in-hospital assessments of heart rate and blood pressure predicted symptoms of post-traumatic stress (PTS) in 110 patients undergoing total knee replacement surgery. After controlling for conceptually relevant factors, in-hospital cardiovascular functioning predicted symptoms of PTS three months following surgery. Specifically, lower pre-surgical and post-surgical systolic and diastolic blood pressure predicted more symptoms of avoidance and PTS (total). In contrast, higher heart rate prior to and shortly following surgery predicted marginally more intrusive thoughts. The present findings suggest that routinely collected medical data may provide a means to identify patients at risk for problematic outcomes following surgery.
No takes yet. Share an insight, caveat, or question.
Cremeans‐Smith et al. (2012) conducted a cohort in Patients undergoing total knee replacement surgery (n=110). In-hospital assessments of heart rate and blood pressure was evaluated on Symptoms of post-traumatic stress (PTS) three months following surgery. Lower pre-surgical and post-surgical blood pressure and higher heart rate predicted more symptoms of post-traumatic stress three months following total knee replacement surgery.
Synapse has enriched 10 related papers. Consider them for comparative context: