Key result
Optimism before open heart surgery is linked to ~88% fewer postoperative complications versus pessimism.
Why the study?
More than 50% of patients experience problems in personal, social, and professional adaptation after heart surgery, with psychological factors significantly contributing to negative outcomes of coronary surgery.
Do psychological factors contribute to negative outcomes after coronary surgery?
Observational (n=155)
No
Do psychological factors contribute to negative outcomes after coronary surgery?
Absolute Event Rate: 0.2% vs 1.68%
Psychological factors such as depression, anxiety, and chronic stress are significant contributors to negative outcomes and adaptation difficulties following coronary surgery.
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Psychological factors may worsen post-coronary surgery adaptation; leaves open whether targeted interventions improve outcomes in prospective trials.
Zinchenko et al. (2013) conducted an observational in Coronary artery disease (n=155). Optimistic-realistic attitude towards surgery vs. Pessimistic, indifferent, or optimistic-unrealistic attitudes was evaluated on Number of postsurgical complications. Patients with an optimistic-realistic attitude towards open heart surgery had fewer postoperative complications (0.2 vs 1.68) and shorter hospital stays (10.0 vs 23.7 days) compared to those with a pessimistic attitude.
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