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March 1, 2009ClinicsOpen Access

Use of the Hospital Anxiety and Depression Scale (HADS) in a Cardiac Emergency Room – Chest Pain Unit

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Key result

Indefinite chest pain is linked to higher probable anxiety rates versus determined causes, at ~54%.

  • n=130

Why the study?

Patients arriving at a Chest Pain Unit may present psychiatric disorders not identified or co-morbid to the main illness, which may interfere with prognosis.

What is the prevalence of anxiety and depression among patients presenting to a Chest Pain Unit?

Population

130 patients complaining of chest pain seeking attendance at a Chest Pain Unit

Comparison

Patients with chest pain assessed for anxiety and depression using HADS

Design

Cross-sectional study

Authors

GSGastão L. Soares‐FilhoUniversidade Federal do Rio de JaneiroRFRafael C. FreireUniversidade Federal de Juiz de ForaKBKarla Biancha

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Implication

Anxiety more common with indeterminate chest pain; leaves open whether routine screening improves outcomes.

Study Design

Type

Cross-Sectional (n=130)

Structured PICO

What is the prevalence of anxiety and depression among patients presenting to a Chest Pain Unit?

P
Population
130 patients presenting to a chest pain unit evaluated for anxiety and depression using the Hospital Anxiety and Depression Scale.
E
Exposure
Assessment using the Hospital Anxiety and Depression Scale (HADS)
O
Outcome
Prevalence of anxiety and depression (defined as 8 or more points on the HADS scale)patient reported

Main Result

Absolute Event Rate: 53.5% vs 33.9%

There is a high prevalence of anxiety and depression among patients presenting to a Chest Pain Unit, highlighting the need for early psychiatric screening and intervention.

Cite This Study

Soares‐Filho et al. (2009) conducted a cross-sectional in Chest pain (n=130). Chest pain of indefinite cause vs. Chest pain of determined cause was evaluated on Probable anxiety (HADS score ≥ 8). Among patients presenting to a chest pain unit, probable anxiety was present in 53.5% of those with chest pain of indefinite cause versus 33.9% of those with chest pain of determined cause.

synapsesocial.com/papers/6ab8bd9f601d24569bca5b1ehttps://doi.org/10.1590/s1807-59322009000300011
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A psychometric evaluation of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction2000 · 82 citations
  2. 2Axis I Disorders in Er Patients with Atypical Chest Pain1991 · 56 citations
  3. 3A randomised controlled trial to measure the effect of chest pain unit care upon anxiety, depression, and health-related quality of life [ISRCTN85078221]2004 · 30 citations
  4. 4The Hospital Anxiety and Depression Scale1983 · 47,410 citations
  5. 5Panic Anxiety and Hyperventilation in Patients with Chest Pain: A Controlled Study1988 · 43 citations