Association of diagnosis of depression and small abdominal aortic aneurysm growth
This study examined if a diagnosis of depression was association with more rapid AAA growth.Methods: Patients with small AAA measuring between 30 and 50 mm were recruited from surveillance programs at four Australian centres. Maximum AAA diameter was measured by ultrasound imaging using a standardised and reproducible protocol to monitor AAA growth.
CONCLUSIONS: Delivery of an eHealth intervention in this RCT did not result in an improvement in anxiety scores in patients awaiting AAA surgery. Uptake of the eHealth tool was low, although it resulted in lower anxiety scores in those participants who actually used it.CLINICAL TRIAL REGISTRATION REGISTRATION NUMBER: NCT03157973 (http://www.clinicaltrials.gov).PMID:34021309 | DOI:10.1093/bjs/znab151
AbstractThe present study aimed to determine the associations between insomnia and cardiovascular diseases (CVDs) using Mendelian randomisation (MR) analysis. As instrumental variables, we used 208 independent single-nucleotide polymorphisms associated with insomnia at the genome-wide significance threshold in a meta-analysis of genome-wide association studies in the UK Biobank and 23andMe including a total of 397 959 self-reported insomnia cases and 933 057 non-cases. Summary-level data for nine CVDs were obtained from the UK Biobank including 367 586 individuals of European ancestry. After correction for ...
Mental health's impact on vascular surgical patients has long been overlooked. While outside the expertise of most surgeons, understanding the role that depression plays in the postoperative course could provide additional insight into opportunities to improve surgical outcomes and healthcare value. Additionally, non-home discharge (NHD) to a rehabilitation or skilled nursing facility after surgery is associated with impaired quality of life and higher post-discharge complications, readmissions, and mortality.
Conclusions: Three in 10 Medicare beneficiaries had a preexisting mental illness diagnosis, which was strongly associated with worse postoperative outcomes, as well as suicide risk. Surgeons need to optimize mental health assessment and services in the preoperative setting to improve outcomes for this vulnerable population.
This study aimed to demonstrate the impact of elective major abdominal surgery and subsequent postoperative delirium on quality of life (QOL; primary outcome), cognitive functioning and depressive symptoms (secondary outcomes) in older surgical patients.Method: A single-centre, longitudinal prospective cohort study was conducted between November 2015 and June 2018, including patients ≥70 years old who underwent surgery for colorectal cancer or an abdominal aortic aneurysm. They were followed-up at discharge and at 6 and 12 months postoperatively until June 2019. QOL was assessed with the World Health Organ...
CONCLUSION: The current evidence does not support a negative impact on HRQoL from being under surveillance for an AAA. Qualitative data indicate that adequate patient information and professional care have the potential to reduce unnecessary worries and concerns in patients with an AAA. PMID: 31928908 [PubMed - as supplied by publisher]
Introduction: Depression is associated with an increased risk of mortality in patients with cardiovascular disease. The effect of depression in individuals with abdominal aortic aneurysm (AAA) is sparsely studied. The Hospital Anxiety and Depression Scale (HADS) questionnaire has been used to assess degree of depressive symptoms in several studies. A score ≥8 has a high sensitivity for clinically relevant depression1. The aim of this study was to investigate if depression has an adverse effect on mortality in individuals with AAA, and to evaluate whether the association differed from that observed in a general population.
Introduction: To be diagnosed with a chronic disease affects the patients as well as their partners' lives in different aspects. Partners of people with chronic diseases have previously reported emotional distress, fear for the future, depression, anxiety and feelings of powerlessness . Screening programs for abdominal aortic aneurysms (AAA), mainly for men, have been introduced in several countries to reduce the mortality rate [2, 3]. Although the awareness of having an AAA influences the individuals' quality of life (QOL) and well-being it is still unclear how it affects the partners' lives [4-7].
Conclusion: As for patients scheduled for AAA repair, female, higher ASA, higher level of education, and symptom may be independent risk factors for preoperative anxiety, and symptom and higher BMI may predict preoperative depression. PMID: 30082526 [PubMed - in process]
n C Abstract Screening for abdominal aortic aneurysm (AAA) has proven to reduce AAA-related mortality, but how the knowledge of having an untreated AAA affects health and daily life requires further clarification. The aim was to investigate the psychosocial consequences and sense of coherence (SOC) in 65-year-old men diagnosed with AAA and participating in a national screening program during a 6-month follow-up compared with men with no AAA. The single-center cohort study included 52 men with AAA and 118 men without AAA. A questionnaire including the Short Form 36 Health Survey, Hospital Anxiety and Depression Sca...