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Year : 2018  |  Volume : 131  |  Issue : 16  |  Page : 1951-1957

Risk Factors for Preoperative Anxiety and Depression in Patients Scheduled for Abdominal Aortic Aneurysm Repair

Department of Vascular Surgery, West China Hospital, Chengdu, Sichuan 610041, China

Correspondence Address:
Dr. Yu-Kui Ma
Department of Vascular Surgery, West China Hospital, No. 37, Guoxue Alley, Chengdu, Sichuan 610041
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0366-6999.238154

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Background: Perioperative emotional disorders of patients underwent abdominal aortic aneurysm (AAA) repair is an emerging area of study, and preoperative mental distress of those patients remains poorly understood. The aim of this study was to investigate the prevalence and identify the risk factors of preoperative anxiety and depression in patients scheduled for AAA repair. Methods: A total of 189 patients who underwent elective AAA repair between 2015 and 2016 were included in this study. These patients were preoperatively evaluated by Hospital Anxiety and Depression Scale (HADS). Demographics and anxiety and depression scores of the patients were documented. Logistic regression was used to identify the independent risk factors of preoperative anxiety and depression. Results: A total of 150 AAA patients were included in final analysis. Of these 150 patients, 44 patients (29.3%) had borderline anxiety or clinical anxiety, and 42 patients (28.0%) were found to have borderline or clinical depression. Female (odds ratio [OR]: 2.81, 95% confidence interval [CI]: 1.08–7.26), the American Society of Anesthesiologists (ASA) Grade 3/4 (OR: 4.34, 95% CI: 1.13–16.68), higher education (OR: 1.44, 95% CI: 1.02–2.04), and abdominal or back pain (OR: 3.08, 95% CI: 1.20–7.87) were identified as significant independent risk factors of abnormal HADS-anxiety in overall patients; and higher level of education (OR: 1.87, 95% CI: 1.16–3.01) was predictive of anxiety in patients planned for endovascular aortic repair. Besides, higher body mass index (BMI) (OR: 1.18, 95% CI: 1.04–1.33) and abdominal or back pain (OR: 3.93, 95% CI: 1.70–9.11) were predictive of abnormal preoperative HADS-depression in overall patients. 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.


 Abstract in Chinese





结果:本研究最终纳入150例腹主动脉瘤患者,其中44例(29.3%)患者有交界性或临床焦虑,43例患者有交界性或临床抑郁。研究发现女性(OR: 2.81,95% CI: 1.08-7.26),ASA分级3或4(OR: 4.34,95% CI: 1.13-16.68),高教育等级(OR: 1.14,95% CI: 1.02-2.04)及腰腹痛(OR 3.08,95% CI: 1.20-7.87)为异常HADS-A评分的危险因素,其中高教育等级(OR: 1.87,95% CI: 1.16-3.01)为腹主动脉瘤腔内修复术前焦虑危险因素。高BMI (OR: 1.18, 95% CI: 1.04-1.33) 及腰腹痛 (OR: 3.93, 95% CI: 1.70-9.11) 为术前异常HADS-D评分的危险因素。


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