Self-rated health is associated with the length of stay at the intensive care unit and hospital following cardiac surgery

BMC Cardiovascular Disorders

Research Article

Paul RJ Falger¹  Attila Tóth²  Eszter Losoncz²  János Gál³  Andrea Székely⁴  Boglárka Juhász⁵  Richard J Contrada⁶  Péter Vargha⁷  Piroska Balog⁸  Zsuzsanna Cserép⁹  Roland Tóth^1,10 

[1] Department of Psychiatry and Neuropsychiatry, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands;The Department of Anesthesia and Intensive Care, Gottsegen György Hungarian Institute of Cardiology, Budapest, Hungary;The Department of Anesthesia and Intensive Care, Semmelweis University, Budapest, Hungary;The Department of Anesthesia and Intensive Care, Semmelweis University, Budapest, Hungary;The Department of Anesthesia and Intensive Care, Gottsegen György Hungarian Institute of Cardiology, Budapest, Hungary;The Department of Cardiac Surgery of Gottsegen György Hungarian Institute of Cardiology, Budapest, Hungary;The Department of Psychology, Rutgers the State University of New Jersey, New Brunswick, New Jersey, USA;The Hungary Heart Center, Semmelweis University, Budapest, Hungary;The Institute of Behavioral Sciences, Semmelweis University, Budapest, Hungary;The School of Ph.D. Studies, Semmelweis University, Budapest, Hungary;The Department of Anesthesia and Intensive Care, Semmelweis University, Budapest, Hungary;The School of Ph.D. Studies, Semmelweis University, Budapest, Hungary;The Department of Cardiac Surgery of Gottsegen György Hungarian Institute of Cardiology, Budapest, Hungary;

关键词: ICU stay;    Happiness;    Self-rated health;    Cardiac surgery;    Risk stratification;   

DOI  :  10.1186/1471-2261-14-171

 received in 2014-07-14, accepted in 2014-10-27,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundRecently, a considerable amount of evidence suggested that anxiety, depression and other psychosocial variables might influence the outcomes of cardiac surgery. This study investigated the relationship between length of stay at the intensive care unit (ICU) and hospital after surgery and different psychosocial variables (e.g. depression, anxiety, self rated health, happiness, satisfaction).MethodsWe enrolled prospective patients who were waiting for elective cardiac surgery (N = 267) and consented to take part in the study. We collected data of sociodemographic, medical and perioperative factors as well as psychosocial questionnaires completed 1.56 days (standard deviation [SD] = 0.7) before surgery. The primary clinical endpoint was an ICU stay of at least 3 days and the secondary was hospital stay of at least 10 days.ResultsTwo hundred sixty-seven patients participated in this study. Four patients (1.5%) died in the hospital and 38 patients (14.5%) spent more than 3 days in the ICU and 62 patients (23.2%) spent more than 10 days in the hospital. After controlling for medical and sociodemographic factors, lower self rated health (Adjusted Odds Ratio [AOR]: 0.51, 95% confidence interval [CI]: 0.28-0.95; p = 0.03), lower rate of happiness (AOR: 0.76, 95% CI: 0.59-0.97, p = 0.03), postoperative cardiac failure (AOR: 7.09, 95% CI:1.21-41.54; p = 0.03) and postoperative complications (AOR: 9.52, 95% CI: 3.76-24.11; p < 0.001) were associated with longer ICU stay. More than 10 days of hospital stay was associated with higher occurrence of COPD (AOR 4.56, CI: 1.95-10.67, p < 0.001), NYHA stage (AOR 6.76, CI: 2.57-17.79, p < 0.001), operation time (AOR 1.45, CI: 1.19-1.76, p < 0.001), female gender (AOR 2.16, CI: 1.06-4.40, p = 0.034) and lower self-rated health (AOR 0.63, CI: 0.41-0.99, p = 0.044).ConclusionsLower happiness and self-rated health may influence the outcome of cardiac surgery. Therefore, these variables should be assessed in patients.

【 授权许可】

Unknown   
© Cserép et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.