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The impact of the COVID-19 pandemic on recovery from cardiac surgery: 1-year outcomes.
- Source :
- European Journal of Cardiovascular Nursing; Jul2023, Vol. 22 Issue 5, p516-528, 13p
- Publication Year :
- 2023
-
Abstract
- Aims The outbreak of COVID-19 was potentially stressful for everyone and possibly heightened in those having surgery. We sought to explore the impact of the pandemic on recovery from cardiac surgery. Methods and results A prospective observational study of 196 patients who were ≥18years old undergoing cardiac surgery between March 23 and July 4, 2020 (UK lockdown) was conducted. Those too unwell or unable to give consent/complete the questionnaires were excluded. Participants completed (on paper or electronically) the impact of event [Impact of Events Scale-revised (IES-R)] (distress related to COVID-19), depression [Centre for Epidemiological Studies Depression Scale (CES-D)], and EQ-5D-5L [(quality of life, health-related quality of life (HRQoL)] questionnaires at baseline, 1 week after hospital discharge, and 6 weeks, 6 months and 1 year post-surgery. Questionnaire completion was >75.0% at all timepoints, except at 1 week (67.3%). Most participants were male [147 (75.0%)], white British [156 (79.6%)] with an average age 63.4years. No patients had COVID-19. IES-R sand CES-D were above average at baseline (indicating higher levels of anxiety and depression) decreasing over time. HRQoL pre-surgery was high, reducing at 1 week but increasing to almost pre-operative levels at 6 weeks and exceeding pre-operative levels at 6 months and 1 year. IES-R and CES-D scores were consistently higher in women and younger patients with women also having poorer HRQoL up to 1-year after surgery. Conclusions High levels of distress were observed in patients undergoing cardiac surgery during the COVID-19 pandemic with women and younger participants particularly affected. Psychological support pre- and post-operatively in further crises or traumatic times should be considered to aid recovery. Registration Clinicaltrials.gov ID:NCT04366167. [ABSTRACT FROM AUTHOR]
- Subjects :
- CARDIAC surgery
MEDICAL quality control
PREOPERATIVE care
SCIENTIFIC observation
SOCIAL support
CONFIDENCE intervals
CONVALESCENCE
POSTOPERATIVE care
RETROSPECTIVE studies
ACQUISITION of data
TREATMENT effectiveness
COMPARATIVE studies
QUESTIONNAIRES
DESCRIPTIVE statistics
MENTAL depression
MEDICAL records
ANXIETY
COVID-19 pandemic
LONGITUDINAL method
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 22
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 170393814
- Full Text :
- https://doi.org/10.1093/eurjcn/zvac083