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Excerpt
Method: After informed patient consent, 180 patients undergoing cardiac surgery between July, 2000 and May, 2001 were prospectively followed. During the follow-up period patients were contacted annually by mail. Beck Depression Inventory (BDI), Self Rated Health, Spielberger State-Trait anxiety inventory (STAI-T, STAI-S), number and reason for rehospitalization were assessed each year, Illness Intrusiveness Scale, Social Support Inventory, Dennolet distressed personality test, Hostility Scale were fulfilled at the 2nd and 5th year. Patients who did not respond were contacted by telephone and national registries were searched for deaths. Paired t-tests, partial correlations were performed.
Results: Twenty-one patients died (11.6%) and 47 patients were lost (n = 27) or refused (n = 20) during follow-up. BDI and STAI scores highly correlated with each other (r = 0.73; P < 0.001). STAI-T score was associated with distressed personality score (r = 0.68; P< 0.001). Illness Intrusiveness Scale was related to STAI-T scores and to number of hospitalization. Dennolet score was linked to Self Rated Health and hostility (r = 0.55; P < 0.001). Distressed personality and BDI scores were relatively stable during follow-up, while scores of Illness Intrusiveness increased with the years. Perioperative factors, such as Intensive Care Unit days or congestive cardiac failure had no role in the long-term hospitalization.
Discussion: Assessment of psychosocial factors could further help in identifying patients at high risk for hospital readmission after cardiac surgery.
