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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 :
- Academic Search Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 170393814
- Full Text :
- https://doi.org/10.1093/eurjcn/zvac083