Navigation Links
Depression, Anxiety May Raise Surgery Risks
Date:10/19/2010

TUESDAY, Oct. 19 (HealthDay News) -- People with depression and anxiety have a slightly increased risk of death after undergoing surgery, a new study suggests.

U.S. researchers analyzed data from 35,539 surgical patients admitted to intensive care units between Oct. 1, 2003 and Sept. 30, 2006. Of those patients, 8,922 (25.1 percent) had an existing psychiatric condition, including 5,500 (15.5 percent) with depression, 2,913 (8.2 percent) with post-traumatic stress disorder, 2,473 (7 percent) with anxiety, 793 (2.2 percent) with bipolar disorder, and 621 (1.8 percent) with psychosis.

Initial analysis showed that the death rates within 30 days after surgery were similar for patients with and without psychiatric illness -- 3.8 percent and 4 percent, respectively. But when the researchers adjusted for other factors, the death rate was higher for patients with a psychiatric condition, according to the report in the October issue of the journal Archives of Surgery.

Further analysis showed that the increased risk of death was associated with depression and anxiety, but not any other psychiatric condition. Also, death rates were higher among patients with psychiatric conditions who had respiratory or digestive system surgery, but not for those who had surgery involving the circulatory, nervous or musculoskeletal systems.

"Several potential mechanisms exist to explain these findings," Dr. Thad E. Abrams, of the Iowa City Veterans Affairs Medical Center and University of Iowa Carver College of Medicine in Iowa City, and colleagues wrote in a news release from the journal's publisher.

"First, studies indicate that patients with depression frequently do not adhere to medical recommendations for underlying medical conditions," the study authors noted. "It is therefore plausible that such undertreated conditions may affect postoperative care and outcomes. Second, patients with existing psychiatric comorbidity may be more likely to undergo surgery by a lower-quality surgeon or hospital. Third, pre-existing psychiatric comorbidity may serve as an indicator for greater severity of surgical risk."

The findings suggest that surgical patients with depression or anxiety require special care.

"Until further research is completed, we recommend that surgeons caring for patients with a history of anxiety or depression seek early involvement of multidisciplinary teams to help identify problematic areas in perioperative care processes, particularly regarding issues of surgeon-patient communication and adherence to post-surgical recommendations," Abrams and colleagues concluded.

More information

The Anxiety Disorders Association of America has more about anxiety and depression.

-- Robert Preidt

SOURCE: JAMA/Archives journals, news release, Oct. 18, 2010


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Husbands hostile, anti-social behaviors increase wives symptoms of depression, researchers find
2. Brain Balancing Gives Hope for Sufferers of Depression, Stress, and Insomnia at New Life Brain Center
3. Black men with chronic pain at higher risk for depression, disability
4. For Depression, Phone Therapy May Be an Answer
5. "Miracle" Tapping Technique EFT Found to Help Stress, Anxiety, Depression, Trauma and Pain in Reduced Timescales. Workshops Now Offered
6. Non-invasive therapy significantly improves depression, UCLA researchers say
7. Social Anxiety and Panic - Alternative Treatment to Drugs and Therapy
8. People with anxiety disorder less able to regulate response to negative emotions, study shows
9. Anxiety Disorder Patients Process Emotions Differently
10. Remuda Ranch Programs for Eating and Anxiety Disorders Sponsors a Special Edition of the Award-Winning Documentary America The Beautiful
11. Exercise Can Quiet Anxiety That Comes With Illness
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Depression, Anxiety May Raise Surgery Risks
(Date:5/31/2016)... ... May 31, 2016 , ... Fire Door Solutions, headquartered ... the Fire Door Solutions’ team. Keith will serve Fire Door Solutions as ... re-labeling. He will be instrumental in developing educational curriculum and leading training ...
(Date:5/31/2016)... ... 31, 2016 , ... Throughout the day, adults often find themselves reaching for a cup of ... they could be reaching for instead is a cup of Matcha green tea. Matcha is ... This sacred tea is harvested from early June to mid-July, when the leaves are the ...
(Date:5/31/2016)... Atlanta, GA (PRWEB) , ... May 31, 2016 ... ... Contact Center Solutions , today announced it has been included by Gartner, ... 2016 report mentions a wide range of Contact Center Infrastructure technologies, some of ...
(Date:5/31/2016)... ... May 31, 2016 , ... ... Healthconnect’s (Healthconnect) regional health information exchange, which enables physicians at SJMC’s two hospital ... patients from other participating organizations in the exchange. SJMC’s membership in the health ...
(Date:5/31/2016)... (PRWEB) , ... May 31, 2016 , ... ... using a mix of advanced Artificial Intelligence (AI) and the latest in ... The medical center is integrating predictive analytic outputs directly into the clinical workflow. ...
Breaking Medicine News(10 mins):
(Date:5/27/2016)... study highlights the necessity of health literacy within the technology advancement of diagnostic imaging. According ... , a majority of oncology patients undergo imaging screenings without understanding the nuanced risks ... ... ... Medical Diagnostic Imaging Ampronix ...
(Date:5/27/2016)... May 27, 2016 According to ... hypertension is driving ambulatory blood pressure monitoring system market ... and their ability to respond to different pressure rates, ... can lead to various cardiovascular disorders such as heart ... These diseases are growing in prevalence each year. WHO ...
(Date:5/27/2016)... 27, 2016 Kitov ... focused on late-stage drug development, today announced the ... of pivotal batches required for registration of KIT-302 ... This follows Kitov,s announcement in December ... met its primary efficacy endpoint. "We ...
Breaking Medicine Technology: