Journal of psychosomatic research · 2026
Preoperative anxiety is associated with postoperative cardiovascular events, extubation delay, and pain in patients undergoing cardiac surgery: A prospective observational study in Taiwan.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Su Siao-Ya, Jiang Jiin-Ling, Chang Jui-Chih, Wang Jen-Hung, Koo Malcolm
Аннотация
OBJECTIVE: Preoperative anxiety is common among patients undergoing cardiac surgery and may influence early postoperative recovery. Evidence linking anxiety to clinically relevant postoperative outcomes remains limited, particularly in non-Western populations. This study examined the association between preoperative anxiety and multiple postoperative outcomes in patients undergoing cardiac surgery in Taiwan.
METHODS: In this prospective observational study, 113 adult patients scheduled for elective cardiac surgery were enrolled at a tertiary medical center in Eastern Taiwan. Preoperative anxiety was assessed using the Visual Analogue Scale for Anxiety (VAS-A; 0-10 scale). Outcomes included cardiovascular adverse events and non-arrhythmia-related cardiovascular events within 30 days postoperatively, delayed extubation (≥6 h), and mean 7-day postoperative pain, defined as a Critical-Care Pain Observation Tool score ≥ 2. Associations were evaluated using multivariable Firth's penalized logistic regression. Absolute risk estimates were derived at representative low and high anxiety levels.
RESULTS: Higher preoperative VAS-A scores were independently associated with increased odds of cardiovascular adverse events (adjusted odds ratio [aOR], 1.34), non-arrhythmia-related cardiovascular events (aOR, 1.40), and delayed extubation (aOR, 1.40). The association with mean 7-day postoperative pain approached but did not reach conventional statistical significance after adjustment (aOR, 1.18). Absolute risk estimates demonstrated substantial differences across anxiety levels for all outcomes.
CONCLUSION: Preoperative anxiety is independently associated with several adverse postoperative outcomes after cardiac surgery. These findings support the potential value of brief preoperative anxiety screening as a pragmatic tool for perioperative risk identification. Further studies are needed to determine whether targeted anxiety management can improve postoperative clinical outcomes.
METHODS: In this prospective observational study, 113 adult patients scheduled for elective cardiac surgery were enrolled at a tertiary medical center in Eastern Taiwan. Preoperative anxiety was assessed using the Visual Analogue Scale for Anxiety (VAS-A; 0-10 scale). Outcomes included cardiovascular adverse events and non-arrhythmia-related cardiovascular events within 30 days postoperatively, delayed extubation (≥6 h), and mean 7-day postoperative pain, defined as a Critical-Care Pain Observation Tool score ≥ 2. Associations were evaluated using multivariable Firth's penalized logistic regression. Absolute risk estimates were derived at representative low and high anxiety levels.
RESULTS: Higher preoperative VAS-A scores were independently associated with increased odds of cardiovascular adverse events (adjusted odds ratio [aOR], 1.34), non-arrhythmia-related cardiovascular events (aOR, 1.40), and delayed extubation (aOR, 1.40). The association with mean 7-day postoperative pain approached but did not reach conventional statistical significance after adjustment (aOR, 1.18). Absolute risk estimates demonstrated substantial differences across anxiety levels for all outcomes.
CONCLUSION: Preoperative anxiety is independently associated with several adverse postoperative outcomes after cardiac surgery. These findings support the potential value of brief preoperative anxiety screening as a pragmatic tool for perioperative risk identification. Further studies are needed to determine whether targeted anxiety management can improve postoperative clinical outcomes.