Clinical and investigative medicine. Medecine clinique et experimentale · 1997
Psychiatric evaluation and outcomes in candidates for heart transplantation.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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.
Phipps L
Аннотация
OBJECTIVE: To describe the results of psychiatric evaluations and to describe psychiatric outcomes in patients in a heart transplantation program.
DESIGN: Descriptive study.
SETTING: Heart transplant unit at the Royal Victoria Hospital in Montreal from September 1984 to December 1995.
PATIENTS: A total of 706 candidates for heart transplantation, of whom 226 received a graft.
INTERVENTIONS: All candidates underwent a psychiatric evaluation consisting of a semi-structured interview with mental status examination and diagnosis of mental disorders.
OUTCOME MEASURES: Results of psychiatric evaluation and postoperative recovery and complications.
RESULTS: Twenty-eight candidates were found to be unsuitable for surgery because of psychiatric illness. The heart transplant recipients who had previously suffered from a psychiatric disorder fared worse than those who had not. The psychiatrist's recommendations for or against surgery depended on the patient's ability to cope with a number of stressors, including compliance with the medical regimen, the wait for a donor, the surgical procedure itself, adaptation to life with a new organ and the resolution of a distressing emotional state. Postoperative psychiatric complications ranged from organic mental syndromes to depression.
CONCLUSIONS: With the increase in the number of heart transplantations, the competition for organ donors is intensifying, and patient selection requires greater involvement of psychiatrists.
DESIGN: Descriptive study.
SETTING: Heart transplant unit at the Royal Victoria Hospital in Montreal from September 1984 to December 1995.
PATIENTS: A total of 706 candidates for heart transplantation, of whom 226 received a graft.
INTERVENTIONS: All candidates underwent a psychiatric evaluation consisting of a semi-structured interview with mental status examination and diagnosis of mental disorders.
OUTCOME MEASURES: Results of psychiatric evaluation and postoperative recovery and complications.
RESULTS: Twenty-eight candidates were found to be unsuitable for surgery because of psychiatric illness. The heart transplant recipients who had previously suffered from a psychiatric disorder fared worse than those who had not. The psychiatrist's recommendations for or against surgery depended on the patient's ability to cope with a number of stressors, including compliance with the medical regimen, the wait for a donor, the surgical procedure itself, adaptation to life with a new organ and the resolution of a distressing emotional state. Postoperative psychiatric complications ranged from organic mental syndromes to depression.
CONCLUSIONS: With the increase in the number of heart transplantations, the competition for organ donors is intensifying, and patient selection requires greater involvement of psychiatrists.