Psychiatric Comorbidity Ups 30-Day Surgical Mortality

Individually, patients with either anxiety or depression pre-admission are at risk
By Lindsey Marcellin
HealthDay Reporter

THURSDAY, Oct. 21 (HealthDay News) -- Surgical patients with a preexisting psychiatric comorbidity have a greater 30-day post-surgical mortality risk, according to research published in the October issue of the Archives of Surgery.

Thad E. Abrams, M.D., of the University of Iowa Carver College of Medicine in Iowa City, and colleagues conducted a retrospective cohort study of 35,539 surgical patients admitted to Veterans Health Administration hospital intensive care units. The purpose of the study was to assess the effect of five psychiatric comorbidities on post-surgical mortality.

A preexisting psychiatric diagnosis of depression, anxiety, posttraumatic stress disorder, bipolar disease, or schizophrenia was identified in 25.1 percent of admitted surgical patients. The researchers found the adjusted 30-day post-surgical mortality to be 21 percent higher in the psychiatric comorbidity group than in the group of surgical patients without preexisting comorbidity. Individually, patients with anxiety and depression, but not the other comorbidities, had significantly greater odds of 30-day mortality.

"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," the authors write.

Full Text (subscription or payment may be required)

Copyright © 2010 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

What internal motivators drive RNs to pursue a BSN?
Nursing2014 , October 2014
Free access will expire on November 24, 2014.

Breast Cancer Risk Assessment in Primary Care
MCN, The American Journal of Maternal/Child Nursing, September/October 2014
Free access will expire on November 10, 2014.

Nurses spurring innovation
Nursing Management, October 2014
Free access will expire on November 10, 2014.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events