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IMPACT OF PRE & POST-OP PSYCHOLOGICAL DISTRESS AND COGNITIVE IMPAIRMENT ON HRQOL IN CABG PATIENTS: A GENDER AND AGE-STRATIFIED ANALYSIS

Areeba Sajid, Dr. Aqna Malik, Mudassar Mazher

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Abstract

Background: Little Knowledge is available on what foresees psychological distress in cardiac patients post-cardiac surgery.

Aim: This short-term longitudinal study aimed to observe the impact of CABG on the health-related quality of life (HrQOL) of patients during both pre&postoperative period (1-week)

Objective:

To evaluate the impact of psychiatric distress related to anxiety and depression by applying HADS-A and HADS-D in both genders and all age groups

To compare the level of cognitive impairment among both genders of different age groups by applying the MMSE with short-term follow-up.

Method: A prospective, observational, short-term longitudinal study with pre-post comparison was designed in selected patients who were admitted to cardiac wards for CABG during of previous 3 months. Both patients and cardiac physicians were briefed about the basic plot of the study. After Careful observation of patients who were waiting for CABG in hospital critical care wards (IPD) written and oral consent was obtained from selected patients of both genders and aged 19-60 years. Patients were questioned both pre- and post-operatively ( 1 Week post-CABG) with short-term follow-up. A standard questionnaire based on the HADS and MMSE scales was designed. Part 1 of the questionnaire was modified to obtain demographic data from participants.

Results: 4 (8.9%) males& 7 (20%) females suffered Pre-Op anxiety, reduced to 1(2%) in males and 1(3%) female 1-week Post-Op. Symptoms of depression were found in 6(13.3%) males& 4(11.4%) females, and 5 (6.75%) among 80 patients had severe MMSE symptoms, which dropped to 4 (5%) post-Op. 

Conclusion: Post-Op psychiatric symptoms were significantly improved than Pre-Op. HRQoL was lower pre-OP than POST-OP.