Does age at the time of elective cardiac surgery or catheter intervention in children influence the longitudinal development of psychological distress and styles of coping of parents?

2002 ◽  
Vol 12 (6) ◽  
pp. 524-530 ◽  
Author(s):  
Elisabeth M. Utens ◽  
Herma J. Versluis-Den Bieman ◽  
Maarten Witsenburg ◽  
Ad J.J.C. Bogers ◽  
John Hess ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Psychological Distress ◽  
General Health Questionnaire ◽  
Future Research ◽  
Catheter Intervention ◽  
Longitudinal Development ◽  
Congenital Cardiac Defects ◽  
Elective Cardiac Surgery ◽  
Cardiac Procedures ◽  
Cardiac Procedure

Aims: To assess the influence of age at a cardiac procedure of children, who underwent elective cardiac surgery or interventional cardiac catheterisation for treatment of congenital cardiac defects between 3 months and 7 years of age, on the longitudinal development of psychological distress and styles of coping of their parents. Methods: We used the General Health Questionnaire to measure psychological distress, and the Utrecht Coping List to measure styles of coping. Parents completed questionnaires on average respectively 5 weeks prior to, and 18.7 months after, cardiac surgery or catheter intervention for their child. Results: Apart from one exception, no significant influence was found of the age at which children underwent elective cardiac surgery or catheter intervention on the pre- to postprocedural course of psychological distress and the styles of coping of their parents. Across time, parents of children undergoing surgery reported, on average, significantly higher levels of psychological distress than parents of children who underwent catheter intervention. After the procedure, parents of children who underwent either procedure reported significantly lower levels of psychological distress, and showed a weaker tendency to use several styles of coping, than did their reference groups. Conclusion: Age of the children at the time of elective cardiac surgery or catheter intervention did not influence the course of psychological distress of their parents, nor the styles of coping used by the parents. Future research should investigate in what way the age at which these cardiac procedures are performed influences the emotional and cognitive development of the children.

Psychological distress and styles of coping in parents of children awaiting elective cardiac surgery

2000 ◽  
Vol 10 (3) ◽  
pp. 239-244 ◽  
Author(s):  
Elisabeth M. Utens ◽  
Herma J. Versluis-Den Bieman ◽  
Frank C. Verhulst ◽  
Maarten Witsenburg ◽  
Ad J.J.C. Bogers ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Psychological Distress ◽  
Emotional Development ◽  
Congenital Heart ◽  
General Health Questionnaire ◽  
Future Research ◽  
Catheter Intervention ◽  
Reference Groups ◽  
Elective Cardiac Surgery ◽  
Parental Reactions

AbstractAimsWe sought to assess the level of psychological distress, and the styles of coping of, parents of children with congenital heart disease. The study was based on questionnaires, which were completed, on average, four weeks, with a range from 0.1 to 22.1 weeks, prior to elective cardiac surgery or elective catheter intervention.MethodsWe used the General Health Questionnaire, and the Utrecht Coping List, to compare scores from parents of those undergoing surgery, with scores of reference groups, and with scores of the parents of those undergoing intervention.ResultsOverall, in comparison with our reference groups, the parents of the 75 children un dergoing surgery showed elevated levels of psychological distress, manifested as anxiety, sleeplessness, and social dysfunctioning. They also demonstrated less adequate styles of coping, being, for example, less active in solving problems. With only one exception, no differences were demonstrated in parental reactions to whether cardiac surgery or catheter intervention had been planned. The mothers of the 68 patients who were to undergo cardiac surgery, however, reported greater psychological distress and manifested greater problems with coping than did the fathers.ConclusionElevated levels of psychological distress, and less adequate styles of coping, were found in the parents of patients about to undergo cardiac surgery, especially the mothers, when compared to reference groups. Future research should investigate whether these difficulties persist, and whether this will influence the emotional development of their children with congenital cardiac malformations.

Psychological Distress in Elite Adolescent Soccer Players Following Deselection

2016 ◽  
Vol 10 (1) ◽  
pp. 59-77 ◽  
Author(s):  
David J. Blakelock ◽  
Mark A. Chen ◽  
Tim Prescott
Keyword(s):  
Psychological Distress ◽  
General Health Questionnaire ◽  
Soccer Players ◽  
Future Research ◽  
Clinical Implications ◽  
Selection Procedures ◽  
Factorial Anova ◽  
Time Points ◽  
Athletic Population ◽  
Sizable Proportion

Elite adolescent soccer players may represent one athletic population that is vulnerable to developing psychological distress following deselection. This study examined the proportion of players experiencing clinical levels of psychological distress following selection procedures and whether player status (i.e., deselected vs. retained) had a significant effect on psychological distress. Data was collected from 91 players who completed the General Health Questionnaire -12 at three time points: 7–14 days before selection procedures, 7 days after and 21 days after. Although outcomes were heterogeneous, a sizable proportion of deselected players were found to experience clinical levels of psychological distress. A factorial ANOVA (p < .001) found that deselected players experienced higher levels of psychological distress than retained players at postselection time points. The research provides evidence that some deselected players are “at risk” of developing clinical levels of psychological distress. Clinical implications and recommendations for future research are discussed.

Non-elective cardiac surgery in octogenarians: How effective are we?

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
H Deschka ◽  
M Matthäus ◽  
C Dogru ◽  
S Erler ◽  
G Wimmer-Greinecker
Keyword(s):  
Cardiac Surgery ◽  
Elective Cardiac Surgery ◽  
Surgery In Octogenarians

scholarly journals COVID-19 related mortality in post-operative cardiac surgical patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Azhar Hussain ◽  
Amina Khalil ◽  
Priyanka Kolvekar ◽  
Prity Gupta ◽  
Shyamsunder Kolvekar
Keyword(s):  
Cardiac Surgery ◽  
Long Term Outcomes ◽  
Case Presentation ◽  
Elective Cardiac Surgery ◽  
The United Kingdom ◽  
Global Pandemic ◽  
Cardiac Operations ◽  
Related Mortality

Abstract Background COVID-19 has caused a global pandemic of unprecedented proportions. Elective cardiac surgery has been universally postponed with only urgent and emergency cardiac operations being performed. The National Health Service in the United Kingdom introduced national measures to conserve intensive care beds and significantly limit elective activity shortly after lockdown. Case presentation We report two cases of early post-operative mortality secondary to COVID-19 infection immediately prior to the implementation of these widespread measures. Conclusion The role of cardiac surgery in the presence of COVID-19 is still very unpredictable and further studies on both short term and long term outcomes are warranted.

scholarly journals Neurological Complications of Cardiac Procedures

2021 ◽  
Author(s):  
Courtney M. Hrdlicka ◽  
Jeffrey Wang ◽  
Magdy Selim
Keyword(s):  
Cardiac Surgery ◽  
Cognitive Dysfunction ◽  
Postoperative Cognitive Dysfunction ◽  
Neurological Complications ◽  
Diagnostic Workup ◽  
Diagnosis And Management ◽  
Percutaneous Interventions ◽  
Cardiac Procedures ◽  
Appropriate Treatment ◽  
Periprocedural Stroke

AbstractNeurological complications after cardiac surgery and percutaneous cardiac interventions are not uncommon. These include periprocedural stroke, postoperative cognitive dysfunction after cardiac surgery, contrast-induced encephalopathy after percutaneous interventions, and seizures. In this article, we review the incidence, pathophysiology, diagnosis, and management of these complications. Improved understanding of these complications could lead to their prevention, faster detection, and facilitation of diagnostic workup and appropriate treatment.

Using the 12-item General Health Questionnaire to screen psychological distress from survivorship to end-of-life care: dimensionality and item quality

2011 ◽  
Vol 21 (9) ◽  
pp. 954-961 ◽  
Author(s):  
Wei Gao ◽  
Daniel Stark ◽  
Michael I. Bennett ◽  
Richard J. Siegert ◽  
Scott Murray ◽  
...  
Keyword(s):  
Psychological Distress ◽  
End Of Life ◽  
End Of Life Care ◽  
General Health ◽  
General Health Questionnaire ◽  
Life Care ◽  
Health Questionnaire ◽  
Item Quality

Mental Health Status of a Latin American Community in New South Wales

1996 ◽  
Vol 30 (4) ◽  
pp. 457-462 ◽  
Author(s):  
Robert McDonald ◽  
Carmen Vechi ◽  
Jenny Bowman ◽  
Robert Sanson-Fisher
Keyword(s):  
Psychological Distress ◽  
Latin American ◽  
Employment Status ◽  
New South ◽  
General Health Questionnaire ◽  
New South Wales ◽  
Independent Variables ◽  
South Wales ◽  
Threshold Score ◽  
Hunter Region

Objective: To determine the levels and predictors of psychological distress within a Latin American community in the Hunter region of New South Wales, Australia. Method: Participants (n=184) were interviewed in their homes by a bilingual interviewer using a specially prepared questionnaire and the General Health Questionnaire (GHQ-12). Results: Of the 13 independent variables examined, two demographic and two immigrant-related variables were significantly associated with an above-threshold score: marital status, employment status, perceived discrimination, and dissatisfaction with life in Australia. Conclusions: Compared to results from other community surveys, the levels of psychological distress within this Latin American community appear to be relatively high.

Effects of the use neuromuscular electrical stimulation of the lower extremities in the prehabilitation of patients in a before cardiac surgery

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
P Oleinik ◽  
AN Sumin ◽  
AV Bezdenezhnykh
Keyword(s):  
Cardiac Surgery ◽  
Handgrip Strength ◽  
Lower Extremities ◽  
Left Knee ◽  
Knee Extensors ◽  
Control Group ◽  
Elective Cardiac Surgery ◽  
Antagonist Muscles ◽  
Muscle Groups ◽  
Knee Flexors

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): Research Institute for Complex Issues of Cardiovascular Diseases Aim To evaluate the effects of neuromuscular electrostimulation in the prehabilitation and prevention of muscle weakness in patients awaiting cardiac surgery. Materials and methods 122 patients waiting for elective cardiac surgery were included. Exclusion criteria: age less than 25 and more than 80 years; emergency and urgent surgical interventions; arthropathies; low pain threshold; rhabdomyolysis and other myopathies; cognitive dysfunction. Routine laboratory and instrumental examinations were performed in all patients upon admission to the hospital, as part of a standard examination. 62 patients were randomly selected for the preoperative NMES group, in addition to the standard preoperative preparation and treatment program. The standard program included 60 control patients. Patients of the NMES group underwent quadriceps stimulation for at least 5 sessions, lasting 90 minutes, daily before surgery. Results. The groups were comparable and did not have significant differences in gender and age characteristics, according to the main clinical and anamnestic data and types of operations. Initially, there were no differences in the state of the muscles of the lower extremities, the distance of the six-minute walking test (6MWT), and the strength of the hand grip. After NMES, there was an increase in muscle strength relative to the control group, both stimulated muscle groups and unstimulated antagonist muscles, as well as a greater 6MWT distance and hand compression force. All the differences were significant. Conclusions The course of pre-rehabilitation of NMES before surgery, allowed to maintain, and in some cases improve the condition of the muscle frame of the lower extremities. A positive effect was observed not only in stimulated muscle groups, but also in antagonist muscles Indicators of muscle status NMES (n = 62) Control group (n = 60) Baseline Discharge Baseline Discharge P-level Right knee extensors strength (kg) 24,4 [18,3; 31,4] 30,4 [23,8; 36,2]* 24,7 [20,1; 33,2] 22,25 [18,9; 30,4] &lt;0,001 Left knee extensors strength (kg) 23,8 [19,3; 31,3] 29,2 [23,6; 35,4]* 25,75 [19,2; 31,3] 22,9 [18,9; 27,8] &lt;0,001 Right knee flexors strength (kg) 18,9 [13,3; 24,0] 21,7 [16,6; 25,1] 19,55 [13,1; 26,0] 16,7 [12,1; 23,3] 0,006 Left knee flexors strength (kg) 19,3 [14,3; 24,5] 21,9 [17,3; 26,7] 19,5 [13,0; 24,3] 18,2 [13,4; 22,2] 0,005 6-MWT (m) 300,0 [261,0; 371,0] 331,0 [280,0; 375,0] 304,5 [253,0; 380,0] 285,5 [246,0; 342,0] 0,006 Right handgrip strength (kg) 28,5 [20,5; 34,0] 31,5 [22,0; 34,0] 29,0 [19,0; 34,0] 27,0 [19,0; 33,0] 0,054 Left handgrip strength (kg) 25,0 [18,0; 31,0] 25,0 [18,0; 32,0] 24,0 [15,0; 31,0] 22,0 [14,0; 28,0] 0,062 * - p-level from baseline data &lt; 0,05 Abstract Figure. dynamics of stimulated muscles

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